Zeng Ruolan, Huang Junhui, Zhong Mei-Zuo, Li Li, Yang Guorong, Liu Li, Wu Yin, Yao Xiaoyi, Shi Jing, Wu Zhifu
Department of Oncology, Xiangya Hospital, Central South University, Changsha, Hunan, China (mainland).
Department of Oncology, The First People's Hospital of Chenzhou, University of South China, Chenzhou, Hunan, China (mainland).
Med Sci Monit. 2016 Dec 22;22:5058-5067. doi: 10.12659/msm.902022.
Breast cancer is one of the most common malignant tumors of women. Modern combinatorial therapeutic regimens can reduce patient tumor burdens to undetectable levels, yet in many cases these tumors will relapse. Understanding of breast cancer biology, developing more potent therapeutic approaches, and overcoming resistance are of great importance. WNT5A is a non-canonical signaling member of the WNT family. Its role in breast cancer still remains unclear. Most of the evidence shows that WNT5A is a suppressor in breast cancer and loss of its expression is associated with poor prognosis, while some evidence suggests the tumorigenicity of WNT5A. WNT signaling molecules are potent targets for treatment of cancer. Therefore, understanding the role of WNT5A in breast cancer may provide new ideas and methods for breast cancer treatment. We review the evidence concerning WNT5A and breast cancer involving the signaling pathways and the molecular-targeted therapy of WNT5A. Our results show that the role WNT5A plays depends on the availability of key receptors and intercellular interactions among different cell types.
乳腺癌是女性最常见的恶性肿瘤之一。现代联合治疗方案可将患者肿瘤负担降低至检测不到的水平,但在许多情况下,这些肿瘤仍会复发。了解乳腺癌生物学、开发更有效的治疗方法以及克服耐药性至关重要。WNT5A是WNT家族的非经典信号成员。其在乳腺癌中的作用仍不清楚。大多数证据表明WNT5A在乳腺癌中是一种抑制因子,其表达缺失与预后不良相关,而一些证据则提示WNT5A具有致瘤性。WNT信号分子是癌症治疗的有效靶点。因此,了解WNT5A在乳腺癌中的作用可能为乳腺癌治疗提供新的思路和方法。我们综述了有关WNT5A与乳腺癌的证据,涉及WNT5A的信号通路及分子靶向治疗。我们的结果表明,WNT5A所起的作用取决于关键受体的可用性以及不同细胞类型之间的细胞间相互作用。