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TGFB1/INHBA 同源二聚体/Nodal-SMAD2/3 信号通路:PDAC 治疗的关键分子靶点。

TGFB1/INHBA Homodimer/Nodal-SMAD2/3 Signaling Network: A Pivotal Molecular Target in PDAC Treatment.

机构信息

Botnar Research Centre, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Headington, University of Oxford, Oxford OX3 7LD, UK.

Botnar Research Centre, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Headington, University of Oxford, Oxford OX3 7LD, UK.

出版信息

Mol Ther. 2021 Mar 3;29(3):920-936. doi: 10.1016/j.ymthe.2021.01.002. Epub 2021 Jan 9.

Abstract

Pancreatic cancer remains a grueling disease that is projected to become the second-deadliest cancer in the next decade. Standard treatment of pancreatic cancer is chemotherapy, which mainly targets the differentiated population of tumor cells; however, it paradoxically sets the roots of tumor relapse by the selective enrichment of intrinsically chemoresistant pancreatic cancer stem cells that are equipped with an indefinite capacity for self-renewal and differentiation, resulting in tumor regeneration and an overall anemic response to chemotherapy. Crosstalk between pancreatic tumor cells and the surrounding stromal microenvironment is also involved in the development of chemoresistance by creating a supportive niche, which enhances the stemness features and tumorigenicity of pancreatic cancer cells. In addition, the desmoplastic nature of the tumor-associated stroma acts as a physical barrier, which limits the intratumoral delivery of chemotherapeutics. In this review, we mainly focus on the transforming growth factor beta 1 (TGFB1)/inhibin subunit beta A (INHBA) homodimer/Nodal-SMAD2/3 signaling network in pancreatic cancer as a pivotal central node that regulates multiple key mechanisms involved in the development of chemoresistance, including enhancement of the stem cell-like properties and tumorigenicity of pancreatic cancer cells, mediating cooperative interactions between pancreatic cancer cells and the surrounding stroma, as well as regulating the deposition of extracellular matrix proteins within the tumor microenvironment.

摘要

胰腺癌仍然是一种棘手的疾病,预计在下一个十年中成为第二致命的癌症。胰腺癌的标准治疗方法是化疗,主要针对肿瘤细胞的分化群体;然而,它通过选择性富集内在化疗耐药的胰腺癌干细胞,从而为肿瘤复发奠定了基础,这些干细胞具有无限的自我更新和分化能力,导致肿瘤再生和对化疗的整体贫血反应。胰腺肿瘤细胞与周围基质微环境之间的串扰也通过创造支持性小生境参与化疗耐药的发展,从而增强了胰腺癌细胞的干性特征和致瘤性。此外,肿瘤相关基质的纤维变性性质充当物理屏障,限制了化疗药物在肿瘤内的传递。在这篇综述中,我们主要关注转化生长因子β 1(TGFB1)/抑制素亚基β A(INHBA)同源二聚体/Nodal-SMAD2/3 信号网络在胰腺癌中的作用,作为一个关键的中央节点,调节参与化疗耐药发展的多个关键机制,包括增强胰腺癌干细胞样特性和致瘤性,介导胰腺癌细胞与周围基质之间的协同相互作用,以及调节肿瘤微环境中细胞外基质蛋白的沉积。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d9/7934636/ccc518df0714/fx1.jpg

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