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用于脑癌干细胞的表观遗传调节剂:对抗癌治疗的意义。

Epigenetic modulators for brain cancer stem cells: Implications for anticancer treatment.

作者信息

Abballe Luana, Miele Evelina

机构信息

Department of Pediatric Hematology/Oncology and Cellular and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome 00165, Italy.

出版信息

World J Stem Cells. 2021 Jul 26;13(7):670-684. doi: 10.4252/wjsc.v13.i7.670.

Abstract

Primary malignant brain tumors are a major cause of morbidity and mortality in both adults and children, with a dismal prognosis despite multimodal therapeutic approaches. In the last years, a specific subpopulation of cells within the tumor bulk, named cancer stem cells (CSCs) or tumor-initiating cells, have been identified in brain tumors as responsible for cancer growth and disease progression. Stemness features of tumor cells strongly affect treatment response, leading to the escape from conventional therapeutic approaches and subsequently causing tumor relapse. Recent research efforts have focused at identifying new therapeutic strategies capable of specifically targeting CSCs in cancers by taking into consideration their complex nature. Aberrant epigenetic machinery plays a key role in the genesis and progression of brain tumors as well as inducing CSC reprogramming and preserving CSC characteristics. Thus, reverting the cancer epigenome can be considered a promising therapeutic strategy. Three main epigenetic mechanisms have been described: DNA methylation, histone modifications, and non-coding RNA, particularly microRNAs. Each of these mechanisms has been proven to be targetable by chemical compounds, known as epigenetic-based drugs or epidrugs, that specifically target epigenetic marks. We review here recent advances in the study of epigenetic modulators promoting and sustaining brain tumor stem-like cells. We focus on their potential role in cancer therapy.

摘要

原发性恶性脑肿瘤是成人和儿童发病和死亡的主要原因,尽管采用了多模式治疗方法,但其预后仍然不佳。在过去几年中,肿瘤组织内的一种特定细胞亚群,即癌症干细胞(CSCs)或肿瘤起始细胞,已在脑肿瘤中被鉴定出来,它们是癌症生长和疾病进展的原因。肿瘤细胞的干性特征强烈影响治疗反应,导致其逃避传统治疗方法,进而引起肿瘤复发。最近的研究工作集中在通过考虑癌症干细胞的复杂性质来确定能够特异性靶向癌症干细胞的新治疗策略。异常的表观遗传机制在脑肿瘤的发生和发展中起关键作用,同时也诱导癌症干细胞重编程并维持其特征。因此,恢复癌症表观基因组可被视为一种有前景的治疗策略。已经描述了三种主要的表观遗传机制:DNA甲基化、组蛋白修饰和非编码RNA,特别是微小RNA。这些机制中的每一种都已被证明可被称为表观遗传药物或表型药物的化合物靶向,这些化合物特异性靶向表观遗传标记。我们在此综述促进和维持脑肿瘤干细胞样细胞的表观遗传调节剂研究的最新进展。我们关注它们在癌症治疗中的潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf04/8316861/d250dada2958/WJSC-13-670-g001.jpg

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