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肿瘤中的 STAT3-EMT 轴:癌症转移、干性和治疗反应的调控。

STAT3-EMT axis in tumors: Modulation of cancer metastasis, stemness and therapy response.

机构信息

Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran; Farhikhtegan Medical Convergence sciences Research Center, Farhikhtegan Hospital Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.

Farhikhtegan Medical Convergence sciences Research Center, Farhikhtegan Hospital Tehran Medical Sciences, Islamic Azad University, Tehran, Iran; Department of Genetics, Faculty of Advanced Science and Technology, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.

出版信息

Pharmacol Res. 2022 Aug;182:106311. doi: 10.1016/j.phrs.2022.106311. Epub 2022 Jun 15.

Abstract

Epithelial-to-mesenchymal transition (EMT) mechanism is responsible for metastasis of tumor cells and their spread to various organs and tissues of body, providing undesirable prognosis. In addition to migration, EMT increases stemness and mediates therapy resistance. Hence, pathways involved in EMT regulation should be highlighted. STAT3 is an oncogenic pathway that can elevate growth rate and migratory ability of cancer cells and induce drug resistance. The inhibition of STAT3 signaling impairs cancer progression and promotes chemotherapy-mediated cell death. Present review focuses on STAT3 and EMT interaction in modulating cancer migration. First of all, STAT3 is an upstream mediator of EMT and is able to induce EMT-mediated metastasis in brain tumors, thoracic cancers and gastrointestinal cancers. Therefore, STAT3 inhibition significantly suppresses cancer metastasis and improves prognosis of patients. EMT regulators such as ZEB1/2 proteins, TGF-β, Twist, Snail and Slug are affected by STAT3 signaling to stimulate cancer migration and invasion. Different molecular pathways such as miRNAs, lncRNAs and circRNAs modulate STAT3/EMT axis. Furthermore, we discuss how STAT3 and EMT interaction affects therapy response of cancer cells. Finally, we demonstrate targeting STAT3/EMT axis by anti-tumor agents and clinical application of this axis for improving patient prognosis.

摘要

上皮间质转化(EMT)机制是肿瘤细胞转移及其扩散到身体各个器官和组织的原因,提供了不良的预后。除了迁移之外,EMT 还增加了干细胞特性并介导了治疗抵抗。因此,应该强调参与 EMT 调节的途径。STAT3 是一种致癌途径,可提高癌细胞的生长速度和迁移能力,并诱导耐药性。抑制 STAT3 信号会损害癌症的进展并促进化疗介导的细胞死亡。本综述重点介绍了 STAT3 和 EMT 相互作用在调节癌症迁移中的作用。首先,STAT3 是 EMT 的上游调节剂,能够诱导脑肿瘤、胸癌和胃肠道癌中的 EMT 介导的转移。因此,STAT3 抑制显著抑制癌症转移并改善患者的预后。EMT 调节剂,如 ZEB1/2 蛋白、TGF-β、Twist、Snail 和 Slug,受 STAT3 信号的影响,刺激癌症的迁移和侵袭。不同的分子途径,如 miRNAs、lncRNAs 和 circRNAs,调节 STAT3/EMT 轴。此外,我们讨论了 STAT3 和 EMT 相互作用如何影响癌细胞的治疗反应。最后,我们展示了抗肿瘤剂靶向 STAT3/EMT 轴及其在改善患者预后方面的临床应用。

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