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癌症干细胞样细胞的耐药机制及其作为药物靶点的治疗潜力。

Drug resistance mechanisms of cancer stem-like cells and their therapeutic potential as drug targets.

作者信息

Murayama Takahiko, Gotoh Noriko

机构信息

Division of Cancer Cell Biology, Cancer Research Institute, Kanazawa University, Kanazawa 920-1192, Japan.

出版信息

Cancer Drug Resist. 2019 Sep 19;2(3):457-470. doi: 10.20517/cdr.2019.36. eCollection 2019.

Abstract

Despite of recent advances in cancer research and development of new anti-cancer drugs, tumor patients' prognoses have not yet been improved well enough. Treatment failure of tumors is highly attributed to the drug resistance of a small population of cancer cell known as cancer stem-like cells (CSCs). CSCs also have the self-renewal activity and differentiation potency, conferring strong tumorigenicity on them. Therefore, development of CSC targeting therapy is urgently needed in order to overcome possible recurrence and metastasis by them after therapy. CSCs show some characteristic features that are not observed in other differentiated cancer cells, which give them higher resistance against conventional chemotherapy or radiotherapy. Targeting such specific features could be useful for CSC eradication. This review will summarize the recent advances in the study of CSC characteristics along with the promising therapeutic strategies targeting them.

摘要

尽管近期癌症研究取得了进展,新型抗癌药物也不断研发,但肿瘤患者的预后仍未得到充分改善。肿瘤治疗失败很大程度上归因于一小部分具有癌症干细胞样特性的癌细胞(CSCs)的耐药性。CSCs还具有自我更新活性和分化潜能,赋予它们很强的致瘤性。因此,迫切需要开发针对CSCs的靶向治疗,以克服治疗后它们可能导致的复发和转移。CSCs表现出一些在其他分化癌细胞中未观察到的特征,这使它们对传统化疗或放疗具有更高的抗性。针对这些特定特征进行靶向治疗可能有助于根除CSCs。本综述将总结CSCs特性研究的最新进展以及针对它们的有前景的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2af/8992527/433d3bb4d6bd/cdr-2-457.fig.1.jpg

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