Medical Biology Department, Centre Scientifique de Monaco (CSM), Monaco, Monaco.
University Côte d'Azur, Institute for Research on Cancer & Aging (IRCAN), CNRS, INSERM, Centre A. Lacassagne, Nice, France.
Cell Death Dis. 2020 Sep 23;11(9):789. doi: 10.1038/s41419-020-02994-w.
Contextualisation of the new type of cell death called "ferroptosis" opened a completely new avenue for the development of anti-cancer therapies. Cumulative fundamental research dating back to the mid-20th century, crowned by the extraordinary work of the group led by Dr. Stockwell from Columbia University in 2012, finally got its candidature to be applied in the clinical settings. Although the potential for clinical importance is undoubtedly growing every day, as showed by the increasing number of papers dealing with ferroptosis and its applications, long experience of cancer research and treatment taught us that caution is still necessary. The plasticity of the tumour cells, particularly acute, along with its involvement in the resistance mechanisms, that have been seen, to greater or lesser extent, for almost all currently used therapies, represents the biggest fascinations in biomedical research field and also the biggest challenge to achieving cures in cancer patients. Accordingly, the main features of fundamental research have to be vigilance and anticipation. In this review, we tried to summarize the literature data, accumulated in the past couple of years, which point out the pitfalls in which "ferroptosis inducers" can fall if used prematurely in the clinical settings, but at the same time can provide a great advantage in the exhausting battle with cancer resistance. This is the first comprehensive review focusing on the effects of the cell-to-cell contact/interplay in the development of resistance to ferroptosis, while the contribution of cell-born factors has been summarized previously so here we just listed them.
新型细胞死亡方式“铁死亡”的概念提出,为癌症治疗开辟了全新途径。20 世纪中叶以来,相关基础研究不断积累,尤其是 2012 年哥伦比亚大学斯托克韦尔博士领导的团队取得了非凡的研究成果,最终为其在临床环境中的应用提供了依据。尽管其临床应用的潜力无疑在与日俱增,相关论文数量也在不断增加,但癌症研究和治疗的长期经验告诉我们,仍需保持谨慎。肿瘤细胞的可塑性,尤其是其在耐药机制中的作用,几乎所有目前使用的治疗方法都存在不同程度的耐药性,这是生物医学研究领域的最大关注点,也是癌症患者治愈的最大挑战。因此,基础研究的主要特征是警惕性和前瞻性。在这篇综述中,我们试图总结过去几年积累的文献数据,这些数据指出,如果“铁死亡诱导剂”在临床环境中过早使用,可能会遇到的陷阱,但同时也可以为与癌症耐药性的艰苦斗争提供巨大优势。这是第一篇全面综述铁死亡耐药性发展中细胞间相互作用的影响的综述,之前已经总结了细胞来源因素的贡献,因此这里仅列出它们。