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Notch、Hedgehog和Wnt信号通路在肿瘤对抗癌治疗耐药性中的作用

The Role of Notch, Hedgehog, and Wnt Signaling Pathways in the Resistance of Tumors to Anticancer Therapies.

作者信息

Kumar Vivek, Vashishta Mohit, Kong Lin, Wu Xiaodong, Lu Jiade J, Guha Chandan, Dwarakanath B S

机构信息

R&D Dept, Shanghai Proton and Heavy Ion Center (SPHIC), Shanghai, China.

Shanghai Key Laboratory of Radiation Oncology (20dz2261000), Shanghai, China.

出版信息

Front Cell Dev Biol. 2021 Apr 22;9:650772. doi: 10.3389/fcell.2021.650772. eCollection 2021.

Abstract

Resistance to therapy is the major hurdle in the current cancer management. Cancer cells often rewire their cellular process to alternate mechanisms to resist the deleterious effect mounted by different therapeutic approaches. The major signaling pathways involved in the developmental process, such as Notch, Hedgehog, and Wnt, play a vital role in development, tumorigenesis, and also in the resistance to the various anticancer therapies. Understanding how cancer utilizes these developmental pathways in acquiring the resistance to the multi-therapeutic approach cancer can give rise to a new insight of the anti-therapy resistance mechanisms, which can be explored for the development of a novel therapeutic approach. We present a brief overview of Notch, Hedgehog, and Wnt signaling pathways in cancer and its role in providing resistance to various cancer treatment modalities such as chemotherapy, radiotherapy, molecular targeted therapy, and immunotherapy. Understanding the importance of these molecular networks will provide a rational basis for novel and safer combined anticancer therapeutic approaches for the improvement of cancer treatment by overcoming drug resistance.

摘要

治疗抵抗是当前癌症管理中的主要障碍。癌细胞常常重新调整其细胞进程,转而采用其他机制来抵抗不同治疗方法所产生的有害影响。参与发育过程的主要信号通路,如Notch、Hedgehog和Wnt,在发育、肿瘤发生以及对各种抗癌治疗的抵抗中都起着至关重要的作用。了解癌症如何利用这些发育通路来获得对多疗法的抗性,能够为抗治疗抗性机制带来新的见解,进而可探索开发新的治疗方法。我们简要概述了Notch、Hedgehog和Wnt信号通路在癌症中的情况及其在抵抗化疗、放疗、分子靶向治疗和免疫治疗等各种癌症治疗方式方面所起的作用。了解这些分子网络的重要性将为新型且更安全的联合抗癌治疗方法提供合理依据,以通过克服耐药性来改善癌症治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16b4/8100510/101b5df099fb/fcell-09-650772-g001.jpg

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