蛋白质是先锋:生物医学在癌症治疗中的革命性作用

Khizar Hayat
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引用次数: 0

摘要

随着蛋白质成为生物医学的重要组成部分,癌症治疗的潮流正在发生转变,蛋白质有望取代传统的化疗药物。这篇社论深入探讨了蛋白质在生物医学领域的变革潜力,强调了蛋白质在个性化和靶向癌症疗法中的关键作用,这些疗法是提高疗效和减少副作用的关键。生物医学可根据个体患者的独特基因构成量身定制治疗方案,从而实现精准医疗。单克隆抗体和基因疗法等靶向疗法有望以前所未有的精确度攻击癌细胞,最大限度地减少对健康组织的损害。单克隆抗体是一类重要的蛋白质,是生物医学实现精准靶向的缩影。这些经过改造的蛋白质会寻找特定的癌细胞,并以高亲和力与表面标志物结合。这种靶向方法最大程度地减少了对健康组织的附带损害,与传统化疗药物的全身性影响相比,优势明显[1]。 蛋白质在通过免疫疗法释放免疫系统的力量方面发挥着关键作用。检查点抑制剂是以蛋白质为基础设计的药物,它能破坏癌细胞用来逃避免疫检测的信号。这将重振人体的天然防御机制,从而产生持续、特异的抗癌反应[2]。作为生物医学的前沿技术,CAR-T 细胞疗法涉及对患者自身的 T 细胞进行工程改造,使其表达嵌合抗原受体(CAR),CAR 本质上是一种蛋白质结构。这些受体使 T 细胞能够识别并精确地消灭癌细胞,从而展示了基于蛋白质的疗法在重塑癌症治疗策略方面的潜力[3]。蛋白质也是重要的生物标志物,可帮助了解患者独特的癌症特征。这些信息为开发针对特定分子弱点的个性化蛋白质疗法提供了指导。与化疗药物的广谱性不同,蛋白质作为生物医药可以进行更细致的干预。这种个体化方法为优化治疗效果和减少不良反应带来了巨大希望。目前已有几种蛋白质作为生物医药用于癌症治疗。曲妥珠单抗是一种针对乳腺癌 HER2 蛋白的单克隆抗体。利妥昔单抗(Rituximab)靶向 B 细胞上的 CD20 蛋白。Pembrolizumab 是一种以 PD-1 蛋白为靶点的免疫检查点抑制剂,用于治疗各种癌症,包括黑色素瘤、肺癌和头颈部癌症。Daratumumab 靶向骨髓瘤细胞上的 CD38 蛋白,已被批准用于治疗多发性骨髓瘤。这些例子只是可用于治疗癌症的基于蛋白质的生物医药的一小部分。 尽管基于蛋白质的生物医药取得了长足进步,但成本、生产复杂性和潜在副作用等挑战依然存在。要充分发挥蛋白质作为癌症治疗基石的潜力,就必须不断研究完善蛋白质疗法、优化给药方法并应对这些挑战。蛋白质作为生物医药的最前沿,正在重塑癌症治疗的格局。从单克隆抗体的精确靶向到生物标记驱动疗法的个性化潜力,基于蛋白质的干预时代预示着抗击癌症的新曙光。随着研究的进展和挑战的应对,蛋白质将成为取代化疗药物的先锋,为改善患者预后和转变肿瘤治疗模式带来新的希望。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Proteins as Vanguard: Biomedicine’s Revolutionary role in Cancer Treatment
The tides of cancer treatment are turning with proteins emerging as a stalwart component of biomedicine, poised to replace conventional chemotherapeutics. This editorial delves into the transformative potential of proteins in the field of biomedicine, highlighting their crucial role in personalized and targeted cancer therapies that hold the key to improved efficacy and reduced side effects. Biomedicine enables precision medicine by tailoring treatments based on the unique genetic makeup of individual patients. Targeted therapies, such as monoclonal antibodies and gene therapies, hold the promise of attacking cancer cells with unprecedented accuracy, minimizing damage to healthy tissues. Monoclonal antibodies, a key class of proteins, epitomize the precision targeting made possible by biomedicine. These engineered proteins seek out specific cancer cells, binding to surface markers with high affinity. This targeted approach minimizes collateral damage to healthy tissues, a notable advantage over the systemic impact of traditional chemotherapeutics [1].   Proteins play a pivotal role in unleashing the power of the immune system through immunotherapy. Checkpoint inhibitors, designed as protein-based drugs, disrupt the signals that cancer cells use to evade immune detection. This reinvigorates the body's natural defense mechanisms, leading to sustained and specific anti-cancer responses [2]. At the forefront of biomedicine, CAR-T cell therapy involves engineering patients' own T cells to express chimeric antigen receptors (CARs), which are essentially protein structures. These receptors enable T cells to recognize and eliminate cancer cells with remarkable precision, showcasing the potential of protein-based therapies in reshaping cancer treatment strategies [3]. Proteins also serve as crucial biomarkers, offering insights into a patient's unique cancer profile. This information guides the development of personalized protein therapies tailored to target specific molecular vulnerabilities. Unlike the broad-spectrum nature of chemotherapeutics, proteins as biomedicine allows for more nuanced interventions. This individualized approach holds great promise for optimizing treatment outcomes and minimizing adverse effects. Several proteins are commercially available as biomedicines for cancer treatment. Trastuzumab is monoclonal antibody target the HER2 protein used in breast cancer. Rituximab target the CD20 protein on B cells. Pembrolizumab is an immune checkpoint inhibitor targeting PD-1 protein and used in various cancers, including melanoma, lung cancer, and head and neck cancers. Daratumumab target CD38 protein on myeloma cells and it is approved for the treatment of multiple myeloma. These examples represent a fraction of the protein-based biomedicines available for cancer treatment.  Despite the strides made in protein-based biomedicine, challenges such as cost, manufacturing complexities, and potential side effects persist. Ongoing research into refining protein therapies, optimizing delivery methods, and addressing these challenges is essential to realizing the full potential of proteins as a cornerstone of cancer treatment. Proteins, at the forefront of biomedicine's arsenal, are reshaping the landscape of cancer treatment. From precision targeting with monoclonal antibodies to the personalized potential of biomarker-driven therapies, the era of protein-based interventions heralds a new dawn in the fight against cancer. As research advances and challenges are met, proteins stand as vanguards in the journey towards replacing chemotherapeutics, offering renewed hope for improved patient outcomes and a paradigm shift in oncological care.
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