舒尼替尼
肾细胞癌
医学
癌症研究
内科学
药理学
生物信息学
生物
作者
Yunxia Wang,Xiaolin Liu,Luyao Gong,Weihong Ding,Wenjing Hao,Yeheng Peng,Jun Zhang,Weimin Cai,Yuan Gao
摘要
Sunitinib is the first-line drug for renal cell carcinoma (RCC) treatment. However, patients who received sunitinib treatment will ultimately develop drug resistance after 6-15 months, creating a huge obstacle to the current treatment of renal cell carcinoma. Therefore, it is urgent to clarify the mechanisms of sunitinib resistance and develop new strategies to overcome it. In this review, the mechanisms of sunitinib resistance in renal cell carcinoma have been summarized based on five topics: activation of bypass or alternative pathway, inadequate drug accumulation, tumour microenvironment, metabolic reprogramming and epigenetic regulation. Furthermore, present and potential biomarkers, as well as potential treatment strategies for overcoming sunitinib resistance in renal cell carcinoma, are also covered.
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