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    TARGET THERAPY FOR PATIENTS WITH NEUROFIBROMATOSIS (LITERATURE REVIEW)

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    ΠΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ прСдставлСнного ΠΎΠ±Π·ΠΎΡ€Π° обусловлСна высокой частотой Π½Π΅ΠΉΡ€ΠΎΡ„ΠΈΠ±Ρ€ΠΎΠΌΠ°Ρ‚ΠΎΠ·Π° 1 Ρ‚ΠΈΠΏΠ° (NF1) ΠΈ Π½Π΅ΠΉΡ€ΠΎΡ„ΠΈΠ±Ρ€ΠΎΠΌΠ°Ρ‚ΠΎΠ· 2 Ρ‚ΠΈΠΏΠ° (NF2) Π² популяции ΠΈ частой ассоциациСй с Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ΠΌ злокачСствСнных Π½ΠΎΠ²ΠΎΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠΉ. ЦСлью ΠΏΠΎΠ΄Π³ΠΎΡ‚ΠΎΠ²ΠΊΠΈ ΠΎΠ±Π·ΠΎΡ€Π° являСтся Π°Π½Π°Π»ΠΈΠ· Π΄Π°Π½Π½Ρ‹Ρ… Π»ΠΈΡ‚Π΅Ρ€Π°Ρ‚ΡƒΡ€Ρ‹, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ ΠΎΠΏΠΈΡΡ‹Π²Π°ΡŽΡ‚ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ примСнСния Ρ‚Π°Ρ€Π³Π΅Ρ‚Π½Ρ‹Ρ… ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ² лСчСния Π½ΠΎΠ²ΠΎΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠΉ Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с Π½Π΅ΠΉΡ€ΠΎΡ„ΠΈΠ±Ρ€ΠΎΠΌΠ°Ρ‚ΠΎΠ·ΠΎΠΌ Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π°ΠΌΠΈ Π»ΠΈΡ‚Π΅Ρ€Π°Ρ‚ΡƒΡ€Π½ΠΎΠ³ΠΎ поиска стало ΠΎΠ±ΠΎΠ±Ρ‰Π΅Π½ΠΈΠ΅ соврСмСнных ΠΏΠΎΠ΄Ρ…ΠΎΠ΄ΠΎΠ² ΠΊ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΈΡŽ Ρ‚Π°Ρ€Π³Π΅Ρ‚Π½ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ Π½Π΅ΠΉΡ€ΠΎΡ„Π±Ρ€ΠΎΠΌΠ°Ρ‚ΠΎΠ·Π° ΠΊΠ°ΠΊ NF1, Ρ‚Π°ΠΊ ΠΈ NF2 Ρ‚ΠΈΠΏΠΎΠ². ΠŸΡ€Π΅Π΄ΡΡ‚Π°Π²Π»Π΅Π½Ρ‹ Π΄Π°Π½Π½Ρ‹Π΅ ΠΎ Ρ„Π°Ρ€ΠΌΠ°ΠΊΠΎΠ³Π΅Π½Π΅Ρ‚ΠΈΠΊΠ΅ ΠΈ ΠΏΡ€ΠΈΠ½Ρ†ΠΈΠΏΠ°Ρ… этиопатогСнСтичСской Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ с использованиСм ΡΠ»Π΅Π΄ΡƒΡŽΡ‰ΠΈΡ… ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ² Ρ‚Π°Ρ€Π³Π΅Ρ‚Π½ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ: Π±Π΅Π²Π°Ρ†ΠΈΠ·ΡƒΠΌΠ°Π±, эрлотиниб, ΠΈΠΌΠ°Ρ‚ΠΈΠ½ΠΈΠ±, сорафСниб., сиролимус. Бводная Ρ‚Π°Π±Π»ΠΈΡ†Π° с Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π°ΠΌΠΈ ΠΎΠ±Π·ΠΎΡ€Π° содСрТит свСдСния ΠΈΠ· 39 Π»ΠΈΡ‚Π΅Ρ€Π°Ρ‚ΡƒΡ€Π½Ρ‹Ρ… источников. По мнСнию Π±ΠΎΠ»ΡŒΡˆΠΈΠ½ΡΡ‚Π²Π° Π°Π²Ρ‚ΠΎΡ€ΠΎΠ², инновационная таргСтная тСрапия Π½Π΅ΠΉΡ€ΠΎΡ„ΠΈΠ±Ρ€ΠΎΠΌΠ°Ρ‚ΠΎΠ·Π° ΠΌΠΎΠΆΠ΅Ρ‚ ΠΎΠΊΠ°Π·Π°Ρ‚ΡŒΡΡ эффСктивной Ρƒ ΠΌΠ½ΠΎΠ³ΠΈΡ… ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с распространёнными Ρ„ΠΎΡ€ΠΌΠ°ΠΌΠΈ заболСвания.Β The relevance of the presented review is due to the high incidence of type 1 neurofibromatosis (NF1) and type 2 neurofibromatosis (NF2) in the population and frequent association with the development of malignant neoplasms. The purpose of the review is to analyze literature data that describe the results of the use of targeted drugs for the treatment of neoplasms in patients with neurofibromatosis. The results of the literary search became a generalization of modern approaches to targeted therapy of neurofromatosis both NF1 and NF2 types. The results of the literary search became a generalization of modern approaches to targeted therapy of neurofromatosis both NF1 and NF2 types. Data on pharmacogenetics and the principles of etiopathogenetic therapy with the use of the following targeted therapy are presented: bevacizumab, erlotinib, imatinib, sorafenib, sirolimus. The summary table with the results of the survey contains information from 39 literature sources. According to the majority of authors, innovative target therapy of neurofibromatosis can be effective in many patients with advanced forms of the disease
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