Temozolomide and Pituitary Tumors : Current Understanding, Unresolved Issues, and Future Directions

ABSTRACT: Temozolomide, an alkylating agent, initially used in the treatment of gliomas was expanded to include pituitary tumors in 2006. After 12 years of use, temozolomide has shown a notable advancement in pituitary tumor treatment with a remarkable improvement rate in the 5-year overall survival...

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Autores:
Syro Moreno, Luis Vicente
Rotondo, Fabio
Camargo Guerrero, Mauricio
Ortíz Gómez, León Darío
Serna Ortíz, Carlos Andrés
Kovacs, Kalman
Tipo de recurso:
Review article
Fecha de publicación:
2018
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/20366
Acceso en línea:
http://hdl.handle.net/10495/20366
https://www.frontiersin.org/articles/10.3389/fendo.2018.00318/full
Palabra clave:
Agentes alquilantes
Alkylating Agents
Antineoplastic Agents
Antineoplásicos
Reparación del ADN
DNA Repair
Neoplasias
Neoplasms
Tumores Neuroendocrinos
Neuroendocrine Tumors
O(6)-Methylguanine-DNA Methyltransferase
O(6)-Metilguanina-ADN Metiltransferasa
Neoplasias Hipofisarias
Pituitary Neoplasms
Temozolomida
Temozolomide
Metiltransferasa
Methyltransferases
Quimioterapia
Chemotherapy
Rights
openAccess
License
http://creativecommons.org/licenses/by/2.5/co/
Description
Summary:ABSTRACT: Temozolomide, an alkylating agent, initially used in the treatment of gliomas was expanded to include pituitary tumors in 2006. After 12 years of use, temozolomide has shown a notable advancement in pituitary tumor treatment with a remarkable improvement rate in the 5-year overall survival and 5-year progression-free survival in both aggressive pituitary adenomas and pituitary carcinomas. In this paper, we review the mechanism of action of temozolomide as alkylating agent, its interaction with deoxyribonucleic acid repair systems, therapeutic effects in pituitary tumors, unresolved issues, and future directions relating to new possibilities of targeted therapy.