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载体介导RNA干扰技术在肿瘤治疗中的应用进展(2)
http://www.100md.com 2011年5月25日 《中外医学研究》 201115
     RNAi作为一项基因沉默技术,在诱导细胞凋亡、增加药物敏感性、抑制突变基因和血管生成等方面将可能成为新的肿瘤治疗方法[15]。近期研究发现Raf-1因子可能在一些血管生成因子的调控激活中起决定作用。Meng等[16]通过沉默胃癌肿瘤细胞的Rcf-1基因发现,可以抑制胃癌裸鼠移植瘤的生长和降低血管生成,因而认为Rcf-1有可能成为肿瘤治疗和血管生成抑制剂的新靶点。Guo等[17]通过沉默结肠癌细胞SW480的CTNNB1基因发现,结肠癌细胞的增殖下降、细胞出现死亡,与此同时,c-Myc和cyclinD1的表达水平也得到了相应的下调。密歇根大学在研究中发现,EZH2蛋白的增高与乳腺癌、前列腺癌、胰腺癌等的发生有关。Chen等[18]通过沉默EZH2基因发现,胰腺癌细胞在体外的生长受到抑制,并且在体内的成瘤率显著降低,证明了EZH2在胰腺癌的肿瘤生长和肝转移的过程中起着关键作用。AURKB和EGFR同属于酪氨酸蛋白激酶家族成员,在激素难治性前列腺细胞癌等上皮细胞癌中过度表达。Addepalli等[19]通过分别沉默了前列腺细胞癌的AURKB和EGFR基因,使其在裸鼠体内的生长得到了抑制。将两个基因联合敲除后,裸鼠体内的肿瘤出现消退,约40%的治疗后裸鼠体内未检测出肿瘤,因而认为联合敲除有望成为治疗肿瘤的新方法。
, 百拇医药
    3展望

    RNAi技术已经引起了实验生物学的巨大变革,在肿瘤治疗中,它可以单独应用,也可以与药物等其它治疗手段联合应用。虽然目前质粒和慢病毒载体介导的RNAi技术用于肿瘤的基因治疗已取得了一些进展,但临床应用尚早,还需要深入研究和探讨其转染细胞的机制,需要构建更加高效、安全、且可调控的肿瘤靶向性的载体。相信,随着人们对RNAi研究的不断深入,它必将从实验研究走向临床应用?

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    【收稿日期】2011-03-21

    (本文编辑:郎威), http://www.100md.com(林洪坦 蔡建春)
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