Taizhou University Hosipital, Taizhou University, Taizhou, 318000, Zhejiang, China.
Department of Basic Medical Sciences, Medical College of Taizhou University, Taizhou, 318000, Zhejiang, China.
Curr Drug Targets. 2020;21(5):477-498. doi: 10.2174/1389450120666191021110208.
Reactive oxygen species (ROS), an important molecule inducing oxidative stress in organisms, play a key role in tumorigenesis, tumor progression and recurrence. Recent findings on ROS have shown that ROS can be used to treat cancer as they accelerate the death of tumor cells. At present, pro-oxidant drugs that are intended to increase ROS levels of the tumor cells have been widely used in the clinic. However, ROS are a double-edged sword in the treatment of tumors. High levels of ROS induce not only the death of tumor cells but also oxidative damage to normal cells, especially bone marrow hemopoietic cells, which leads to bone marrow suppression and (or) other side effects, weak efficacy of tumor treatment and even threatening patients' life. How to enhance the killing effect of ROS on tumor cells while avoiding oxidative damage to the normal cells has become an urgent issue. This study is a review of the latest progress in the role of ROS-mediated programmed death in tumor treatment and prevention and treatment of oxidative damage in bone marrow induced by ROS.
活性氧(ROS)是一种能诱导生物体内氧化应激的重要分子,在肿瘤发生、发展和复发中起关键作用。最近关于 ROS 的研究结果表明,ROS 可以被用来治疗癌症,因为它能加速肿瘤细胞的死亡。目前,旨在提高肿瘤细胞 ROS 水平的促氧化剂药物已广泛应用于临床。然而,ROS 在肿瘤治疗中是一把双刃剑。高水平的 ROS 不仅诱导肿瘤细胞死亡,还导致正常细胞(尤其是骨髓造血细胞)发生氧化损伤,导致骨髓抑制和(或)其他副作用,使肿瘤治疗效果减弱,甚至威胁患者生命。如何增强 ROS 对肿瘤细胞的杀伤作用,同时避免 ROS 对正常细胞的氧化损伤,已成为亟待解决的问题。本研究综述了 ROS 介导的程序性细胞死亡在肿瘤治疗中的作用以及 ROS 诱导骨髓氧化损伤的最新进展。