Pri razvoju otroških možganskih tumorjev možganov je velik preboj. Otroški možganski tumorji so pogostejša maligna bolezen pri otrocih. Nedavne raziskave so pokazale, da lahko novo zdravilo za koktajle zdravi običajne otroške možganske tumorje.
Cancer Cell” magazine recently announced that in the UK, about 400 children develop brain tumorji each year, of which the prevalence of boys is slightly higher than that of girls.
Are we able to take advantage of the results of tumor gene testing and tailor-made treatments, a strategy often referred to as personalized medicine? This treatment strategy can produce very good results for patients with brain tumors.
Neural myeloblastoma (medulloblastoma) is one of the most common maligni tumorji of the cerebellum. This možganski tumor grows rapidly and most often occurs in children around the age of 5. Možnosti zdravljenja include surgery, radiation, and chemotherapy. Although great progress has been made in treatment methods and techniques, the success rate of treating myeloblastoma still lags far behind other children’s malignancies. In particular, myeloblastoma is a highly aggressive malignancy. Only 40% of patients with meduloblastom survive, compared with other tumors of a less severe type-with a survival rate of more than 80%.
Researchers in the United States have discovered a new combination therapy for the treatment of highly aggressive nevroblastom. In laboratory tests, the drug killed rak cells without any toxicity to normal cells, and researchers hope to conduct clinical trials of the drug. Robert Wechsler-Reya, an adjunct professor at the Sanford Burnham Prebys Medical Institute, said: “Our goal is to confirm that the drug has low toxicity properties. Because doctors and patients in this case urgently require new clinical treatment options, we will soon apply the drug from the laboratory to clinical treatment.
S kombiniranjem z drugimi zdravili se in vitro in in vivo pregledajo nove spojine, ki zavirajo tumorje.
Klinična preskušanja for neuroblastoma are often very challenging because of the limited number of patients. In addition, coupled with the variability of the disease, most treatments are only effective for one subtype of patient. Understanding which patients will respond to this treatment is one of the main goals of the trial.
"Če lahko razvijemo zdravljenje po meri, ki temelji na tumorskih genih - strategijo, ki jo običajno imenujemo individualizirano zdravljenje -, bi to lahko prineslo ogromno evangelij bolnikom z določenimi tumorji."
Obstajajo štiri različne vrste nevroblastoma, najslabšo prognozo pa imajo bolniki s tretjo skupino tumorjev - le 40% bolnikov preživi dolgoročno. Nasprotno pa je dolgoročno preživetje drugih nevroblastomov relativno optimistično in približno 80% bolnikov lahko preživi dolgoročno.
Večina tretje skupine bolnikov z nevroblastomom ima visoko stopnjo onkogenosti MYC, kar je vzrok za nenadzorovano delitev celic in nastanek tumorjev.
There was a study on mice with a third type of neural tube cell tumors that showed histone deacetylase inhibitors (HDACIs) and phosphatidylinositol 3-kinase inhibitors (PI3KIs) might stop mice and people from making neurotubular glioblastomas without doing too much damage to normal cells.
We found several histone deacetylase inhibitors that can kill MYC oncogene-activated neural tube cell tumors without harming normal cell agents (HDACIs),” said Pei Yanxin, an assistant professor at the National Children’s Medical Center w Waszyngtonie, DC
The most effective of these compounds is panobinostat, which has entered clinical trials in other vrste raka, but has not yet been tested on neuroblastoma.” Dr. Kun-Wei, a postdoctoral researcher at Stanford University, added: “Several other studies have revealed that the mechanism of action of panobinostat is to promote the activation of the FOXO1 gene that can interfere with the oncogenes of MYC.
Phosphatidylinositol 3-kinase inhibitors (PI3KIs) are also thought to have the effect of activating the FOXO1 gene. We hypothesized that panobinostat and phosphatidylinositol 3-kinase inhibitors (PI3KIs) could work together to block Rak celic preživetje.
“It is true that the combined treatment of these two drugs can significantly increase the survival of patients with tumors carrying the MYC gene compared to using a single drug alone.”
