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癌症干细胞特征及其作为治疗靶点的潜力。

Cancer stem cell characteristics and their potential as therapeutic targets.

作者信息

Lim Jacqueline R, Mouawad Josette, Gorton Olivia K, Bubb William A, Kwan Ann H

机构信息

The University of Sydney, Sydney, Australia.

出版信息

Med Oncol. 2021 May 29;38(7):76. doi: 10.1007/s12032-021-01524-8.

Abstract

Cancer stem cells (CSCs) are a tumour subpopulation whose capacity for self-renewal, differentiation and proliferation generates unfavourable patient outcomes, including therapeutic resistance and metastasis. Much research has focused on the generation, biomarkers and therapeutic resistance of CSCs, as well as the development of CSC-targeted therapies. Reviews to date have either addressed general CSC characteristics or focused on CSCs from a well-studied cancer. Increasingly, specific treatment plans based on identification of molecular features and biomarkers of a patient's cancer, rather than classification according to tissue origin or bulk tumour properties, are leading to better patient outcomes. Here, we compare CSC characteristics, specifically their biomarkers and molecular features, and identify those that are common to a number of cancers. Identification of CSC markers that suggest therapeutic strategies has led to several successful in vitro and animal tests, recommending clinical trials of treatments with potentially enhanced therapeutic benefits, especially for recurring cancers.

摘要

癌症干细胞(CSCs)是肿瘤的一个亚群,其自我更新、分化和增殖能力会导致患者出现不良预后,包括治疗抵抗和转移。许多研究都集中在癌症干细胞的产生、生物标志物、治疗抵抗以及针对癌症干细胞的疗法的开发上。迄今为止的综述要么论述了癌症干细胞的一般特征,要么聚焦于来自某一充分研究的癌症类型的癌症干细胞。越来越多基于识别患者癌症分子特征和生物标志物而非根据组织来源或肿瘤整体特性进行分类的特定治疗方案,正带来更好的患者预后。在此,我们比较癌症干细胞的特征,特别是其生物标志物和分子特征,并识别出多种癌症共有的特征。识别出提示治疗策略的癌症干细胞标志物已促成了多项成功的体外和动物试验,这为开展可能具有更强治疗益处的治疗方法的临床试验提供了依据,尤其是针对复发性癌症。

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