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Kidney cancer: Bisphosphonates in the era of antiangiogenic targeted therapy

机译:肾脏癌:抗血管生成靶向治疗时代的双膦酸盐

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摘要

Bone metastases in metastatic renal cell carcinoma (mRCC) are often aggressive, causing severe morbidity through skeletal-related events (SREs), which include pain, pathological fractures, spinal cord compression and hypercalcaemia.1 Bone metastases have a negative effect on progression-free survival (PFS) and overall survival of patients treated with systemic therapy.2 In retrospective analyses, improved PFS and overall survival have been reported for patients with mRCC and bone metastases under bisphosphonate treatment compared with nonusers of bisphosphonates.34 Zoledronic acid (a potent bisphosphonate) has been shown to induce apoptotic cell death in renal cancer cell lines and to have antiangiogenic activity.
机译:转移性肾细胞癌(mRCC)的骨转移通常是侵袭性的,通过骨骼相关事件(SRE)引起严重的发病,其中包括疼痛,病理性骨折,脊髓压迫和高钙血症。1骨转移对无进展性产生负面影响全身治疗的患者生存率(PFS)和总体生存率。2在回顾性分析中,与未使用双膦酸盐治疗的患者相比,在接受双膦酸盐治疗的mRCC和骨转移患者中,PFS和总体生存率得到了改善。34唑来膦酸(一种有效的双膦酸盐治疗剂)业已显示出可诱导肾癌细胞系中的凋亡细胞死亡并具有抗血管生成活性。

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