Mukha Anna, Dubrovska Anna
OncoRay-National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden and Helmholtz-Zentrum Dresden-Rossendorf, Dresden, Germany.
Helmholtz-Zentrum Dresden - Rossendorf, Institute of Radiooncology - OncoRay, Dresden, Germany.
Front Oncol. 2020 Dec 22;10:537930. doi: 10.3389/fonc.2020.537930. eCollection 2020.
Most human tumors possess a high heterogeneity resulting from both clonal evolution and cell differentiation program. The process of cell differentiation is initiated from a population of cancer stem cells (CSCs), which are enriched in tumor-regenerating and tumor-propagating activities and responsible for tumor maintenance and regrowth after treatment. Intrinsic resistance to conventional therapies, as well as a high degree of phenotypic plasticity, makes CSCs hard-to-target tumor cell population. Reprogramming of CSC metabolic pathways plays an essential role in tumor progression and metastatic spread. Many of these pathways confer cell adaptation to the microenvironmental stresses, including a shortage of nutrients and anti-cancer therapies. A better understanding of CSC metabolic dependences as well as metabolic communication between CSCs and the tumor microenvironment are of utmost importance for efficient cancer treatment. In this mini-review, we discuss the general characteristics of CSC metabolism and potential metabolic targeting of CSC populations as a potent strategy to enhance the efficacy of conventional treatment approaches.
大多数人类肿瘤具有高度异质性,这是由克隆进化和细胞分化程序共同导致的。细胞分化过程始于一群癌症干细胞(CSCs),这些细胞在肿瘤再生和肿瘤增殖活动中富集,并负责肿瘤维持以及治疗后的复发。对传统疗法的内在抗性以及高度的表型可塑性,使得癌症干细胞成为难以靶向的肿瘤细胞群体。癌症干细胞代谢途径的重编程在肿瘤进展和转移扩散中起着至关重要的作用。这些途径中的许多赋予细胞对微环境应激的适应性,包括营养物质短缺和抗癌治疗。更好地理解癌症干细胞的代谢依赖性以及癌症干细胞与肿瘤微环境之间的代谢通讯对于有效的癌症治疗至关重要。在本综述中,我们讨论了癌症干细胞代谢的一般特征以及将癌症干细胞群体作为增强传统治疗方法疗效的有效策略进行潜在代谢靶向的问题。