About: Trastuzumab v liečbe karcinómu prsníka: mechanizmy účinku a rezistencie     Goto   Sponge   NotDistinct   Permalink

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  • Trastuzumab, humanizovaná monoklonálna protilátka proti HER-2 receptoru, bol prvou cielenou liečbou pre pacientky s HER-2 pozitívnym karcinómom prsnika. Samostatne, ale hlavne v kombinácii s chemoterapiou trastuzumab zvyšuje liečebnú odpoveď, predlžuje čas do progresie/relapsu ochorenia i celkové prežitie pacientok. Na strane druhej, i napriek tomu, že je trastuzumab podávaný úzkej vyselektovanej skupine pacientok, odpoveď na túto cielenú liečbu je variabilná, a to ako v rozsahu, tak i v dĺžke trvania. Príčinou je existencia primárnej a prípadne vznik sekundárnej rezistencie ochorenia voči tejto protilátke. Predpokladá sa existencia niekoľkých možných mechanizmov rezistencie a vyvíjajú sa stratégie na ich prekonanie. S tým úzko súvisia mechanizmy posobenia trastuzumabu na nádorovú bunku a možnosti predikcie odpovedi na túto liečbu.V článku ďalej poukážeme na aktuálne možnosti prekonania primárnej a indukovanej rezistencie k trastuzumabu.
  • Trastuzumab, a humanized monoclonal antibody against the HER-2 receptor, was the first targeted therapy for HER-2 positive breast cancer. The treatment of HER-2 positive breast cancer in monotherapy, but mainly in combination with cytostatics trastuzumab, showed significant efficacy and increased the time to progression/relapse and overall survival. On the other hand, despite it being administered to only a selected patient population, the response rate varies in range and duration due to the primary or acquired tumor resistance to trastuzumab. Several mechanisms contributing to the drug resistance are presumed and overcoming strategies are in development. In connection with the drug resistance there are the mechanisms of trastuzumab's action on tumor cells and the search for feasible biomarkers in order to predict the response of trastuzumab-based targeted therapies. Furthermore, we present here the actual possibilities to overcome primary or acquired trastuzumab resistance. (en)
Title
  • Trastuzumab v liečbe karcinómu prsníka: mechanizmy účinku a rezistencie
  • Trastuzumab in the breast cancer treatment: efficacy and resistance mechanisms (en)
skos:prefLabel
  • Trastuzumab v liečbe karcinómu prsníka: mechanizmy účinku a rezistencie
  • Trastuzumab in the breast cancer treatment: efficacy and resistance mechanisms (en)
skos:notation
  • RIV/00209805:_____/09:#0000109!RIV10-MZ0-00209805
http://linked.open...avai/riv/aktivita
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  • P(NR8335)
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  • 2
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  • 346846
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  • RIV/00209805:_____/09:#0000109
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  • Trastuzumab, breast cancer, oncogene protein HER-2, mechanism of action, drug resistance (en)
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  • CZ - Česká republika
http://linked.open...ontrolniKodProRIV
  • [4FC1B7BC1202]
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  • Klinická onkologie
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  • 22
http://linked.open...iv/tvurceVysledku
  • Svoboda, Marek
  • Vyzula, Rostislav
  • Fabian, Pavel
  • Grell, Peter
  • Šimíčková, Marta
issn
  • 0862-495X
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