Baram Tamir, Rubinstein-Achiasaf Linor, Ben-Yaakov Hagar, Ben-Baruch Adit
George S. Wise Faculty of Life Sciences, The Shmunis School of Biomedicine and Cancer Research, Tel Aviv University, Tel Aviv, Israel.
Front Oncol. 2021 Jan 26;10:614468. doi: 10.3389/fonc.2020.614468. eCollection 2020.
Cellular heterogeneity poses an immense therapeutic challenge in cancer due to a constant change in tumor cell characteristics, endowing cancer cells with the ability to dynamically shift between states. Intra-tumor heterogeneity is largely driven by cancer cell plasticity, demonstrated by the ability of malignant cells to acquire stemness and epithelial-to-mesenchymal transition (EMT) properties, to develop therapy resistance and to escape dormancy. These different aspects of cancer cell remodeling are driven by intrinsic as well as by extrinsic signals, the latter being dominated by factors of the tumor microenvironment. As part of the tumor milieu, chronic inflammation is generally regarded as a most influential player that supports tumor development and progression. In this review article, we put together recent findings on the roles of inflammatory elements in driving forward key processes of tumor cell plasticity. Using breast cancer as a representative research system, we demonstrate the critical roles played by inflammation-associated myeloid cells (mainly macrophages), pro-inflammatory cytokines [such as tumor necrosis factor α (TNFα) and interleukin 6 (IL-6)] and inflammatory chemokines [primarily CXCL8 (interleukin 8, IL-8) and CXCL1 (GROα)] in promoting tumor cell remodeling. These inflammatory components form a common thread that is involved in regulation of the three plasticity levels: stemness/EMT, therapy resistance, and dormancy. In view of the fact that inflammatory elements are a common denominator shared by different aspects of tumor cell plasticity, it is possible that their targeting may have a critical clinical benefit for cancer patients.
由于肿瘤细胞特征不断变化,赋予癌细胞在不同状态间动态转换的能力,细胞异质性给癌症治疗带来了巨大挑战。肿瘤内异质性很大程度上由癌细胞可塑性驱动,恶性细胞获得干性和上皮-间质转化(EMT)特性、产生治疗抗性以及脱离休眠状态的能力就证明了这一点。癌细胞重塑的这些不同方面由内在信号和外在信号驱动,后者主要由肿瘤微环境中的因素主导。作为肿瘤微环境的一部分,慢性炎症通常被认为是支持肿瘤发展和进展的最具影响力的因素。在这篇综述文章中,我们汇总了关于炎症因子在推动肿瘤细胞可塑性关键过程中作用的最新研究结果。以乳腺癌作为代表性研究系统,我们证明了炎症相关髓系细胞(主要是巨噬细胞)、促炎细胞因子[如肿瘤坏死因子α(TNFα)和白细胞介素6(IL-6)]以及炎症趋化因子[主要是CXCL8(白细胞介素8,IL-8)和CXCL1(GROα)]在促进肿瘤细胞重塑中的关键作用。这些炎症成分形成了一条共同线索,参与调控三个可塑性水平:干性/EMT、治疗抗性和休眠。鉴于炎症因子是肿瘤细胞可塑性不同方面的共同特征,针对它们进行靶向治疗可能对癌症患者具有关键的临床益处。