前列腺癌放射抵抗的表观遗传机制。
Epigenetic mechanisms underlying prostate cancer radioresistance.
机构信息
Department of Precision Medicine, University of Campania "Luigi Vanvitelli", Vico L. De Crecchio 7, 80138, Naplei, Italy.
Cancer Biology and Epigenetics Group, Research Center at Portuguese Oncology Institute of Porto, F Bdg, 1st Floor, Rua Dr. António Bernardino de Almeida, 4200-072, Porto, Portugal.
出版信息
Clin Epigenetics. 2021 Jun 8;13(1):125. doi: 10.1186/s13148-021-01111-8.
Radiotherapy (RT) is one of the mainstay treatments for prostate cancer (PCa), a highly prevalent neoplasm among males worldwide. About 30% of newly diagnosed PCa patients receive RT with a curative intent. However, biochemical relapse occurs in 20-40% of advanced PCa treated with RT either alone or in combination with adjuvant-hormonal therapy. Epigenetic alterations, frequently associated with molecular variations in PCa, contribute to the acquisition of a radioresistant phenotype. Increased DNA damage repair and cell cycle deregulation decreases radio-response in PCa patients. Moreover, the interplay between epigenome and cell growth pathways is extensively described in published literature. Importantly, as the clinical pattern of PCa ranges from an indolent tumor to an aggressive disease, discovering specific targetable epigenetic molecules able to overcome and predict PCa radioresistance is urgently needed. Currently, histone-deacetylase and DNA-methyltransferase inhibitors are the most studied classes of chromatin-modifying drugs (so-called 'epidrugs') within cancer radiosensitization context. Nonetheless, the lack of reliable validation trials is a foremost drawback. This review summarizes the major epigenetically induced changes in radioresistant-like PCa cells and describes recently reported targeted epigenetic therapies in pre-clinical and clinical settings.
放射治疗(RT)是前列腺癌(PCa)的主要治疗方法之一,PCa 是全球男性中高发的肿瘤。约 30%的新诊断 PCa 患者接受根治性 RT 治疗。然而,单独或联合辅助激素治疗的 RT 治疗的晚期 PCa 患者中,有 20-40%发生生化复发。表观遗传改变常与 PCa 的分子变化相关,有助于获得放射抵抗表型。在 PCa 患者中,DNA 损伤修复增加和细胞周期失调会降低放射反应。此外,表观基因组与细胞生长途径之间的相互作用在已发表的文献中有广泛描述。重要的是,由于 PCa 的临床模式从惰性肿瘤到侵袭性疾病不等,因此迫切需要发现能够克服和预测 PCa 放射抵抗的特定可靶向表观遗传分子。目前,在癌症放射增敏背景下,组蛋白去乙酰化酶和 DNA 甲基转移酶抑制剂是研究最多的染色质修饰药物(所谓的“表药”)。然而,缺乏可靠的验证试验是一个首要的缺点。本文综述了放射抵抗样 PCa 细胞中主要的表观遗传学诱导变化,并描述了最近在临床前和临床环境中报告的靶向表观遗传治疗。
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