Osteosarcoma in Children: Not Only Chemotherapy

被引:33
作者
Argenziano, Maura [1 ]
Tortora, Chiara [1 ]
Pota, Elvira [1 ]
Di Paola, Alessandra [2 ]
Di Martino, Martina [1 ]
Di Leva, Caterina [1 ]
Di Pinto, Daniela [1 ]
Rossi, Francesca [1 ]
机构
[1] Univ Campania Luigi Vanvitelli, Dept Woman Child & Gen & Specialist Surg, I-80138 Naples, Italy
[2] Univ Campania Luigi Vanvitelli, Dept Expt Med, I-80138 Naples, Italy
关键词
osteosarcoma; chemoresistance; therapy; proteasome inhibitors; immunotherapy; iron chelation; lncRNA; TKIs; IRON CHELATOR; IN-VITRO; GLEMBATUMUMAB VEDOTIN; TRANSFERRIN RECEPTOR; OSTEOGENIC-SARCOMA; METASTATIC NICHE; CANCER-TREATMENT; HIGH-GRADE; PROTEASOME; CELLS;
D O I
10.3390/ph14090923
中图分类号
R914 [药物化学];
学科分类号
100701 ;
摘要
Osteosarcoma (OS) is the most severe bone malignant tumor, responsible for altered osteoid deposition and with a high rate of metastasis. It is characterized by heterogeneity, chemoresistance and its interaction with bone microenvironment. The 5-year survival rate is about 67% for patients with localized OS, while it remains at 20% in case of metastases. The standard therapy for OS patients is represented by neoadjuvant chemotherapy, surgical resection, and adjuvant chemotherapy. The most used chemotherapy regimen for children is the combination of high-dose methotrexate, doxorubicin, and cisplatin. Considered that the necessary administration of high-dose chemotherapy is responsible for a lot of acute and chronic side effects, the identification of novel therapeutic strategies to ameliorate OS outcome and the patients' life expectancy is necessary. In this review we provide an overview on new possible innovative therapeutic strategies in OS.
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页数:18
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