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天然产物作为一种有前途的针对癌症干细胞的治疗策略。

Natural Products as a Promising Therapeutic Strategy to Target Cancer Stem Cells.

机构信息

Molecular Cancer Research Center (ISUMKAM), Istinye University, Istanbul, Turkey.

Nutrition and Dietetics Department, Faculty of Health Sciences, Istinye University, Istanbul, Turkey.

出版信息

Curr Med Chem. 2022;29(4):741-783. doi: 10.2174/0929867328666210628131409.

Abstract

Cancer remains a deadly disease, and its treatment desperately needs to be managed through novel, rapidly advancing strategies. Most cancer cases eventually develop into recurrences, for which cancer stem cells (CSCs) are thought to be responsible. These cells are considered a subpopulation of all tumor cancer cells, with aberrant regulation of self-renewal, unbalanced proliferation, and cell death properties. CSCs show a marked degree of resistance to chemotherapy or radiotherapy and immune surveillance. To combat CSCs, new drugs are flooding the market each year, increasing the cost of therapy dramatically. Natural products are becoming a new research area, presenting a diverse chemical library to suppress CSCs and some natural products show great promise in this regard. In the near future, the introduction of natural products as a source of new chemotherapy modalities may result in the development of novel anticancer drugs that could be reasonably-priced alternatives to expensive current treatments. Lately preclinical and clinical research has focused on natural compounds' effects on targeting surface markers, signaling pathways, apoptosis, and escape from immunosurveillance. In this review, we present research on the mechanisms through which natural compounds kill CSCs and the potential use of natural compounds in the inhibition of CSCs.

摘要

癌症仍然是一种致命的疾病,其治疗迫切需要通过新颖的、快速发展的策略来管理。大多数癌症病例最终都会发展成复发,人们认为癌症干细胞(CSC)对此负有责任。这些细胞被认为是所有肿瘤癌细胞的一个亚群,具有自我更新、增殖失衡和细胞死亡特性的异常调节。CSC 对化疗或放疗和免疫监视具有明显的耐药性。为了对抗 CSC,每年都有新药涌入市场,极大地增加了治疗成本。天然产物正在成为一个新的研究领域,提供了一个多样化的化学库来抑制 CSC,一些天然产物在这方面显示出了巨大的潜力。在不久的将来,将天然产物作为新化疗方式的来源引入可能会开发出新型抗癌药物,这些药物可能成为昂贵现有治疗方法的合理替代品。最近,临床前和临床研究的重点是天然化合物对靶向表面标志物、信号通路、细胞凋亡和逃避免疫监视的影响。在这篇综述中,我们介绍了天然化合物杀死 CSC 的机制研究,以及天然化合物在抑制 CSC 中的潜在应用。

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