骨肉瘤耐受顺铂的机制研究进展
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  • 英文篇名:Advances in the mechanism research of cisplatin resistance of osteosarcoma
  • 作者:雍磊 ; 刘晓光
  • 英文作者:YONG Lei;LIU Xiao-guang;Department of Orthopedics, Peking University Third Hospital;
  • 关键词:骨肉瘤 ; 顺铂耐受 ; 综述
  • 英文关键词:Osteosarcoma;;Cisplatin resistance;;Review
  • 中文刊名:GZGL
  • 英文刊名:Chinese Journal of Bone and Joint
  • 机构:北京大学第三医院骨科;
  • 出版日期:2019-05-19
  • 出版单位:中国骨与关节杂志
  • 年:2019
  • 期:v.8
  • 语种:中文;
  • 页:GZGL201905009
  • 页数:6
  • CN:05
  • ISSN:10-1022/R
  • 分类号:41-46
摘要
<正>骨肉瘤是临床最常见的原发恶性骨肿瘤,好发于儿童及青少年。过去以手术为主的治疗手段只能使患者5年生存率维持在20%左右,从20世纪70年代开始,化疗联合手术的治疗方案使患者的5年生存率达到60%~70%~([1])。然而,近30年来,骨肉瘤的治疗效果没有进一步的提高,这其中一个重要原因是化疗耐受的普遍发生~([2])。因此明确化疗耐受机制并寻找逆转耐受的新策略成为改善骨肉瘤预后的当务之急。自1978年被批准使用,顺铂已经广泛用于多种实体瘤如睾丸癌、卵巢癌、宫颈癌、头颈癌及肺癌等的治
        Osteosarcoma is the most common primary malignant bone tumor that is presently treated with surgery combined with multidrug chemotherapy. However, the five-year survival rate of osteosarcoma patients remains stagnant in the last three decades, which is partly attributed to cisplatin resistance. In this paper, we reviewed the resistance mechanisms of osteosarcoma to cisplatin, including cisplatin accumulation, detoxification, DNA damage repair or tolerance, apoptosis-related signaling pathway, autophagy, non-coding RNAs, tumor microenvironment and tumor stem cells. From understanding these mechanisms, we hope to offer a broader perspective to the exploration of new targets and new strategies to overcome cisplatin resistance.
引文
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