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通过抑制细胞外囊泡克服化疗耐药性。

Overcoming Chemoresistance via Extracellular Vesicle Inhibition.

作者信息

Hayatudin Raeesah, Fong Zhijack, Ming Long Chiau, Goh Bey-Hing, Lee Wai-Leng, Kifli Nurolaini

机构信息

School of Science, Monash University Malaysia, Subang Jaya, Malaysia.

PAP Rashidah Sa'adatul Bolkiah Institute of Health Sciences, Universiti Brunei Darussalam, Gadong, Brunei.

出版信息

Front Mol Biosci. 2021 Mar 24;8:629874. doi: 10.3389/fmolb.2021.629874. eCollection 2021.

Abstract

With the ever-growing number of cancer deaths worldwide, researchers have been working hard to identify the key reasons behind the failure of cancer therapies so the efficacy of those therapies may be improved. Based on extensive research activities and observations done by researchers, chemoresistance has been identified as a major contributor to the drastic number of deaths among cancer patients. Several factors have been linked to formation of chemoresistance, such as chemotherapy drug efflux, immunosuppression, and epithelial-mesenchymal transition (EMT). Lately, increasing evidence has shed light on the role of extracellular vesicles (EVs) in the regulation of chemoresistance. However, there is limited research into the possibility that inhibiting EV release or uptake in cancer cells may curb chemoresistance, allowing chemotherapy drugs to target cancer cells without restriction. Prominent inhibitors of EV uptake and release in cancer cells have been compiled and contrasted in this review. This is in the hope of sparking greater interest in the field of EV-mediated chemoresistance, as well as to provide an overview of the field for fundamental and clinical research communities, particularly in the field of cancer resistance research. In-depth studies of EV-mediated chemoresistance and EV inhibitors in cancer cells would spur significant improvement in cancer treatments which are currently available.

摘要

随着全球癌症死亡人数的不断增加,研究人员一直在努力确定癌症治疗失败背后的关键原因,以便提高这些治疗方法的疗效。基于研究人员广泛的研究活动和观察结果,化疗耐药性已被确定为导致癌症患者大量死亡的主要因素。几个因素与化疗耐药性的形成有关,如化疗药物外排、免疫抑制和上皮-间质转化(EMT)。最近,越来越多的证据揭示了细胞外囊泡(EVs)在化疗耐药性调节中的作用。然而,关于抑制癌细胞中EVs的释放或摄取是否可以抑制化疗耐药性,使化疗药物不受限制地靶向癌细胞的可能性,研究还很有限。本文综述了癌细胞中EV摄取和释放的主要抑制剂,并进行了对比。这希望能激发对EV介导的化疗耐药性领域的更大兴趣,并为基础和临床研究界,特别是癌症耐药性研究领域,提供该领域的概述。对癌细胞中EV介导的化疗耐药性和EV抑制剂的深入研究将推动现有癌症治疗方法的显著改进。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f65/8024536/78d1717094b9/fmolb-08-629874-g001.jpg

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