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脑肿瘤中的瞬时受体电位通道

TRP Channels in Brain Tumors.

作者信息

Chinigò Giorgia, Castel Hélène, Chever Oana, Gkika Dimitra

机构信息

Laboratory of Cell Physiology, Department of Life Sciences, Univ. Lille, Inserm, U1003 - PHYCEL, University of Lille, Lille, France.

Laboratory of Cellular and Molecular Angiogenesis, Department of Life Sciences and Systems Biology, University of Torino, Turin, Italy.

出版信息

Front Cell Dev Biol. 2021 Apr 13;9:617801. doi: 10.3389/fcell.2021.617801. eCollection 2021.

Abstract

Malignant glioma including glioblastoma (GBM) is the most common group of primary brain tumors. Despite standard optimized treatment consisting of extensive resection followed by radiotherapy/concomitant and adjuvant therapy, GBM remains one of the most aggressive human cancers. GBM is a typical example of intra-heterogeneity modeled by different micro-environmental situations, one of the main causes of resistance to conventional treatments. The resistance to treatment is associated with angiogenesis, hypoxic and necrotic tumor areas while heterogeneity would accumulate during glioma cell invasion, supporting recurrence. These complex mechanisms require a focus on potential new molecular actors to consider new treatment options for gliomas. Among emerging and underexplored targets, transient receptor potential (TRP) channels belonging to a superfamily of non-selective cation channels which play critical roles in the responses to a number of external stimuli from the external environment were found to be related to cancer development, including glioma. Here, we discuss the potential as biological markers of diagnosis and prognosis of TRPC6, TRPM8, TRPV4, or TRPV1/V2 being associated with glioma patient overall survival. TRPs-inducing common or distinct mechanisms associated with their Ca-channel permeability and/or kinase function were detailed as involving miRNA or secondary effector signaling cascades in turn controlling proliferation, cell cycle, apoptotic pathways, DNA repair, resistance to treatment as well as migration/invasion. These recent observations of the key role played by TRPs such as TRPC6 in GBM growth and invasiveness, TRPV2 in proliferation and glioma-stem cell differentiation and TRPM2 as channel carriers of cytotoxic chemotherapy within glioma cells, should offer new directions for innovation in treatment strategies of high-grade glioma as GBM to overcome high resistance and recurrence.

摘要

恶性胶质瘤,包括胶质母细胞瘤(GBM),是最常见的原发性脑肿瘤类型。尽管标准的优化治疗包括广泛切除,随后进行放疗/同步放化疗和辅助治疗,但GBM仍然是最具侵袭性的人类癌症之一。GBM是由不同微环境情况所塑造的肿瘤内异质性的典型例子,这也是对传统治疗产生耐药性的主要原因之一。对治疗的耐药性与血管生成、肿瘤缺氧和坏死区域有关,而异质性会在胶质瘤细胞侵袭过程中积累,促使肿瘤复发。这些复杂机制需要关注潜在的新分子靶点,以考虑针对胶质瘤的新治疗方案。在新兴且研究不足的靶点中,属于非选择性阳离子通道超家族的瞬时受体电位(TRP)通道,在对来自外部环境的多种外部刺激的反应中起关键作用,被发现与包括胶质瘤在内的癌症发展有关。在这里,我们讨论TRPC6、TRPM8、TRPV4或TRPV1/V2作为与胶质瘤患者总生存期相关的诊断和预后生物学标志物的潜力。详细阐述了TRP通道通过其钙通道通透性和/或激酶功能诱导的共同或不同机制,这些机制涉及miRNA或二级效应信号级联反应,进而控制细胞增殖、细胞周期、凋亡途径、DNA修复、对治疗的耐药性以及迁移/侵袭。最近关于TRP通道(如TRPC6在GBM生长和侵袭中的关键作用、TRPV2在增殖和胶质瘤干细胞分化中的作用以及TRPM2作为胶质瘤细胞内细胞毒性化疗药物的通道载体)的这些观察结果,应为高级别胶质瘤(如GBM的治疗策略创新提供新方向,以克服高耐药性和复发问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c01/8076903/40f6b8ffbece/fcell-09-617801-g001.jpg

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