Chen Weilong, Qin Yuanyuan, Liu Suling
School of Life Science, The CAS Key Laboratory of Innate Immunity and Chronic Disease, University of Science & Technology of China, Hefei, 230027, Anhui, China.
Fudan University Shanghai Cancer Center & Institutes of Biomedical Sciences; Cancer Institutes; Key Laboratory of Breast Cancer in Shanghai; Key Laboratory of Medical Epigenetics and Metabolism; Innovation Center for Cell Signaling Network, Shanghai Medical College; Fudan University, Shanghai, 200032, China.
Clin Transl Med. 2018 Sep 3;7(1):27. doi: 10.1186/s40169-018-0205-6.
Chemotherapy resistance of breast cancer poses a great challenge to the survival of patients. During breast cancer treatment, the development of intrinsic and acquired drug resistance tends to further induce adverse prognosis, such as metastasis. In recent years, the progress of research on cytokine-modulated tumor microenvironment and breast cancer stem cells (BCSCs) has shed light on defining the mechanisms of drug resistance gradually. In this review, we have discussed cytokine regulation on breast cancer chemoresistance. Cytokines can affect tumor cell behavior or reprogram tumor niche through specific signaling pathways, thereby regulating the progress of drug resistance. In addition, we summarized the mutually regulatory networks between cytokines and BCSCs in mediating chemoresistance. Cytokines in the tumor microenvironment can regulate the self-renewal and survival of BCSCs in a variety of ways, sequentially promoting chemotherapeutic resistance. Therefore, the combinational treatment of BCSC targeting and cytokine blockade may have a positive effect on the clinical treatment of breast cancer.
乳腺癌的化疗耐药性对患者的生存构成了巨大挑战。在乳腺癌治疗过程中,内在性和获得性耐药的发展往往会进一步导致不良预后,如转移。近年来,细胞因子调节肿瘤微环境和乳腺癌干细胞(BCSCs)的研究进展逐渐为阐明耐药机制带来了曙光。在本综述中,我们讨论了细胞因子对乳腺癌化疗耐药性的调节作用。细胞因子可通过特定信号通路影响肿瘤细胞行为或重塑肿瘤微环境,从而调节耐药性的进展。此外,我们总结了细胞因子与BCSCs在介导化疗耐药性方面的相互调节网络。肿瘤微环境中的细胞因子可通过多种方式调节BCSCs的自我更新和存活,进而促进化疗耐药性。因此,靶向BCSCs和阻断细胞因子的联合治疗可能对乳腺癌的临床治疗产生积极影响。