Future Directions in the Treatment of Osteosarcoma.

Future Directions in the Treatment of Osteosarcoma.
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DOI:
10.3390/cells10010172
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发表时间:
2021-01-15
期刊:
影响因子:
6
通讯作者:
Jones RL
Jones RL
中科院分区:
生物学2区
文献类型:
--
作者:
Smrke A;Anderson PM;Gulia A;Gennatas S;Huang PH;Jones RL

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骨肉瘤是最常见的原发性骨肉瘤,通常在生命的第2 - 30年被诊断出来。对侵袭性和高毒性的新辅助甲氨蝶呤-阿霉素-顺铂(MAP)化疗方案的反应强烈预测结果。30多年来,骨肉瘤患者的预后没有显著变化。需要对具有高风险特征的患者进行更有效的治疗,但也需要降低所有患者的治疗相关毒性。需要预测性生物标志物来帮助通知临床医生降低或增加治疗,包括免疫治疗,并为未来的临床试验设计做出贡献。在这里,我们回顾了各种方法,以改善骨肉瘤患者的预后和生活质量,重点是结合毒性降低,免疫治疗和分子分析,以提供最有效和毒性最小的骨肉瘤治疗。
Osteosarcoma is the most common primary bone sarcoma and is often diagnosed in the 2nd–3rd decades of life. Response to the aggressive and highly toxic neoadjuvant methotrexate-doxorubicin-cisplatin (MAP) chemotherapy schedule is strongly predictive of outcome. Outcomes for patients with osteosarcoma have not significantly changed for over thirty years. There is a need for more effective treatment for patients with high risk features but also reduced treatment-related toxicity for all patients. Predictive biomarkers are needed to help inform clinicians to de-escalate or add therapy, including immune therapies, and to contribute to future clinical trial designs. Here, we review a variety of approaches to improve outcomes and quality of life for patients with osteosarcoma with a focus on incorporating toxicity reduction, immune therapy and molecular analysis to provide the most effective and least toxic osteosarcoma therapy.
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