摘要
Rapamycin的丝氨酸/苏氨酸激酶机制靶点 (mTOR)是细胞内能量环境的重要感受器,与此同时,它还是一种细胞合成代谢的总开关。结节性硬化症 (TSC)被认为是一种mTOR信号通路失调原型的基因疾病。TSC中mTOR通路的失调会导致多种器官特征结构与生理异常。这篇综述总结了mTOR抑制剂的药理性质和mTOR抑制剂在两种重要TSC表现神经(室管膜下巨细胞星形细胞瘤(SEGA)和癫痫 ) 下的临床研究。此外,我们还提出了这些剂型的安全性描述和它们现在在临床试验中的作用。
关键词: mTOR抑制剂,TSC,SEGA,癫痫,安全性
Current Medicinal Chemistry
Title:Current Use of mTOR Inhibitors for the Treatment of Subependymal Giant Cell Astrocytomas and Epilepsy in Patients with TSC
Volume: 23 Issue: 37
Author(s): Jasna Jancic, Vesna Duric, Nikola Ivancevic, Blazo Nikolic, John N. van den Anker, Janko Samardzic
Affiliation:
关键词: mTOR抑制剂,TSC,SEGA,癫痫,安全性
摘要: The serine/threonine kinase mechanistic target of rapamycin (mTOR) is an important sensor of the cellular energy condition which, at the same time, represents a kind of master switch between anabolic and catabolic cellular processes. Tuberous sclerosis complex (TSC) is a genetic disease which is considered to be a prototype of a dysregulated mTOR signaling pathway. The dysregulated mTOR pathway in TSC leads to characteristic structural and physiologic abnormalities in multiple organs. In this review we focus on the pharmacological properties of mTOR inhibitors and clinical investigations of mTOR inhibitors for two important neurological TSC manifestations: subependymal giant cell astrocytomas (SEGAs) and epilepsy. Moreover, we present a safety profile of those agents and their current role in clinical practice.
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Jasna Jancic, Vesna Duric, Nikola Ivancevic, Blazo Nikolic, John N. van den Anker, Janko Samardzic , Current Use of mTOR Inhibitors for the Treatment of Subependymal Giant Cell Astrocytomas and Epilepsy in Patients with TSC, Current Medicinal Chemistry 2016; 23 (37) . https://dx.doi.org/10.2174/0929867323666161013091144
DOI https://dx.doi.org/10.2174/0929867323666161013091144 |
Print ISSN 0929-8673 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-533X |
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