Senthebane Dimakatso Alice, Rowe Arielle, Thomford Nicholas Ekow, Shipanga Hendrina, Munro Daniella, Mazeedi Mohammad A M Al, Almazyadi Hashim A M, Kallmeyer Karlien, Dandara Collet, Pepper Michael S, Parker M Iqbal, Dzobo Kevin
Division of Medical Biochemistry and Institute of Infectious Disease and Molecular Medicine,Department of Integrative Biomedical Sciences, Faculty of Health Sciences, University of Cape Town,Cape Town 7925, South Africa.
International Centre for Genetic Engineering and Biotechnology (ICGEB), Cape Town Component,Wernher and Beit Building (South), UCT Medical Campus, Anzio Road, Observatory, Cape Town 7925,South Africa.
Int J Mol Sci. 2017 Jul 21;18(7):1586. doi: 10.3390/ijms18071586.
Chemoresistance is a leading cause of morbidity and mortality in cancer and it continues to be a challenge in cancer treatment. Chemoresistance is influenced by genetic and epigenetic alterations which affect drug uptake, metabolism and export of drugs at the cellular levels. While most research has focused on tumor cell autonomous mechanisms of chemoresistance, the tumor microenvironment has emerged as a key player in the development of chemoresistance and in malignant progression, thereby influencing the development of novel therapies in clinical oncology. It is not surprising that the study of the tumor microenvironment is now considered to be as important as the study of tumor cells. Recent advances in technological and analytical methods, especially 'omics' technologies, has made it possible to identify specific targets in tumor cells and within the tumor microenvironment to eradicate cancer. Tumors need constant support from previously 'unsupportive' microenvironments. Novel therapeutic strategies that inhibit such microenvironmental support to tumor cells would reduce chemoresistance and tumor relapse. Such strategies can target stromal cells, proteins released by stromal cells and non-cellular components such as the extracellular matrix (ECM) within the tumor microenvironment. Novel in vitro tumor biology models that recapitulate the in vivo tumor microenvironment such as multicellular tumor spheroids, biomimetic scaffolds and tumor organoids are being developed and are increasing our understanding of cancer cell-microenvironment interactions. This review offers an analysis of recent developments on the role of the tumor microenvironment in the development of chemoresistance and the strategies to overcome microenvironment-mediated chemoresistance. We propose a systematic analysis of the relationship between tumor cells and their respective tumor microenvironments and our data show that, to survive, cancer cells interact closely with tumor microenvironment components such as mesenchymal stem cells and the extracellular matrix.
化疗耐药是癌症发病和死亡的主要原因,并且仍然是癌症治疗中的一项挑战。化疗耐药受到遗传和表观遗传改变的影响,这些改变在细胞水平上影响药物的摄取、代谢和排出。虽然大多数研究集中在肿瘤细胞自主的化疗耐药机制上,但肿瘤微环境已成为化疗耐药发展和恶性进展的关键因素,从而影响临床肿瘤学新疗法的开发。如今,肿瘤微环境的研究被认为与肿瘤细胞的研究同样重要,这并不奇怪。技术和分析方法,特别是“组学”技术的最新进展,使得识别肿瘤细胞和肿瘤微环境中的特定靶点以根除癌症成为可能。肿瘤需要来自以前“无支持作用”的微环境的持续支持。抑制这种对肿瘤细胞的微环境支持的新型治疗策略将减少化疗耐药和肿瘤复发。此类策略可以靶向肿瘤微环境中的基质细胞、基质细胞释放的蛋白质以及细胞外基质(ECM)等非细胞成分。正在开发能够重现体内肿瘤微环境的新型体外肿瘤生物学模型,如多细胞肿瘤球体、仿生支架和肿瘤类器官,这些模型正在增进我们对癌细胞与微环境相互作用的理解。本综述分析了肿瘤微环境在化疗耐药发展中的作用以及克服微环境介导的化疗耐药的策略的最新进展。我们建议对肿瘤细胞与其各自的肿瘤微环境之间的关系进行系统分析,并且我们的数据表明,为了生存,癌细胞与肿瘤微环境成分如间充质干细胞和细胞外基质密切相互作用。