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Targeting CD73 and downstream adenosine receptor signaling in triple-negative breast cancer

机译:靶向CD73和下游腺苷受体信号转导三阴性乳腺癌

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Introduction: Despite significant improvements in diagnosis and therapy over the past 20 years, breast cancer remains a worldwide public health issue. In particular, triple negative breast cancer (TNBC), a subset of very aggressive breast tumors, is associated with a poor prognosis and has very few efficient therapeutic options. The ectonucleotidase CD73 has recently emerged as a promising new target for TNBC in preclinical models. Pharmacological targeting of CD73 and downstream adenosine A2A/A2B receptor signaling is currently an active field of research that could lead to the development of new cancer therapeutics, including options against TNBC.Areas covered: This article reviews the basic structural and molecular features of CD73 and its role in the development of cancer, with a particular focus on CD73's role in the biology of TNBC.Expert opinion: It was recently demonstrated that CD73 expression in TNBC is associated with worse clinical outcomes and increased resistance to anthracycline chemotherapy. Targeted blockade of the CD73/A2A axis has been shown to impair various aspects of tumorigenesis and displays synergism with other anti-cancer treatments in preclinical studies. Hence, we strongly argue for the development of CD73 inhibitors and for the repositioning of A2A antagonists in cancer.
机译:简介:尽管过去20年来在诊断和治疗方面取得了显着进步,但乳腺癌仍然是世界范围内的公共卫生问题。尤其是,三阴性乳腺癌(TNBC)是侵略性极强的乳腺肿瘤的一部分,与预后不良相关,并且几乎没有有效的治疗选择。胞外核苷酸酶CD73最近在临床前模型中成为有希望的TNBC新靶标。 CD73和下游腺苷A2A / A2B受体信号转导的药理靶向目前是一个活跃的研究领域,可导致开发新的癌症治疗方法,包括针对TNBC的选择。涵盖的领域:本文概述了CD73和它在癌症发展中的作用,特别是CD73在TNBC生物学中的作用。专家意见:最近证明,TN73中CD73的表达与更差的临床结果和对蒽环类药物耐药性增加有关。在临床前研究中,已证明CD73 / A2A轴的靶向阻滞作用会削弱肿瘤发生的各个方面,并显示与其他抗癌治疗的协同作用。因此,我们强烈主张开发CD73抑制剂并重新定位癌症中的A2A拮抗剂。

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