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中华乳腺病杂志(电子版) ›› 2017, Vol. 11 ›› Issue (03) : 166 -170. doi: 10.3877/cma.j.issn.1674-0807.2017.03.009

综述

ESR1 基因突变与乳腺癌内分泌治疗耐药的相关性
杨雅岚1, 王佳玉1,(), 曾益新1,()   
  1. 1.100021 北京,国家癌症中心/中国医学科学院北京协和医学院肿瘤医院内科
  • 收稿日期:2016-11-13 出版日期:2017-06-01
  • 通信作者: 王佳玉, 曾益新

Correlation between ESR1 gene mutation and endocrine therapy resistance in breast cancer patients

Yalan Yang, Jiayu Wang(), Yixin Zeng()   

  • Received:2016-11-13 Published:2017-06-01
  • Corresponding author: Jiayu Wang, Yixin Zeng
引用本文:

杨雅岚, 王佳玉, 曾益新. ESR1 基因突变与乳腺癌内分泌治疗耐药的相关性[J/OL]. 中华乳腺病杂志(电子版), 2017, 11(03): 166-170.

Yalan Yang, Jiayu Wang, Yixin Zeng. Correlation between ESR1 gene mutation and endocrine therapy resistance in breast cancer patients[J/OL]. Chinese Journal of Breast Disease(Electronic Edition), 2017, 11(03): 166-170.

乳腺癌是目前全世界最常见的女性恶性肿瘤。 ER 在乳腺癌的内分泌治疗占有中心地位,但内分泌治疗过程中获得性耐药逐渐成为突出的问题。 近年来,研究者利用二代测序技术检测出了数量可观的ESR1 基因突变,并对这些突变基因的功能进行了初步探索,提出ESR1 基因突变对乳腺癌进展及内分泌治疗耐药的产生可能发挥重要作用;同时,新的基因突变检测平台也在不断开发。 这些研究成果为解决乳腺癌内分泌治疗耐药问题提供了新的思路,并为构建耐药基因突变监测系统提供了可能。

图1 野生型和突变型ER 的分子动态模型结构示意图[23] 注:a 图为ER 的野生型构象:H12 螺旋和H3 螺旋之间无氢键形成;b 图为Y537S 突变型ER:H12 螺旋的S537 和H3 螺旋的D351 之间形成氢键;c 图为D538G 突变型ER:H12 螺旋的G538 和H3 螺旋的D351 之间形成氢键
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