Department of Therapeutic Radiology and Oncology, Innsbruck Medical University, Innsbruck, Austria.
Department of Anatomy, Histology and Embryology, Innsbruck Medical University, Innsbruck, Austria.
Semin Cancer Biol. 2015 Dec;35:39-44. doi: 10.1016/j.semcancer.2015.09.009. Epub 2015 Sep 25.
Despite the fact that radiation therapy is a highly effective therapeutic approach, a small intratumoral cell subpopulation known as "cancer stem cells" (CSCs) is radiation-resistant and possesses specific molecular properties protecting it against radiation-induced damage. The exact mechanisms of this radioresistance are still not fully elucidated, but they relate to these cells' enhanced DNA repair capacities and their low intracellular ROS concentrations, resulting from their up-regulation of ROS scavengers. The low ROS content is accompanied by disturbances in cell cycle regulation, so it can be assumed that either CSCs are quiescent or dormant themselves, or that this cell population consists of at least two cell subpopulations: the normally and the slowly proliferating cells (quiescent or dormant cells). Slowly dividing CSCs show concomitant dysregulation of the signaling molecules mediating both cell cycle progression and maintenance of cell stemness. Despite a massive accumulation of data concerning the mechanisms underlying DNA damage response in CSCs, it represents a challenge to researchers in the era of personalized medicine to elucidate the role of intracellular ROS and of signaling pathways associated with the radiation resistance of these cells; there is a clear need to understand the molecular mechanisms helping CSCs to survive radiation exposure.
尽管放射疗法是一种非常有效的治疗方法,但肿瘤内的一小部分细胞亚群被称为“癌症干细胞”(CSC),具有辐射抗性,并具有特定的分子特性,可以保护其免受辐射损伤。这种辐射抗性的确切机制尚不完全清楚,但与这些细胞增强的 DNA 修复能力以及它们较低的细胞内 ROS 浓度有关,这是由于它们上调了 ROS 清除剂。低 ROS 含量伴随着细胞周期调控的紊乱,因此可以假设 CSC 本身处于静止或休眠状态,或者该细胞群至少由两个细胞亚群组成:正常增殖细胞和缓慢增殖细胞(静止或休眠细胞)。缓慢分裂的 CSC 表现出与调节细胞周期进展和维持细胞干性的信号分子同时失调。尽管关于 CSC 中 DNA 损伤反应机制的大量数据已经积累,但在个性化医疗时代,研究人员仍面临着阐明细胞内 ROS 和与这些细胞辐射抗性相关的信号通路的作用的挑战;显然需要了解帮助 CSC 耐受辐射暴露的分子机制。