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siPGK1在调控黑色素瘤细胞对Vemurafenib敏感性中的作用及其机制
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作者 刘蓉 宛欣 +3 位作者 王茜 李凡璐 景佳妮 崔香丽 《中国应用生理学杂志》 CAS CSCD 2017年第4期289-293,共5页
目的:研究磷酸甘油酸酯激酶1(PGK1)对BRAFV600E突变型恶性黑色素瘤(MM)对Vemurafenib(Zelboraf)敏感性的影响及其机制。方法:采用分子生物学、细胞生物学、药理学相关实验方法(MTT、Western blot、FCM、Colongenic)探讨:(1)PGK1以及Ve... 目的:研究磷酸甘油酸酯激酶1(PGK1)对BRAFV600E突变型恶性黑色素瘤(MM)对Vemurafenib(Zelboraf)敏感性的影响及其机制。方法:采用分子生物学、细胞生物学、药理学相关实验方法(MTT、Western blot、FCM、Colongenic)探讨:(1)PGK1以及Vemurafenib对MM细胞的存活增殖能力的影响;(2)通过si PGK1基因增加Vemurafenib药敏感性的机制。结果:(1)沉默PGK1基因后再给以BRAFV600E选择性抑制剂Vemurfenib,MM细胞系的存活率明显下降,并呈一定的剂量依赖性;(2)si PGK1增加MM细胞对Vemurafenib的药物敏感性与激活凋亡信号通路有关。结论:si PGK1通过激活凋亡信号通路增加MM细胞对Vemurafenib的药物敏感性,从而抑制细胞的存活和增殖能力。 展开更多
关键词 黑色素瘤 siPGK1 vemurafenib 细胞凋亡
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A plant sesquiterpene lactone and its derivative reduce cutaneous side effect of vemurafenib,a BRAF inhibitor drug to treat late stage melanoma
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作者 Meng-ting CHANG Jia-hua FENG +2 位作者 Kyoko NAKAGAWA-GOTO Kuo-Hsiung LEE Lie-Fen SHYUR 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2015年第S1期90-91,共2页
OBJECTIVE To investigate the pharmacological effect of a plant sesquiterpene lactone(designated D)and its semi-organically synthesized novel derivative(designated S)and the role of lipid mediators,viz.,oxylipins in at... OBJECTIVE To investigate the pharmacological effect of a plant sesquiterpene lactone(designated D)and its semi-organically synthesized novel derivative(designated S)and the role of lipid mediators,viz.,oxylipins in attenuating vemurafenib-induced cutaneous side effects.METHODS A DMBA/TPAinduced skin carcinogenesis mouse model mimicking cutaneous side effect caused by vemurafenib was established to evaluate the efficacy of compound D and S in reversal of vemurafenib side effect.Comparative oxylipin metabolomics platform using UPLC-TQD mass spectrometry coupled with partial least squares-discriminant analysis(PLS-DA)analysis,cell-based assays,and immunochemistry analysis were performed to elucidate the mechanism insights of DET and S compounds and the role of specific oxylipins in skin cancer carcinogenesis.RESULTS Vemurafenib treatment expedited the skin papillomas formation in DMBA-TPA treated mouse from week 6 to week 3.Both D and S compounds could suppress the vemurafenib side effect and also decrease total papillomas numbers(55% to 72%)and average sizes(66% to 89%).Oxylipins metabolome analysis shows that specific arachidonic acid metabolites may play a role in vemurafenib-induced squamous cell carcinoma or keratoacanthomas formation in mouse skin that can be deregulated by D or S compound treatment.Notably,S compound can inhibit vemurafenib-induced paradoxical activation of MAP kinases in mouse skin or in NRAS mutant melanoma cells.CONCLUSION Our results indicate that plant sesquiterpene lactone D and its novel analog can reduce cutaneous side effect of vemurafenib through novel modes of action by inhibiting paradoxical activation of MAP kinases and de-regulating pro-inflammation mediators COX-2 and specific ecosanoid-type of oxylipins.This study may suggest a novel adjuvant therapy approach in treatment of BRAFV600 Emutant melanoma. 展开更多
关键词 vemurafenib SESQUITERPENE LACTONE two-stage carcin
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罗氏公司递交黑色素瘤治疗药Vemurafenib的上市申请
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作者 邢爱敏 《药学进展》 CAS 2011年第5期239-239,共1页
罗氏制药公司及其旗下的基因泰克公司近日分别向欧洲药品管理局(EMA)和美国FDA递交了vemurafenib(代号:RG7204,PLX4032)的新药上市申请,其适应证为BRAF V600突变阳性的转移性黑色素瘤。
关键词 vemurafenib 黑色素瘤 BRAF蛋白
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Transdermal treatment for malignant melanoma by aptamer-modified tetrahedral framework nucleic acid delivery of vemurafenib
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作者 Dexuan Xiao Tianyu Chen +6 位作者 Tianxu Zhang Sirong Shi Mei Zhang Xin Qin Yunkun Liu Longjiang Li Yunfeng Lin 《Chinese Chemical Letters》 SCIE CAS CSCD 2024年第4期260-267,共8页
Melanoma is one of the most malignant skin tumors, whose high invasion is generally associated with BRAF gene mutation. Although new chemotherapeutic drugs, such as vemurafenib, have been developed to inhibit the grow... Melanoma is one of the most malignant skin tumors, whose high invasion is generally associated with BRAF gene mutation. Although new chemotherapeutic drugs, such as vemurafenib, have been developed to inhibit the growth of melanoma, these drugs are usually administered intravenously or orally, resulting in toxic side effects on major tissues and organs. Tetrahedral framework nucleic acids(tFNAs) are a novel type of DNA nanostructures with excellent biocompatibility and versatility which have been proven to penetrate through skin barrier with ease. In this study, we prepared t FNAs with vemurafenib and connected DNA aptamer AS1411 at the apex of t FNAs(AS1411-tFNAs/vemurafenib). On one hand, AS1411-tFNAs/vemurafenib could kill melanoma cells by blocking the mutated BRAF gene in vitro. Compared with free vemurafenib, AS1411-tFNAs/vemurafenib had no obvious toxicity to normal cells. On the other hand,AS1411-tFNAs could transfer vemurafenib to cross through the skin barrier and permeate into tumor tissues. In vivo, transdermal delivery of AS1411-t FNAs/vemurafenib could inhibit the growth of human A375melanoma, whose inhibiting effect was stronger than intravenous administration of vemurafenib. These results demonstrated the application prospects of tFNAs combined with chemotherapeutic drugs in skin tumors. 展开更多
关键词 MELANOMA vemurafenib DNA nanostructure Transdermal treatment Side effect
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The pharmacological impact of ATP-binding cassette drug transporters on vemurafenib-based therapy 被引量:5
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作者 Chung-Pu Wu Suresh V.Ambudkar 《Acta Pharmaceutica Sinica B》 SCIE CAS 2014年第2期105-111,共7页
Melanoma is the most serious type of skin cancer and one of the most common cancers in the world.Advanced melanoma is often resistant to conventional therapies and has high potential for metastasis and low survival ra... Melanoma is the most serious type of skin cancer and one of the most common cancers in the world.Advanced melanoma is often resistant to conventional therapies and has high potential for metastasis and low survival rates.Vemurafenib is a small molecule inhibitor of the BRAF serine-threonine kinase recently approved by the United States Food and Drug Administration to treat patients with metastatic and unresectable melanomas that carry an activating BRAF(V600E)mutation.Many clinical trials evaluating other therapeutic uses of vemurafenib are still ongoing.The ATP-binding cassette(ABC)transporters are membrane proteins with important physiological and pharmacological roles.Collectively,they transport and regulate levels of physiological substrates such as lipids,porphyrins and sterols.Some of them also remove xenobiotics and limit the oral bioavailability and distribution of many chemotherapeutics.The overexpression of three major ABC drug transporters is the most common mechanism for acquired resistance to anticancer drugs.In this review,we highlight some of the recent findings related to the effect of ABC drug transporters such as ABCB1 and ABCG2 on the oral bioavailability of vemurafenib,problems associated with treating melanoma brain metastases and the development of acquired resistance to vemurafenib in cancers harboring the BRAF(V600E)mutation. 展开更多
关键词 ABC transporter Drug resistance MELANOMA P-GLYCOPROTEIN vemurafenib
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Vemurafenib
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作者 王晓菲 孙铁民 《中国药物化学杂志》 CAS CSCD 2012年第1期82-82,共1页
Vemurafenib是由罗氏(Roche)制药公司开发的一种治疗晚期或不能切除(无法通过手术摘除)的黑色素瘤皮肤癌药物,于2011年8月17日获美国FDA批准上市,商品名为Zelboraf。Vemurafenib是继FDA于2011年3月批准ipilimumab(商品名为Yervoy... Vemurafenib是由罗氏(Roche)制药公司开发的一种治疗晚期或不能切除(无法通过手术摘除)的黑色素瘤皮肤癌药物,于2011年8月17日获美国FDA批准上市,商品名为Zelboraf。Vemurafenib是继FDA于2011年3月批准ipilimumab(商品名为Yervoy)后的第2个用于治疗黑色素瘤皮肤癌药物。该药为口服片剂,每日2次给药。预计到2015年,vemurafenib的年销售额有望达7.32亿美元。 展开更多
关键词 vemurafenib 罗氏制药公司 开发 黑色素瘤皮肤癌药物
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大黄素抑制维罗非尼耐药黑色素瘤细胞增殖
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作者 黄伟 胡中柱 +1 位作者 张雅琪 罗云蔓 《南昌大学学报(医学版)》 2024年第3期33-37,共5页
目的 探讨大黄素对维罗非尼耐药黑色素瘤细胞(A375R)的体外抑制作用。方法 分别用0、80、160、320μmol·L^(-1)的大黄素处理对照组和A—C组细胞48 h。分别通过CCK-8法、流式细胞术和蛋白免疫印迹检测大黄素对各组细胞增殖、凋亡和P... 目的 探讨大黄素对维罗非尼耐药黑色素瘤细胞(A375R)的体外抑制作用。方法 分别用0、80、160、320μmol·L^(-1)的大黄素处理对照组和A—C组细胞48 h。分别通过CCK-8法、流式细胞术和蛋白免疫印迹检测大黄素对各组细胞增殖、凋亡和PI3K/AKT/mTOR信号通路关键蛋白(Bcl-2、Akt、p-Akt、mTOR、p-mTOR)表达的影响。结果 与对照组相比,大黄素处理后的A—C组细胞增殖抑制率和凋亡率均显著提高(P<0.01和P<0.05),且作用呈现浓度依赖性;A—C组细胞Bcl-2蛋白的表达水平均明显降低(P<0.05),p-Akt及p-mTOR蛋白的表达均下降,其中B、C组与对照组比较差异有统计学意义(P<0.05)。结论 大黄素可抑制A375R细胞增殖并诱导其凋亡,其机制可能与抑制PI3K/AKT/mTOR信号通路的活性有关。 展开更多
关键词 维罗非尼 恶性黑色素瘤 大黄素 PI3K/AKT/MTOR
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Theoretical Study of Adsorption Behavior of Vemurafenib Drug over BNNT(5,5-9) as a Factor of Drug Delivery: a DFT Study
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作者 MASOOME Sheikhi SIYAMAK Shahab +3 位作者 HORA Alhosseini Almodarresiyeh MEHRNOOSH Khaleghian RAKESH Kumar ALEKSANDRA Strogova 《Chinese Journal of Structural Chemistry》 SCIE CAS CSCD 2020年第8期1422-1436,1358,共16页
In this research,a density functional theory(DFT)calculation was performed for investigation adsorption behavior of the anticancer drug Vemurafenib on BNNT(5,5-9)by using the M06-2X/6-31 G*level of theory in the solve... In this research,a density functional theory(DFT)calculation was performed for investigation adsorption behavior of the anticancer drug Vemurafenib on BNNT(5,5-9)by using the M06-2X/6-31 G*level of theory in the solvent water.The electronic spectra of the Vemurafenib drug,BNNT(5,5-9)and complex BNNT(5,5-9)/Vemurafenib in solvent water were calculated by Time Dependent Density Functional Theory(TD-DFT)for the study of adsorption effect.The non-bonded interaction effects of the Vemurafenib drug with BNNT(5,5-9)on the electronic properties,natural charges and chemical shift tensors have been also detected.The results display the change in title parameters after process adsorption.According to the natural bond orbital(NBO)results,the molecule Vemurafenib and BNNT(5,5-9)play as both electron donor and acceptor at the complex BNNT(5,5-9)/Vemurafenib.On the other hand,the charge transfer occurs between the bonding,antibonding or nonbonding orbitals in two molecules drug and BNNT.As a consequence,BNNT(5,5-9)can be considered as a drug delivery system for the transportation of Vemurafenib as anticancer drug within the biological systems. 展开更多
关键词 vemurafenib BNNT(5 5-9) DFT charge transfer NBO
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口服黑素瘤治疗药Vemurafenib
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作者 范鸣 《药学进展》 CAS 2011年第9期426-428,共3页
黑素瘤是由主要存在于皮肤的黑素细胞而引发的一种恶性肿瘤,具高转移性,可扩散至全身,甚至可随血液扩散至大脑,在转移性黑素瘤中脑转移病例约占15%~20%。据统计,全球每年诊断出的黑素瘤病例达100多万例,黑素瘤脑转移患者的无恶化生存... 黑素瘤是由主要存在于皮肤的黑素细胞而引发的一种恶性肿瘤,具高转移性,可扩散至全身,甚至可随血液扩散至大脑,在转移性黑素瘤中脑转移病例约占15%~20%。据统计,全球每年诊断出的黑素瘤病例达100多万例,黑素瘤脑转移患者的无恶化生存期中值不到60 d, 展开更多
关键词 vemurafenib BRAF V600突变体 BRAF抑制剂 转移性黑素瘤
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维罗非尼联合西达苯胺促进继发性急性髓系白血病细胞衰老
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作者 周巧 梁思敏 +2 位作者 蔡铎 向文琼 王利 《陆军军医大学学报》 CAS CSCD 北大核心 2023年第16期1671-1681,共11页
目的探索维罗非尼(vemurafenib,VEM)联合西达苯胺(chidamide,CDM)方案对继发性急性髓系白血病(secondary acute myeloid leukemia,sAML)细胞衰老的影响。方法以sAML细胞系为研究对象(n=3),实验分为对照组、VEM单药组、CDM单药组、VEM+CD... 目的探索维罗非尼(vemurafenib,VEM)联合西达苯胺(chidamide,CDM)方案对继发性急性髓系白血病(secondary acute myeloid leukemia,sAML)细胞衰老的影响。方法以sAML细胞系为研究对象(n=3),实验分为对照组、VEM单药组、CDM单药组、VEM+CDM组。CCK-8实验检测sAML细胞增殖抑制率;免疫荧光技术检测sAML细胞衰老发生;流式细胞术检测sAML细胞周期分布及凋亡发生;Swiss Target Predict、TargetNe、SEA及PharmMapper等4个网络药理学数据库预测VEM联合CDM的可能靶点和信号通路;RT-qPCR实验分析及验证VEM联合CDM的可能机制。结果VEM以时间剂量依赖性抑制sAML细胞增殖,VEM的半数抑制浓度(IC_(50))在SKM-1和MOLM-13细胞中分别为(24.15±1.18)μmol/L(P<0.0001)和(11.30±0.38)μmol/L(P<0.0001),VEM(SKM-1:1/3 IC_(50)-VEM,MOLM-13:1/2 IC_(50)-VEM)联合CDM协同抑制sAML细胞增殖(P<0.01);VEM联合CDM促进sAML细胞衰老相关标志物TRF2和Lamin B1表达;VEM联合CDM可使sAML细胞周期停滞于G_0/G_1期(P<0.05),并促进sAML细胞凋亡发生(P<0.05)。同时,网络药理学及RT-qPCR实验分析并验证VEM协同CDM通过抑制PI3K-AKT及MAPK信号通路促进sAML肿瘤细胞衰老发生(P<0.05)。结论VEM联合CDM通过下调PI3K-AKT及MAPK信号通路促进sAML细胞衰老发生、抑制sAML细胞增殖及促进sAML细胞凋亡,提示VEM联合CDM方案可能是sAML患者新的治疗方案。 展开更多
关键词 继发性急性髓系白血病 维罗非尼 西达苯胺 细胞衰老
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恶性黑素瘤系统治疗的新进展 被引量:3
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作者 林飞燕 谢宗宙 王泉江 《临床皮肤科杂志》 CAS CSCD 北大核心 2013年第10期635-638,共4页
恶性黑素瘤是一种恶性程度极高、对放化疗不敏感、病死率很高的肿瘤,目前有较多研究对其各种治疗方法进行探索。最近恶性黑素瘤治疗的两项重要进展分别是在分子靶向治疗方面和免疫治疗方面,该文以介绍ipilimumab和vemurafenib两种新药为... 恶性黑素瘤是一种恶性程度极高、对放化疗不敏感、病死率很高的肿瘤,目前有较多研究对其各种治疗方法进行探索。最近恶性黑素瘤治疗的两项重要进展分别是在分子靶向治疗方面和免疫治疗方面,该文以介绍ipilimumab和vemurafenib两种新药为主,对恶性黑素瘤的系统治疗进展进行了综述。 展开更多
关键词 黑素瘤 恶性 治疗进展 IPILIMUMAB vemurafenib
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BRAF突变的黑色素瘤耐药机制研究进展 被引量:10
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作者 刘兆国 范方田 +4 位作者 韦忠红 王爱云 陈文星 郑仕中 陆茵 《中国药理学通报》 CAS CSCD 北大核心 2013年第10期1349-1351,共3页
黑色素瘤是一种发生于黑色素细胞的恶性肿瘤,临床研究发现在晚期黑色素瘤患者中发生了BRAF(V600E)的突变。目前,临床上已批准的用于治疗BRAF突变黑色素瘤的靶向药物(如ipilimumab和vemurafenib)对黑色素瘤患者有很高的效率,与化疗相比... 黑色素瘤是一种发生于黑色素细胞的恶性肿瘤,临床研究发现在晚期黑色素瘤患者中发生了BRAF(V600E)的突变。目前,临床上已批准的用于治疗BRAF突变黑色素瘤的靶向药物(如ipilimumab和vemurafenib)对黑色素瘤患者有很高的效率,与化疗相比能够明显延长无进展生存期和总生存期,但这些药物在体内所产生的效应是短暂的,大多数患者在不到1年内就会产生耐药。基于BRAF突变黑色素瘤耐药的现状,近几年对于其耐药机制的研究逐渐增多,该文对目前BRAF突变黑色素瘤耐药机制的研究进展及临床治疗策略进行综述,为临床的后续研究和治疗提供参考。 展开更多
关键词 黑色素瘤 BRAF突变 威罗菲尼 耐药 分子机制 治疗策略
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维罗非尼对UGT1A1介导的伊立替康代谢的抑制作用研究 被引量:1
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作者 温纯洁 张颖 +1 位作者 吴兰香 周宏灏 《中国临床药理学与治疗学》 CAS CSCD 2019年第7期773-777,共5页
目的:应用体外人肝微粒体及重组人源代谢酶孵育体系观察维罗非尼对尿苷二磷酸葡萄糖醛酸基转移酶1A1(UDP-glucuronosyltransferases,UGT1A1)介导的伊立替康代谢的抑制作用,通过体外-体内外推( in vitro-in vivo extrapolation,IV-IVE)... 目的:应用体外人肝微粒体及重组人源代谢酶孵育体系观察维罗非尼对尿苷二磷酸葡萄糖醛酸基转移酶1A1(UDP-glucuronosyltransferases,UGT1A1)介导的伊立替康代谢的抑制作用,通过体外-体内外推( in vitro-in vivo extrapolation,IV-IVE)预测体内药物-药物相互作用(drug-drug interaction,DDI)的发生风险。方法:以混合人肝微粒体(human liver microsomes,HLMs)及重组表达的人UGT1A1 作为酶源,观察维罗非尼对UGT1A1介导的伊立替康活性代谢产物SN-38葡糖醛酸化反应的抑制作用,求得半数最大抑制浓度(half maximum inhibitory concentration,IC 50 )和抑制动力学常数 K i及抑制类型;并基于体外参数预测了体内维罗非尼与伊立替康联合应用引发的潜在DDI风险。结果:维罗非尼对UGT1A1具有较强的非竞争性抑制作用,IC 50 为 4.35 μmol/L, K i为 9.77 μmol/L。口服治疗剂量的维罗非尼(960 mg,每日两次)可导致SN-38的药时曲线下面积(area under the curve,AUC)增加7%~149%。结论:维罗非尼与伊立替康联合应用时,可通过强效抑制UGT1A1而影响伊立替康在体内的代谢清除,具有引发DDI的风险。 展开更多
关键词 维罗非尼 伊立替康 尿苷二磷酸葡萄糖醛酸基转移酶1A1 药物-药物相互作用
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Is there still a role for cytotoxic chemotherapy after targeted therapy and immunotherapy in metastatic melanoma? A case report and literature review 被引量:2
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作者 Aurélien Simon Hampig Raphael Kourie Joseph Kerger 《Chinese Journal of Cancer》 SCIE CAS CSCD 2017年第4期202-206,共5页
Metastatic melanoma has long been considered to have a very poor prognosis and to be chemo-resistant. However, a subgroup of patients with metastatic melanoma presents remarkable responses to chemotherapeutic agents, ... Metastatic melanoma has long been considered to have a very poor prognosis and to be chemo-resistant. However, a subgroup of patients with metastatic melanoma presents remarkable responses to chemotherapeutic agents, even in the absence of a response to modern targeted therapies and immunotherapies; accordingly, determining predictive biomarkers of the response to chemotherapies for metastatic melanoma remains a priority to guide treatment in these patients. We report a case study of a patient with B-Raf proto-oncogene serine/threonine kinase-mutated metastatic melanoma harbouring many genetic mutations. The patient did not respond to prior targeted therapies or immunotherapies but experienced a dramatic objective radiological and clinical response to subsequent dacarbazine-based chemotherapy. In the era of targeted therapies and immunotherapies for metastatic melanoma, cytotoxic chemotherapies may still represent an interesting therapeutic weapon in a well-deined subgroup of patients presenting with speciic genetic and molecular features. 展开更多
关键词 METASTATIC MELANOMA Chemotherapy IMMUNOTHERAPY CHECKPOINT inhibitors vemurafenib ATM mutation CHEMOSENSITIVITY
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维罗非尼联合爱必妥对结直肠癌细胞株的作用研究
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作者 马瑞 徐玲 +3 位作者 曲秀娟 车晓芳 郭天舒 刘云鹏 《微生物学杂志》 CAS CSCD 2017年第2期83-88,共6页
探讨BRAF抑制剂维罗非尼联合EGFR单克隆抗体西妥昔单抗对BRAF突变型和野生型结直肠癌细胞株的作用。应用MTT法检测,将不同浓度西妥昔单抗、维罗非尼单药以及两药联合分别作用于BRAF突变型结直肠癌细胞株RKO、HT-29和BRAF野生型结直肠癌... 探讨BRAF抑制剂维罗非尼联合EGFR单克隆抗体西妥昔单抗对BRAF突变型和野生型结直肠癌细胞株的作用。应用MTT法检测,将不同浓度西妥昔单抗、维罗非尼单药以及两药联合分别作用于BRAF突变型结直肠癌细胞株RKO、HT-29和BRAF野生型结直肠癌细胞株DIFI、CACO-2后,观察各细胞株增殖变化;通过集落形成实验,经过长时间培养细胞验证不同处理因素对细胞增殖的抑制作用;Western blot实验检测EGFR下游通路靶蛋白的活性在两药联合后是否出现明显下调。结果显示,单药治疗,西妥昔单抗能一定程度抑制BRAF野生型结直肠癌细胞株增殖,抑制率达26%~40%,而BRAF突变组两种细胞株对西妥昔单抗均耐药。维罗非尼对不同基因状态细胞的增殖均有一定的抑制作用,IC50均小于7μmol/mL,其中BRAF突变细胞更为敏感。对比单药西妥昔单抗,联合维罗非尼后更加明显地抑制了细胞增殖,4种细胞存活率均明显降低(P<0.05)。长时间集落形成实验证实两药联合形成集落的面积和数量均明显减少。Western Blot实验显示对比单药,两药联合明显下调了p-EGFR、BRAF、p-ERK的表达。结果显示,BRAF抑制剂维罗非尼无论在BRAF突变型还是野生型结直肠癌细胞株中,均能增强西妥昔单抗作用的敏感性。 展开更多
关键词 西妥昔单抗 维罗非尼 EGFR BRAF 结直肠癌
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New Treatments of Metastatic Melanoma in 21th Century: 2011 and future
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作者 Li Quan 《肿瘤药学》 CAS 2012年第1期2-6,18,共6页
Introduction Melanoma is the fifth most common cancer in the United States.The estimated number of new cases of melanoma in 2012 is 76,250, with 9,180 melanoma-related death[1,2].Moreover,the incidence of melanoma is ... Introduction Melanoma is the fifth most common cancer in the United States.The estimated number of new cases of melanoma in 2012 is 76,250, with 9,180 melanoma-related death[1,2].Moreover,the incidence of melanoma is rising faster than any other cancer in man and second only to lung cancer in women[3].Although only 5% of patients had metastatic disease on diagnosis, the median overall survival (OS) is less than one-year and the twoyear survival rate is between 10~20%[4,5].Compared to the white population, Asian population is less prone to this condition because of the protective effect of melanin[6].The overall incidence of melanoma in China has not been reported.A recent single institution study in China reported 522 melanoma cases during only four years from 2006~2010[7]. 展开更多
关键词 Metastatic melanoma IPILIMUMAB B-RAF vemurafenib
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PYK2 mediates the BRAF inhibitor (vermurafenib)-induced invadopodia formation and metastasis in melanomas
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作者 Junling Shen Jilong Yang +5 位作者 Lei Sang Rui Sun Weiyu Bai Chao Wang Yan Sun Jianwei Sun 《Cancer Biology & Medicine》 SCIE CAS CSCD 2022年第8期1211-1223,共13页
Objective:The BRAF inhibitor,vemurafenib,has been widely used in the treatment of patients with melanoma-bearing BRAFV600E mutations.While the initial response to vemurafenib is usually excellent,the majority of patie... Objective:The BRAF inhibitor,vemurafenib,has been widely used in the treatment of patients with melanoma-bearing BRAFV600E mutations.While the initial response to vemurafenib is usually excellent,the majority of patients eventually develop resistance and metastatic disease.However,the underlying molecular mechanism remains elusive.The objective of this study was therefore to identify additional molecular targets responsible for vemurafenib resistance.Methods:Western blots and immunohistochemistry analyses were used to evaluate expressions of PYK2 and p-PYK2 in cultured cells and melanoma tissue microarrays.The relationships of p-PYK2 with clinicopathological parameters were statistically analyzed.Invadopodia cell invasion,and a Ca2+assay were used to determine the effect of vemurafenib resistance-induced p-PYK2 on melanoma progression.A mouse model was used to assess the effects of PYK2 on melanoma metastasis.Results:Elevated p-PYK2 levels were detected in vemurafenib-resistant melanoma cells,and PYK2 was shown to regulate invadopodia formation in melanoma cells.Vemurafenib triggered invadopodia formation by activation of PYK2.Inhibition of PYK2 with either shRNA or the small molecule inhibitor,PF562711,dramatically reduced vemurafenib-induced invadopodia formation.Furthermore,knockdown of PYK2 significantly reduced melanoma lung metastasis in vivo.Increased expressions of p-PYK2 in melanoma patients were positively correlated with advanced stage(P=0.002),metastasis(P<0.001),and Clark grade(P<0.001),and were also associated with short overall survival[hazard ratio(HR)=3.304,P=0.007]and progression-free survival(HR=2.930,P=0.001).Conclusions:PYK2 mediated vemurafenib-induced melanoma cell migration and invasion.Inhibition of PYK2 resensitized melanoma cells to vemurafenib.Phospho-PYK2 was a prognostic biomarker in melanoma patients. 展开更多
关键词 STIM1 PYK2 INVADOPODIA INVASION MELANOMA vemurafenib
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朗格汉斯细胞组织细胞增生症的研究进展 被引量:12
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作者 范枝俏 潘耀柱 +2 位作者 刘萍 樊文静 白海 《中国实验血液学杂志》 CAS CSCD 北大核心 2020年第1期354-358,共5页
朗格汉斯细胞组织细胞增生症(LCH)是一种起源于骨髓树突状细胞的疾病,因RAS-RAF-MEK-ERK信号通路中重现性体细胞BRAF-V600E点突变的发现,故将其归为肿瘤性疾病。LCH的临床表现广泛,以克隆性病理组织细胞组成的肉芽肿病变为特征,根据病... 朗格汉斯细胞组织细胞增生症(LCH)是一种起源于骨髓树突状细胞的疾病,因RAS-RAF-MEK-ERK信号通路中重现性体细胞BRAF-V600E点突变的发现,故将其归为肿瘤性疾病。LCH的临床表现广泛,以克隆性病理组织细胞组成的肉芽肿病变为特征,根据病变部位及浸润风险器官的不同分为单系统疾病、无风险器官浸润的多系统疾病和风险器官浸润的多系统疾病。通过免疫组化病理性树突状细胞特异性标志CD1α^+和/或CD207^+确诊,根据风险分层以制定联合化疗和靶向治疗的方案及强度,预后与风险器官浸润、初始治疗反应和BRAF突变相关。由于发病率低且缺乏系统性认识,临床对此疾病了解不足,导致误诊和误治率高。本文就LCH的发病机制、临床表现、诊断和治疗作一综述,为临床诊治该类疾病提供理论依据。 展开更多
关键词 朗格汉斯细胞组织细胞增生症 BRAF-V600E突变 MAP2K1突变 威罗菲尼
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维莫非尼在BRAF突变的肢端和黏膜型黑色素瘤患者中的有效性和安全性分析 被引量:1
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作者 魏晓婷 白雪 +11 位作者 毛丽丽 迟志宏 盛锡楠 崔传亮 王轩 连斌 唐碧霞 鄢谢桥 李思明 周莉 郭军 斯璐 《肿瘤防治研究》 CAS CSCD 2018年第11期879-882,共4页
目的探索维莫非尼在BRAF基因突变的肢端和黏膜型黑色素瘤患者治疗中的有效性和安全性。方法回顾性分析2011年1月—2016年1月在北京大学肿瘤医院确诊为BRAF基因突变的肢端或黏膜型黑色素瘤住院、并接受维莫非尼治疗患者(24例)的临床资料... 目的探索维莫非尼在BRAF基因突变的肢端和黏膜型黑色素瘤患者治疗中的有效性和安全性。方法回顾性分析2011年1月—2016年1月在北京大学肿瘤医院确诊为BRAF基因突变的肢端或黏膜型黑色素瘤住院、并接受维莫非尼治疗患者(24例)的临床资料,随访数据截至2017年1月,所有患者均出现死亡终点。利用Fisher确切概率法检验肢端型和黏膜型黑色素瘤患者的基线资料差异,Kaplan-Meier法分析患者的生存期和无进展生存期,Log rank法检验两种类型黑色素瘤患者生存数据的差异。结果基线资料在肢端和黏膜型黑色素瘤患者之间差异无统计学意义。总体的中位生存期和中位无进展生存期分别为8.0月和4.9月。肢端和黏膜型黑色素瘤患者的中位生存期、中位无进展生存期、疾病控制率差异均无统计学意义。维莫非尼不良事件多为3级以下,患者耐受性良好。结论与皮肤型黑色素瘤相似,维莫非尼在BRAF基因突变的肢端和黏膜型黑色素瘤患者中的有效性和安全性良好。 展开更多
关键词 肢端型黑色素瘤 黏膜型黑色素瘤 维莫非尼 有效性 安全性
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NDV/FMW对耐维罗非尼的恶性黑色素瘤细胞免疫原性死亡相关分子表达的影响 被引量:3
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作者 邵晓雁 王雪珂 +3 位作者 陈健华 朱忠政 孟松树 许青 《同济大学学报(医学版)》 CAS 2019年第4期413-418,共6页
目的探讨新城疫病毒(Newcastle disease virus, NDV)毒株FMW(NDV/FMW)对恶性黑色素瘤维罗非尼(vemurafenib)耐药细胞株WM3248/vemurafenib免疫原性死亡相关分子表达的影响。方法通过病毒滴度检测考察病毒复制情况;采用CCK8试剂盒检测细... 目的探讨新城疫病毒(Newcastle disease virus, NDV)毒株FMW(NDV/FMW)对恶性黑色素瘤维罗非尼(vemurafenib)耐药细胞株WM3248/vemurafenib免疫原性死亡相关分子表达的影响。方法通过病毒滴度检测考察病毒复制情况;采用CCK8试剂盒检测细胞存活率;Western印迹法检测细胞凋亡蛋白、细胞和上清液中高迁移率族蛋白1(HMGB1)和热休克蛋白90(HSP90)变化;流式细胞术和激光共聚焦技术检测细胞膜上钙网蛋白(calreticulin, CRT)的表达;荧光素酶法检测细胞上清液中的三磷酸腺苷(ATP)的释放。结果 NDV/FMW在WM3248/vemurafenib细胞株内复制,降低耐药细胞存活率并增加细胞凋亡(P<0.001);NDV/FMW诱导WM3248/vemurafenib细胞膜CRT表达增加(P<0.01),ATP分泌、HMGB1和HSP90释放(P<0.05)。结论 NDV/FMW促进WM3248/vemurafenib细胞株死亡,免疫原性死亡是其死亡机制之一。 展开更多
关键词 NDV/FMW 维罗非尼 耐药 恶性黑色素瘤 免疫原性死亡
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