РОЛЬ РЕЦЕПТОРОВ VEGFR В НЕОПЛАСТИЧЕСКОМ АНГИОГЕНЕЗЕ И ПЕРСПЕКТИВЫ ТЕРАПИИ ОПУХОЛЕЙ МОЗГА

Обложка
  • Авторы: Корчагина А.А.1, Шеин С.А.2, Гурина О.И.2, Чехонин В.П.3
  • Учреждения:
    1. Российский национальный исследовательский медицинский университет им. Н.И. Пирогова, Москва, Российская Федерация
    2. ГНЦ социальной и судебной психиатрии им. В.П. Сербского, Москва, Российская Федерация
    3. Российский национальный исследовательский медицинский университет им. Н.И. Пирогова, Москва, Российская Федерация ГНЦ социальной и судебной психиатрии им. В.П. Сербского, Москва, Российская Федерация
  • Выпуск: Том 68, № 11 (2013)
  • Страницы: 104-114
  • Раздел: КРАТКИЕ СООБЩЕНИЯ
  • Дата публикации:
  • URL: https://vestnikramn.spr-journal.ru/jour/article/view/130
  • DOI: https://doi.org/10.15690/vramn.v68i11.851
  • ID: 130


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Аннотация

Ввиду быстрой прогрессии, активного ангиогенеза, интенсивной инвазии и резистентности опухолей мозга, подходы к традиционной терапии остаются малоэффективными. В связи с этим активно изучают новые стратегии избирательного ингибирования критических стадий опухолевой прогрессии. Важнейшим фактором развития и роста солидных опухолей является неопластический ангиогенез, ключевую роль в регуляции которого играет фактор роста эндотелия сосудов (VEGF) и его рецептор 2-го типа (VEGFR2). Именно поэтому VEGFR2 как основной рецептор трансдукции проангиогенного сигнала рассматривают в качестве молекулярной мишени для антиангиогенной терапии. Ингибиторы VEGF и VEGFR2 подавляют пролиферацию, миграцию и выживаемость эндотелиоцитов, что приводит к регрессии сосудистой сети, снижению плотности и проницаемости сосудов; таким образом, замедляется рост опухоли. В настоящее время ряд ингибиторов VEGFR2 (рамуцирумаб, цедираниб) проходит клинические испытания. Несмотря на многообещающие результаты экспериментальных исследований, эффективность антиангиогенных препаратов в клинической практике оказывается существенно ниже. Это связано прежде всего с адаптивной устойчивостью малигнизированных клеток, которая включает активацию альтернативных проангиогенных путей, рекрутирование предшественников эндотелиальных клеток из костного мозга и увеличение вклада инвазивного роста. Учитывая многообразие существующих проангиогенных сигнальных механизмов, для повышения эффективности противоопухолевой терапии специфическое подавление функций VEGFR2 необходимо дополнять другими антиангиогенными препаратами (анти-VEGF, -PlGF, -HIF1α). Кроме того, мультитаргетная стратегия должна быть направлена на комбинированное подавление ангиогенеза, инвазии, метастазирования, пролиферации и выживаемости опухолевых клеток.

 

Об авторах

А. А. Корчагина

Российский национальный исследовательский медицинский университет им. Н.И. Пирогова, Москва, Российская Федерация

Автор, ответственный за переписку.
Email: avilis1@yandex.ru

postgraduate of the Department of Medical nanobiotechnologies of N.I. Pirogov RRMU. Address: 1, Ostrovityanov Street, Moscow, RF, 117997, tel.: +7 (495) 434-13-01

Россия

С. А. Шеин

ГНЦ социальной и судебной психиатрии им. В.П. Сербского, Москва, Российская Федерация

Email: atomos@rambler.ru
MD, research scientist of the Laboratory of Neurochemistry of FSBI “V.P. Serbskii SSC of social and forensic psychiatry”. Address: 23, Kropotkinskii per., Moscow, RF, 119034, tel.: +7 (495) 695-02-62 Россия

О. И. Гурина

ГНЦ социальной и судебной психиатрии им. В.П. Сербского, Москва, Российская Федерация

Email: olga672@yandex.ru
PhD, Head of the Laboratory of Neurochemistry of FSBI “V.P. Serbskii SSC of social and forensic psychiatry”. Address: 23, Kropotkinskii per., Moscow, RF, 119034, tel.: +7 (495) 695-02-62 Россия

В. П. Чехонин

Российский национальный исследовательский медицинский университет им. Н.И. Пирогова, Москва, Российская Федерация
ГНЦ социальной и судебной психиатрии им. В.П. Сербского, Москва, Российская Федерация

Email: chekhoninnew@yandex.ru
PhD, professor, academician of RAMS, Head of the Department of Fundamental and applied neurobiology of FSBI “V.P. Serbskii SSC of social and forensic psychiatry”, Head of the Department of Medical nanobiotechnologies of N.I. Pirogov RRMU. Address: 23, Kropotkinskii per., Moscow, RF, 119034, tel.: +7 (495) 695-02-62 Россия

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