Department of Gynecology and Obstetrics, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Curr Cancer Drug Targets. 2020;20(5):325-334. doi: 10.2174/1568009620666200228123754.
Cancer is still a serious public issue that humans face. Chemoresistance is one of the most important reasons for relapse and poor prognosis. The accumulated data support that the polymorphisms in IGF1 are correlated with both circulating IGF1 levels and cancer risk and activation of IGF1signaling enhances the progression of cancer. Here, we emphasize the role of IGF1 in resistance to various chemotherapies. Dysregulation of IGF1-related lncRNAs may also play an important role in the regulation of chemoresistance by IGF1. Finally, targeting the IGF1 pathway and lncRNAs is effective for increasing the sensitivity of cancer cells to chemotherapies. More basic and clinical studies need to be conducted to investigate the value of targeting IGF1 and IGF1-related lncRNAs in restoring sensitivity to chemotherapies.
癌症仍然是人类面临的严重公共问题。化疗耐药性是导致癌症复发和预后不良的最重要原因之一。积累的数据支持 IGF1 的多态性与循环 IGF1 水平和癌症风险相关,并且 IGF1 信号的激活会增强癌症的进展。在这里,我们强调了 IGF1 在各种化疗耐药性中的作用。IGF1 相关的 lncRNAs 的失调也可能在 IGF1 调节化疗耐药性中发挥重要作用。最后,靶向 IGF1 途径和 lncRNAs 可有效提高癌细胞对化疗的敏感性。需要进行更多的基础和临床研究,以探讨靶向 IGF1 和 IGF1 相关 lncRNAs 在恢复化疗敏感性方面的价值。