Применение препаратов L-аспарагиназы для лечения солидных опухолей: данные экспериментальных и клинических исследований
- Авторы: Кисляк И.А.1, Покровская М.В.2, Жантурина Д.Ю.1, Покровский В.С.1,3
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Учреждения:
- Российский университет дружбы народов имени Патриса Лумумбы
- Научно-исследовательский институт биомедицинской химии имени В.Н. Ореховича
- Национальный медицинский исследовательский центр онкологии имени Н.Н. Блохина
- Выпуск: Том 28, № 1 (2023)
- Страницы: 79-94
- Раздел: Научные обзоры
- URL: https://bakhtiniada.ru/1028-9984/article/view/217235
- DOI: https://doi.org/10.17816/onco562802
- ID: 217235
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Аннотация
Лекарственная терапия — один из основных видов лечения онкологических заболеваний. L-аспарагиназа — фермент, гидролизующий аспарагин — более 50 лет назад вошла в схемы лечения острого лимфобластного лейкоза и других гемобластозов, однако её применение для терапии солидных опухолей пока крайне ограничено. В данном обзоре проанализированы экспериментальные данные по чувствительности клеточных линий и ксенографтов солидных опухолей к L-аспарагиназе, рассмотрены результаты клинических исследований. Среди механизмов цитотоксического действия L-аспарагиназы на опухолевые клетки обсуждаются такие процессы, как истощение аспарагиновой и глутаминовой кислот, влияние на внутренний и внешний пути апоптоза, ингибирование клеточных процессов через снижение активности белка mTOR, а также ослабление экспрессии гена теломеразы. Отдельно рассмотрены молекулярные маркёры, по которым можно предположить эффективность будущей терапии L-аспарагиназой солидных опухолей. К таким маркёрам можно отнести уровни экспрессии генов аспарагинсинтетазы и глутаминсинтетазы, степень метилирования промоторной области гена аспарагинсинтетазы, активность белка PTEN и аутофагии, костномозговое окружение опухолевых клеток, а также экспрессию генов, ассоциированных с резистентностью к аспарагиназе (таких как ген опиоидного рецептора μ1 и ген ассоциированного с хантингтином белка 1).
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Илья Александрович Кисляк
Российский университет дружбы народов имени Патриса Лумумбы
Автор, ответственный за переписку.
Email: kislyal.ilya.98@mail.ru
ORCID iD: 0000-0002-6042-9795
Россия, 117198, Москва, ул. Миклухо-Маклая, д. 6
Марина Владимировна Покровская
Научно-исследовательский институт биомедицинской химии имени В.Н. Ореховича
Email: ivan1190@yandex.ru
ORCID iD: 0009-0008-2726-3632
кандидат биологических наук
Россия, МоскваДарья Юрьевна Жантурина
Российский университет дружбы народов имени Патриса Лумумбы
Email: dashazh@gmail.com
ORCID iD: 0009-0005-6521-3220
Россия, 117198, Москва, ул. Миклухо-Маклая, д. 6
Вадим Сергеевич Покровский
Российский университет дружбы народов имени Патриса Лумумбы; Национальный медицинский исследовательский центр онкологии имени Н.Н. Блохина
Email: v.pokrovsky@ronc.ru
ORCID iD: 0000-0003-4006-9320
SPIN-код: 4552-1226
доктор медицинских наук
Россия, 117198, Москва, ул. Миклухо-Маклая, д. 6; 115478, Москва, Каширское ш., д. 24Список литературы
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