使用3-溴丙酮酸靶向癌细胞进行选择性癌症治疗。

Targeting Cancer Cells using 3-bromopyruvate for Selective Cancer Treatment.

作者信息

Baghdadi Hussam H

机构信息

Department of Clinical Biochemistry and Molecular Medicine, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia.

出版信息

Saudi J Med Med Sci. 2017 Jan-Apr;5(1):9-19. doi: 10.4103/1658-631X.194253. Epub 2016 Nov 16.

Abstract

Cancer treatment deserves more research efforts despite intensive conventional treatment modalities for many types of malignancies. Metastasis and resistance to chemotherapy and radiotherapy receive a lot of global research efforts. The current advances in cancer biology may improve targeting the critical metabolic differences that distinguish cancer cells from normal cells. Cancer cells are highly glycolytic for energy production, exhibit the Warburg effect, establish aggressive acidic microenvironment, maintain cancer stem cells, exhibit resistance to chemotherapy, have low antioxidant systems but different ΔΨm (delta psi, mitochondrial transmembrane potential), express P-glycoprotein for multidrug resistance, upregulate glucose transporters and monocarboxylate transporters and are under high steady-state reactive oxygen species conditions. Normal cells differ in all these aspects. Lactate produced through the Warburg effect helps cancer metastasis. Targeting glycolysis reactions for energy production in cancer cells seems promising in decreasing the proliferation and metastasis of cancer cells. 3-bromopyruvate makes use of cancer biology in treating cancer cells, cancer stem cells and preventing metastasis in human cancer as discussed in this review. Updated advances are analyzed here, which include research analysis of background, experience, readings in the field of cancer biology, oncology and biochemistry.

摘要

尽管针对多种类型的恶性肿瘤有密集的传统治疗方式,但癌症治疗仍值得投入更多的研究精力。转移以及对化疗和放疗的耐药性受到了全球大量的研究关注。癌症生物学的当前进展可能有助于针对区分癌细胞与正常细胞的关键代谢差异进行靶向治疗。癌细胞高度依赖糖酵解来产生能量,表现出瓦伯格效应,建立侵袭性的酸性微环境,维持癌症干细胞,对化疗具有抗性,抗氧化系统较弱但线粒体跨膜电位(ΔΨm)不同,表达多药耐药性的P-糖蛋白,上调葡萄糖转运蛋白和单羧酸转运蛋白,并且处于高稳态活性氧条件下。正常细胞在所有这些方面都有所不同。通过瓦伯格效应产生的乳酸有助于癌症转移。针对癌细胞中能量产生的糖酵解反应进行靶向治疗,在降低癌细胞的增殖和转移方面似乎很有前景。如本综述中所讨论的,3-溴丙酮酸利用癌症生物学来治疗癌细胞、癌症干细胞并预防人类癌症中的转移。本文分析了最新进展,其中包括对癌症生物学、肿瘤学和生物化学领域的背景、经验、文献的研究分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e27/6298280/acff7174de52/SJMMS-5-9-g001.jpg

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