生长抑素受体介导放射性核素治疗神经内分泌肿瘤的临床研究进展
New Advances of Somatostatin Receptor-targeted Radionuclide Therapy for Neuroendocrine Tumors
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摘要: 已进入临床应用的放射性核素标记生长抑素类似物有111In-奥曲肽9、0Y-奥曲肽1、77Lu-奥曲肽和90Y-兰瑞肽。这些药物与神经内分泌肿瘤过度表达的生长抑素受体(Somatostatin Receptor,SSTR)相结合,起到内照射和化疗的双重治疗作用。已有的研究表明,SSTR介导的放射性核素治疗神经内分泌肿瘤疗效较好,且无严重的毒副作用,是一种有发展前景的神经内分泌肿瘤的治疗方法1。77Lu-奥曲肽和90Y-兰瑞肽的疗效更好,完全缓解和部分缓解率可达40%以上,稳定状态高达45%。Abstract: Radiolabeled Somatostatin Analogues in clinical applications include ()~(111)In-Pentetreotide,()~(90)Y-DOTATOC,()~(177)Lu-octreotate and()~(90)Y-DOTALAN,After these radiopharmacies bind with SSTR2s which are overexpressed on the cell membrane,they can produce both chemotherapy and radiotherapy effects on neuroendocrine tumors.The researches indicat that SRTRT(Somatostatin Receptor-targeted Radionuclide Therapy) is a promising treatment for neuroendocrine tumors because of its better curative effect,less side effect and less toxicity.The curative effect of()~(177)Lu-octreotate and ()~(90)Y-DOTALAN is better than that of()~(111)In-pentetreotide and()~(90)Y-DOTATOC,the rate of complete remission and partial remission is above 40% and the rate of stable disease is 45%.