PD-L1 como fator preditivo e prognóstico do câncer de mama
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Data de Publicação: | 2020 |
Tipo de documento: | Trabalho de conclusão de curso |
Idioma: | por |
Título da fonte: | Repositório Institucional da Universidade Cruzeiro do Sul |
Texto Completo: | https://repositorio.cruzeirodosul.edu.br/handle/123456789/1418 |
Resumo: | Introdução: O câncer de mama apresenta grande protagonismo na morbimortalidade mundial, uma vez que é um dos cânceres com maior incidência e prevalência nas mulheres. Sendo assim, faz-se preciso esclarecer e debater tópicos atuais acerca dessa patologia, como a expressão de receptores PD-L1 pelas células neoplásicas, cujo valor preditivo e prognóstico vem sendo bastante discutido na atualidade. Objetivos: Compreender a importância da pesquisa dos receptores PD-L1 como fator preditivo à terapia oncológica no câncer de mama, bem como sua interferência no prognóstico dessas neoplasias. Materiais e Métodos: Trata-se de uma revisão bibliográfica, com abordagem descritiva, utilizando-se as bases de dados eletrônicas Scientific Eletronic Library Online (SCIELO) e National Library of Medicine (PUBMED, composta por artigos científicos publicados entre 2015 a 2020, escritos nas línguas portuguesa, inglesa e espanhola, que abordaram o valor preditivo ou prognóstico das proteínas PD-L1 no câncer de mama. Resultados: Foram incluídos 43 estudos nessa revisão de literatura. A alta expressão do PD-L1 por células tumorais ou imunes esteve associada a maior resposta à imunoterapia anti-PD-L1 e a certas características patológicas de pior prognóstico, mas com impacto controverso na sobrevida das pacientes. Conclusão: Devido à grande heterogeneidade dos estudos, faz-se necessário a realização de padronização nas pesquisas subsequentes para validar o papel do PD-L1 como biomarcador de resposta à terapia oncológica da mama e entender seu real valor prognóstico nessa população. |
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2021-01-28T19:29:27Z2021-01-292021-01-28T19:29:27Z2020-07-29https://repositorio.cruzeirodosul.edu.br/handle/123456789/1418Introdução: O câncer de mama apresenta grande protagonismo na morbimortalidade mundial, uma vez que é um dos cânceres com maior incidência e prevalência nas mulheres. Sendo assim, faz-se preciso esclarecer e debater tópicos atuais acerca dessa patologia, como a expressão de receptores PD-L1 pelas células neoplásicas, cujo valor preditivo e prognóstico vem sendo bastante discutido na atualidade. Objetivos: Compreender a importância da pesquisa dos receptores PD-L1 como fator preditivo à terapia oncológica no câncer de mama, bem como sua interferência no prognóstico dessas neoplasias. Materiais e Métodos: Trata-se de uma revisão bibliográfica, com abordagem descritiva, utilizando-se as bases de dados eletrônicas Scientific Eletronic Library Online (SCIELO) e National Library of Medicine (PUBMED, composta por artigos científicos publicados entre 2015 a 2020, escritos nas línguas portuguesa, inglesa e espanhola, que abordaram o valor preditivo ou prognóstico das proteínas PD-L1 no câncer de mama. Resultados: Foram incluídos 43 estudos nessa revisão de literatura. A alta expressão do PD-L1 por células tumorais ou imunes esteve associada a maior resposta à imunoterapia anti-PD-L1 e a certas características patológicas de pior prognóstico, mas com impacto controverso na sobrevida das pacientes. Conclusão: Devido à grande heterogeneidade dos estudos, faz-se necessário a realização de padronização nas pesquisas subsequentes para validar o papel do PD-L1 como biomarcador de resposta à terapia oncológica da mama e entender seu real valor prognóstico nessa população.Introduction: Breast cancer plays a major role in global morbidity and mortality, since it is one of the cancers with the highest incidence and prevalence in women. Therefore, it is necessary to clarify and debate current topics about this pathology, such as the expression of PD-L1 receptors by neoplastic cells, whose predictive and prognostic value has been widely discussed today. Objectives: To understand the importance of research on PD-L1 receptors as a predictive factor for cancer therapy in breast cancer, as well as its interference in the prognosis of these neoplasms. Materials and Methods: This is a bibliographic review, with a descriptive approach, using the electronic databases Scientific Electronic Electronic Library Online (SCIELO) and National Library of Medicine (PUBMED), composed of scientific articles published between 2015 and 2020, written in Portuguese, English and Spanish, which addressed the predictive or prognostic value of PD-L1 proteins in breast cancer. Results: 43 studies were included in this literature review. High expression of PD-L1 by tumor or immune cells was associated with a greater response to anti-PD-L1 immunotherapy and certain pathological characteristics with a worse prognosis, but with controversial impact on patient survival. Conclusion: Due to the great heterogeneity of the studies, it is necessary to carry out standardization in subsequent studies to validate the role of PD-L1 as a biomarker of response to breast cancer therapy and to understand its real prognostic value in this population.porCentro Universitário de João PessoaUNIPÊBrasilCNPQ::CIENCIAS DA SAUDE::MEDICINANeoplasias da mamaPrognósticoPatologiaPD-L1 como fator preditivo e prognóstico do câncer de mamainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/bachelorThesisLima Júnior, Álvaro Ferreirahttp://lattes.cnpq.br/1309264770228155http://lattes.cnpq.br/3793961564592384Lacerda, Victor de LimaADAMS, S. et al. Pembrolizumab monotherapy for previously treated metastatic triple-negative breast cancer: cohort A of the phase II KEYNOTE-086 study. Annals of Oncology, [s. l.], v. 30, ed. 3, p. 397-404, 2019. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/30475950. Acesso em: 4 maio 2020. AFKHAMI, Michelle et al. 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Acesso em: 2 maio 2020.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da Universidade Cruzeiro do Sulinstname:Universidade Cruzeiro do Sul (UNICSUL)instacron:UNICSULORIGINALVictor de Lima Lacerda_TCC.pdfVictor de Lima Lacerda_TCC.pdfapplication/pdf575731http://dev.siteworks.com.br:8080/jspui/bitstream/123456789/1418/1/Victor%20de%20Lima%20Lacerda_TCC.pdfb5a620a813856393b4e3917a05335b68MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://dev.siteworks.com.br:8080/jspui/bitstream/123456789/1418/2/license.txt8a4605be74aa9ea9d79846c1fba20a33MD52123456789/14182021-01-28 16:30:45.105oai:repositorio.cruzeirodosul.edu.br: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Repositório InstitucionalPRIhttps://repositorio.cruzeirodosul.edu.br/oai/requestmary.pela@unicid.edu.bropendoar:2021-01-28T19:30:45Repositório Institucional da Universidade Cruzeiro do Sul - Universidade Cruzeiro do Sul (UNICSUL)false |
dc.title.pt_BR.fl_str_mv |
PD-L1 como fator preditivo e prognóstico do câncer de mama |
title |
PD-L1 como fator preditivo e prognóstico do câncer de mama |
spellingShingle |
PD-L1 como fator preditivo e prognóstico do câncer de mama Lacerda, Victor de Lima CNPQ::CIENCIAS DA SAUDE::MEDICINA Neoplasias da mama Prognóstico Patologia |
title_short |
PD-L1 como fator preditivo e prognóstico do câncer de mama |
title_full |
PD-L1 como fator preditivo e prognóstico do câncer de mama |
title_fullStr |
PD-L1 como fator preditivo e prognóstico do câncer de mama |
title_full_unstemmed |
PD-L1 como fator preditivo e prognóstico do câncer de mama |
title_sort |
PD-L1 como fator preditivo e prognóstico do câncer de mama |
author |
Lacerda, Victor de Lima |
author_facet |
Lacerda, Victor de Lima |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Lima Júnior, Álvaro Ferreira |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/1309264770228155 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3793961564592384 |
dc.contributor.author.fl_str_mv |
Lacerda, Victor de Lima |
contributor_str_mv |
Lima Júnior, Álvaro Ferreira |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::MEDICINA |
topic |
CNPQ::CIENCIAS DA SAUDE::MEDICINA Neoplasias da mama Prognóstico Patologia |
dc.subject.por.fl_str_mv |
Neoplasias da mama Prognóstico Patologia |
description |
Introdução: O câncer de mama apresenta grande protagonismo na morbimortalidade mundial, uma vez que é um dos cânceres com maior incidência e prevalência nas mulheres. Sendo assim, faz-se preciso esclarecer e debater tópicos atuais acerca dessa patologia, como a expressão de receptores PD-L1 pelas células neoplásicas, cujo valor preditivo e prognóstico vem sendo bastante discutido na atualidade. Objetivos: Compreender a importância da pesquisa dos receptores PD-L1 como fator preditivo à terapia oncológica no câncer de mama, bem como sua interferência no prognóstico dessas neoplasias. Materiais e Métodos: Trata-se de uma revisão bibliográfica, com abordagem descritiva, utilizando-se as bases de dados eletrônicas Scientific Eletronic Library Online (SCIELO) e National Library of Medicine (PUBMED, composta por artigos científicos publicados entre 2015 a 2020, escritos nas línguas portuguesa, inglesa e espanhola, que abordaram o valor preditivo ou prognóstico das proteínas PD-L1 no câncer de mama. Resultados: Foram incluídos 43 estudos nessa revisão de literatura. A alta expressão do PD-L1 por células tumorais ou imunes esteve associada a maior resposta à imunoterapia anti-PD-L1 e a certas características patológicas de pior prognóstico, mas com impacto controverso na sobrevida das pacientes. Conclusão: Devido à grande heterogeneidade dos estudos, faz-se necessário a realização de padronização nas pesquisas subsequentes para validar o papel do PD-L1 como biomarcador de resposta à terapia oncológica da mama e entender seu real valor prognóstico nessa população. |
publishDate |
2020 |
dc.date.issued.fl_str_mv |
2020-07-29 |
dc.date.accessioned.fl_str_mv |
2021-01-28T19:29:27Z |
dc.date.available.fl_str_mv |
2021-01-29 2021-01-28T19:29:27Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/bachelorThesis |
format |
bachelorThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://repositorio.cruzeirodosul.edu.br/handle/123456789/1418 |
url |
https://repositorio.cruzeirodosul.edu.br/handle/123456789/1418 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.references.pt_BR.fl_str_mv |
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Repositório Institucional da Universidade Cruzeiro do Sul |
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http://dev.siteworks.com.br:8080/jspui/bitstream/123456789/1418/1/Victor%20de%20Lima%20Lacerda_TCC.pdf http://dev.siteworks.com.br:8080/jspui/bitstream/123456789/1418/2/license.txt |
bitstream.checksum.fl_str_mv |
b5a620a813856393b4e3917a05335b68 8a4605be74aa9ea9d79846c1fba20a33 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da Universidade Cruzeiro do Sul - Universidade Cruzeiro do Sul (UNICSUL) |
repository.mail.fl_str_mv |
mary.pela@unicid.edu.br |
_version_ |
1801771131812708352 |