一个 Wnt 开启的机会:在乳腺癌中靶向 Wnt/β-catenin 通路。
A Wnt-ow of opportunity: targeting the Wnt/beta-catenin pathway in breast cancer.
机构信息
Department of Surgery, University of Chicago, Chicago, IL 60637, USA.
出版信息
Curr Drug Targets. 2010 Sep;11(9):1074-88. doi: 10.2174/138945010792006780.
Aberrant activation of the Wnt/beta-catenin signaling pathway is a hallmark of many tumors, including breast cancer. In the normal breast, tightly regulated expression of Wnt/beta-catenin pathway components, including Wnts and the APC tumor suppressor, dictates its role in balancing stem cell self-renewal, maintenance and differentiation during embryonic and postnatal development. Therefore, not surprisingly, dysregulation of Wnt/beta-catenin signaling through overexpression of pathway activators, such as Wnts or stabilized beta-catenin, or targeted disruption of inhibitors, such as APC, leads to mammary tumorigenesis in several genetically engineered mouse (GEM) models. These models are powerful tools to dissect the importance of Wnt/beta-catenin signaling in human breast cancer because they recapitulate some of the histological features of human breast cancers that demonstrate pathway dysregulation. Over the last decade, numerous approaches have been developed to target the Wnt/beta-catenin pathway in tumor cells, from antagonizing Wnt ligand secretion or binding to promoting beta-catenin degradation to specifically blocking beta-catenin-mediated transcriptional activity. Despite sizeable hurdles because of gaps in our knowledge of most efficacious ways to inhibit the pathway, the breast cancer subtypes to target and how pathway antagonists might be used in combination therapy, crippling Wnt/beta-catenin signaling offers a tremendous opportunity to impact breast cancer pathogenesis. This review will provide an overview of the current understanding of Wnt/beta-catenin pathway involvement in regulating normal breast development and morphogenesis, the generation of Wnt/beta-catenin-dependent GEM models of human breast cancer, upregulation of signaling in human breast cancers and the compelling therapeutic strategies aimed at targeting the Wnt/beta-catenin pathway that show promising anti-tumor activity.
Wnt/β-连环蛋白信号通路的异常激活是许多肿瘤的一个标志,包括乳腺癌。在正常乳房中,Wnt/β-连环蛋白通路成分(包括 Wnts 和 APC 肿瘤抑制因子)的表达受到严格调控,决定了其在胚胎和产后发育过程中平衡干细胞自我更新、维持和分化中的作用。因此,毫不奇怪,通过过度表达通路激活物(如 Wnts 或稳定的β-连环蛋白)或靶向破坏抑制剂(如 APC)来调节 Wnt/β-连环蛋白信号,会导致几种基因工程小鼠(GEM)模型发生乳腺肿瘤形成。这些模型是解析 Wnt/β-连环蛋白信号在人类乳腺癌中的重要性的有力工具,因为它们再现了一些具有通路失调的人类乳腺癌的组织学特征。在过去的十年中,已经开发出许多针对肿瘤细胞中 Wnt/β-连环蛋白通路的方法,从拮抗 Wnt 配体分泌或结合到促进β-连环蛋白降解,再到特异性阻断β-连环蛋白介导的转录活性。尽管由于我们对最有效的抑制途径的知识存在差距,以及针对乳腺癌亚型和如何将途径拮抗剂用于联合治疗的知识存在差距,导致该途径的抑制存在巨大障碍,但抑制 Wnt/β-连环蛋白信号为影响乳腺癌发病机制提供了巨大机会。这篇综述将概述 Wnt/β-连环蛋白信号通路在调节正常乳腺发育和形态发生中的作用、Wnt/β-连环蛋白依赖性 GEM 模型在人类乳腺癌中的产生、信号在人类乳腺癌中的上调以及针对 Wnt/β-连环蛋白通路的有前途的治疗策略,这些策略旨在靶向该通路并显示出有希望的抗肿瘤活性。