铜:一种允许在癌症治疗中靶向表观遗传学、激酶通路和细胞代谢的细胞内阿喀琉斯之踵。
Copper: An Intracellular Achilles' Heel Allowing the Targeting of Epigenetics, Kinase Pathways, and Cell Metabolism in Cancer Therapeutics.
机构信息
Children's Cancer Institute, Lowy Cancer Research Centre, School of Women's and Children's Health, University of New South Wales, Sydney, NSW, Australia.
Children's Cancer Institute, Lowy Cancer Research Centre, University of New South Wales, Sydney, NSW, Australia.
出版信息
ChemMedChem. 2021 Aug 5;16(15):2315-2329. doi: 10.1002/cmdc.202100172. Epub 2021 Jun 1.
Copper is an essential transition metal frequently increased in cancer known to strongly influence essential cellular processes. Targeted therapy protocols utilizing both novel and repurposed drug agents initially demonstrate strong efficacy, before failing in advanced cancers as drug resistance develops and relapse occurs. Overcoming this limitation involves the development of strategies and protocols aimed at a wider targeting of the underlying molecular changes. Receptor Tyrosine Kinase signaling pathways, epigenetic mechanisms and cell metabolism are among the most common therapeutic targets, with molecular investigations increasingly demonstrating the strong influence each mechanism exerts on the others. Interestingly, all these mechanisms can be influenced by intracellular copper. We propose that copper chelating agents, already in clinical trial for multiple cancers, may simultaneously target these mechanisms across a wide variety of cancers, serving as an excellent candidate for targeted combination therapy. This review summarizes the known links between these mechanisms, copper, and copper chelation therapy.
铜是一种常见的过渡金属,在癌症中含量增加,已知其强烈影响重要的细胞过程。最初,利用新型和重新利用的药物制剂的靶向治疗方案显示出很强的疗效,但随着耐药性的发展和复发的发生,在晚期癌症中会失效。克服这一限制需要制定旨在更广泛针对潜在分子变化的策略和方案。受体酪氨酸激酶信号通路、表观遗传机制和细胞代谢是最常见的治疗靶点之一,分子研究越来越多地表明每种机制对其他机制的强烈影响。有趣的是,所有这些机制都可以受到细胞内铜的影响。我们提出,已经在多种癌症的临床试验中的铜螯合剂可能会同时针对这些机制在广泛的癌症中发挥作用,作为靶向联合治疗的理想候选药物。这篇综述总结了这些机制、铜和铜螯合治疗之间已知的联系。