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前列腺癌干细胞:雄激素和雌激素受体的作用

Prostate cancer stem cells: the role of androgen and estrogen receptors.

作者信息

Di Zazzo Erika, Galasso Giovanni, Giovannelli Pia, Di Donato Marzia, Di Santi Annalisa, Cernera Gustavo, Rossi Valentina, Abbondanza Ciro, Moncharmont Bruno, Sinisi Antonio Agostino, Castoria Gabriella, Migliaccio Antimo

机构信息

Department of Biochemistry, Biophysics and General Pathology, II University of Naples, Naples, Italy.

Department of Medicine, University of Molise, Campobasso, Italy.

出版信息

Oncotarget. 2016 Jan 5;7(1):193-208. doi: 10.18632/oncotarget.6220.

Abstract

Prostate cancer is one of the most commonly diagnosed cancers in men, and androgen deprivation therapy still represents the primary treatment for prostate cancer patients. This approach, however, frequently fails and patients develop castration-resistant prostate cancer, which is almost untreatable.Cancer cells are characterized by a hierarchical organization, and stem/progenitor cells are endowed with tumor-initiating activity. Accumulating evidence indicates that prostate cancer stem cells lack the androgen receptor and are, indeed, resistant to androgen deprivation therapy. In contrast, these cells express classical (α and/or β) and novel (GPR30) estrogen receptors, which may represent new putative targets in prostate cancer treatment.In the present review, we discuss the still-debated mechanisms, both genomic and non-genomic, by which androgen and estradiol receptors (classical and novel) mediate the hormonal control of prostate cell stemness, transformation, and the continued growth of prostate cancer. Recent preclinical and clinical findings obtained using new androgen receptor antagonists, anti-estrogens, or compounds such as enhancers of androgen receptor degradation and peptides inhibiting non-genomic androgen functions are also presented. These new drugs will likely lead to significant advances in prostate cancer therapy.

摘要

前列腺癌是男性中最常被诊断出的癌症之一,雄激素剥夺疗法仍然是前列腺癌患者的主要治疗方法。然而,这种方法常常失败,患者会发展为去势抵抗性前列腺癌,而这种癌症几乎无法治疗。癌细胞具有分层组织的特征,干细胞/祖细胞具有肿瘤起始活性。越来越多的证据表明,前列腺癌干细胞缺乏雄激素受体,并且确实对雄激素剥夺疗法具有抗性。相反,这些细胞表达经典的(α和/或β)和新型的(GPR30)雌激素受体,这可能代表前列腺癌治疗中的新的假定靶点。在本综述中,我们讨论了雄激素和雌二醇受体(经典和新型)通过基因组和非基因组机制介导前列腺细胞干性、转化和前列腺癌持续生长的激素控制这一仍有争议的机制。还介绍了使用新的雄激素受体拮抗剂、抗雌激素或诸如雄激素受体降解增强剂和抑制非基因组雄激素功能的肽等化合物获得的最新临床前和临床研究结果。这些新药可能会在前列腺癌治疗方面取得重大进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/564a/4807992/b3977784eb52/oncotarget-07-0193-g001.jpg

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