Department of Medical Oncology, Shanghai First People’s Hospital, Schoolof Medicine, Shanghai Jiaotong University, Shanghai, The People’s Republic of China.
Curr Pharm Des. 2012;18(17):2464-71. doi: 10.2174/13816128112092464.
Pancreatic cancer is characterized by its intrinsic resistance to cytotoxic agents. But the underlying molecular mechanism is unclear. Studies demonstrate that angiogenesis, presence of highly resistant cancer stem cells (CSCs), dysregulation of cell cycle and apoptosis are main aspects of mechanisms of pancreatic cancer chemoresistance. Interestingly, recent investigations of Wnt/β-catenin signaling suggest roles for the signaling in these four aspects and the pathogenesis of pancreatic cancer. Conceivably, the dysregulation of Wnt/β-catenin signaling pathway is involved in pancreatic cancer chemoresistance. Though researchers have proven it in some other cancer types, however, there is no direct evidence for this reasoning in pancreatic cancer. Designing effective experiment setups to define the function and mechanism of Wnt/β-catenin signaling in pancreatic cancer chemoresistance and subsequently targeting the signaling to improve the sensitivity of chemotherapy in pancreatic cancer require a full understanding of the molecular mechanisms of Wnt/β-catenin signaling pathway in angiogenesis, maintaining of highly resistant CSCs, regulation of cell cycle and apoptosis in pancreatic cancer.
胰腺癌的特点是对细胞毒性药物具有内在的耐药性。但其潜在的分子机制尚不清楚。研究表明,血管生成、高度耐药的癌症干细胞(CSC)的存在、细胞周期和细胞凋亡的失调是胰腺癌化疗耐药机制的主要方面。有趣的是,最近对 Wnt/β-连环蛋白信号的研究表明,该信号在这四个方面以及胰腺癌的发病机制中发挥作用。可以想象,Wnt/β-连环蛋白信号通路的失调与胰腺癌的化疗耐药性有关。尽管研究人员已经在其他一些癌症类型中证明了这一点,但在胰腺癌中并没有直接的证据支持这一观点。设计有效的实验方案来确定 Wnt/β-连环蛋白信号在胰腺癌化疗耐药性中的功能和机制,随后靶向该信号以提高胰腺癌化疗的敏感性,需要充分了解 Wnt/β-连环蛋白信号通路在血管生成、维持高度耐药的 CSC、调节细胞周期和细胞凋亡方面在胰腺癌中的分子机制。
Curr Pharm Des. 2012
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