Emmanouilidi Aikaterini, Falasca Marco
Metabolic Signaling Group, School of Biomedical Sciences, Curtin Health Innovation Research Institute, Curtin University, Perth 6102, Western Australia, Australia.
Cancers (Basel). 2017 Oct 24;9(10):140. doi: 10.3390/cancers9100140.
Despite the rapid development in the field of oncology, cancer remains the second cause of mortality worldwide, with the number of new cases expected to more than double in the coming years. Chemotherapy is widely used to decelerate or stop tumour development in combination with surgery or radiation therapy when appropriate, and in many cases this improves the symptomatology of the disease. Unfortunately though, chemotherapy is not applicable to all patients and even when it is, there are many cases where a successful initial treatment period is followed by chemotherapeutic drug resistance. This is caused by a number of reasons, ranging from the genetic background of the patient (innate resistance) to the formation of tumour-initiating cells (acquired resistance). In this review, we discuss the potential role of PDK1 in the development of chemoresistance in different types of malignancy, and the design and application of potent inhibitors which can promote chemosensitization.
尽管肿瘤学领域发展迅速,但癌症仍是全球第二大致死原因,预计未来几年新发病例数将增加一倍多。化疗广泛用于在适当情况下与手术或放射治疗联合使用,以减缓或阻止肿瘤发展,在许多情况下,这改善了疾病的症状。然而,不幸的是,化疗并非适用于所有患者,即使适用,也有许多病例在初始治疗期成功后会出现化疗耐药。这是由多种原因引起的,从患者的遗传背景(先天耐药)到肿瘤起始细胞的形成(获得性耐药)。在本综述中,我们讨论了PDK1在不同类型恶性肿瘤化疗耐药发展中的潜在作用,以及可促进化疗增敏的强效抑制剂的设计和应用。