摘要
В понятие неоадъювантного системного лечения пациентов с раком молочной железы (РМЖ) включаются неоадъювантная химиотерапия (НХТ), неоадъювантная гормонотерапия (НГТ), неоадъювантная таргетная терапия. Тот или иной вид системной терапии чаще всего определяется уровнем экспрессии рецепторов эстрогенов/прогестерона, HER2, т.е. иммуногистохимическими характеристиками заболевания. В данной статье предлагается оценить в качестве предиктивного фактора изменение профиля экзосомальных микро-РНК для определения эффективности НХТ, включающей таксаны. Полученные результаты выявили связь между уровнем концентрации нескольких молекул мирнк в циркулирующих экзосомах и эффектом НХТ. Кроме того, показатель, вычисляемый как соотношение концентраций miR-34a и miR-451, позволяет предсказывать эффект таксан-содержащей НХТ. Полученные результаты подтверждают предположение о предиктивной значимости экзосомальных миРНК и оправдывают дальнейшие исследования с целью создания клинически применимой методики прогнозирования эффекта НХТ при раке молочной железы.
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