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上皮间质转化与内分泌相关癌症的耐药性

Epithelial mesenchymal transition and resistance in endocrine-related cancers.

机构信息

Experimental Urology, Department of Urology, Medical University of Innsbruck, Anichstrasse 35, A-6020 Innsbruck, Austria.

出版信息

Biochim Biophys Acta Mol Cell Res. 2019 Sep;1866(9):1368-1375. doi: 10.1016/j.bbamcr.2019.05.003. Epub 2019 May 18.

Abstract

Epithelial to mesencyhmal transition (EMT) has a central role in tumor metastasis and progression. EMT is regulated by several growth factors and pro-inflammatory cytokines. The most important role in this regulation could be attributed to transforming growth factor-β (TGF-β). In breast cancer, TGF-β effect on EMT could be potentiated by Fos-related antigen, oncogene HER2, epidermal growth factor, or mitogen-activated protein kinase kinase 5 - extracellular-regulated kinase signaling. Several microRNAs in breast cancer have a considerable role either in potentiation or in suppression of EMT thus acting as oncogenic or tumor suppressive modulators. At present, possibilities to target EMT are discussed but the results of clinical translation are still limited. In prostate cancer, many cellular events are regulated by androgenic hormones. Different experimental results on androgenic stimulation or inhibition of EMT have been reported in the literature. Thus, a possibility that androgen ablation therapy leads to EMT thus facilitating tumor progression has to be discussed. Novel therapy agents, such as the anti-diabetic drug metformin or selective estrogen receptor modulator ormeloxifene were used in pre-clinical studies to inhibit EMT in prostate cancer. Taken together, the results of pre-clinical and clinical studies in breast cancer may be helpful in the process of drug development and identify potential risk during the early stage of that process.

摘要

上皮间质转化(EMT)在肿瘤转移和进展中起核心作用。 EMT 受几种生长因子和促炎细胞因子调节。 在这种调节中,转化生长因子-β(TGF-β)可能起着最重要的作用。 在乳腺癌中,Fos 相关抗原、致癌基因 HER2、表皮生长因子或丝裂原活化蛋白激酶激酶 5-细胞外调节激酶信号转导可增强 TGF-β对 EMT 的作用。 乳腺癌中的几种 microRNAs 在 EMT 的增强或抑制中具有相当大的作用,因此作为致癌或肿瘤抑制调节剂发挥作用。 目前,正在讨论针对 EMT 的可能性,但临床转化的结果仍然有限。 在前列腺癌中,许多细胞事件受雄激素激素调节。 文献中报道了不同的雄激素刺激或抑制 EMT 的实验结果。 因此,有必要讨论雄激素剥夺疗法导致 EMT 从而促进肿瘤进展的可能性。 在前列腺癌中,已经在临床前研究中使用新型治疗剂,如抗糖尿病药物二甲双胍或选择性雌激素受体调节剂 ormeloxifene 来抑制 EMT。 总之,乳腺癌的临床前和临床研究结果可能有助于药物开发过程,并在该过程的早期阶段识别潜在风险。

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