Departamento de Biología, Bioquímica y Farmacia, Universidad Nacional del Sur (UNS)-INBIOSUR (CONICET-UNS), Bahía Blanca 8000, Argentina.
Departamento de Química, Universidad Nacional del Sur (UNS)-INQUISUR (CONICET-UNS), Bahía Blanca 8000, Argentina.
World J Gastroenterol. 2022 Jul 14;28(26):3027-3046. doi: 10.3748/wjg.v28.i26.3027.
Colorectal cancer (CRC) continues to be one of the main causes of death from cancer because patients progress unfavorably due to resistance to current therapies. Dysregulation of the Wnt/β-catenin pathway plays a fundamental role in the genesis and progression of several types of cancer, including CRC. In many subtypes of CRC, hyperactivation of the β-catenin pathway is associated with mutations of the gene. However, it can also be associated with other causes. In recent years, studies of the tumor microenvironment (TME) have demonstrated its importance in the development and progression of CRC. In this tumor nest, several cell types, structures, and biomolecules interact with neoplastic cells to pave the way for the spread of the disease. Cross-communications between tumor cells and the TME are then established primarily through paracrine factors, which trigger the activation of numerous signaling pathways. Crucial advances in the field of oncology have been made in the last decade. This Minireview aims to actualize what is known about the central role of the Wnt/β-catenin pathway in CRC chemoresistance and aggressiveness, focusing on cross-communication between CRC cells and the TME. Through this analysis, our main objective was to increase the understanding of this complex disease considering a more global context. Since many treatments for advanced CRC fail due to mechanisms involving chemoresistance, the data here exposed and analyzed are of great interest for the development of novel and effective therapies.
结直肠癌(CRC)仍然是癌症死亡的主要原因之一,因为患者由于对当前疗法的耐药性而病情恶化。Wnt/β-连环蛋白途径的失调在包括 CRC 在内的几种癌症的发生和进展中起着至关重要的作用。在 CRC 的许多亚型中,β-连环蛋白途径的过度激活与基因的突变有关。然而,它也可能与其他原因有关。近年来,对肿瘤微环境(TME)的研究表明,它在 CRC 的发展和进展中具有重要作用。在这个肿瘤巢中,几种细胞类型、结构和生物分子与肿瘤细胞相互作用,为疾病的传播铺平了道路。然后,肿瘤细胞和 TME 之间建立了交叉通讯,主要是通过旁分泌因子,这些因子触发了许多信号通路的激活。在过去的十年中,肿瘤学领域取得了重要的进展。这篇综述旨在阐明 Wnt/β-连环蛋白途径在 CRC 化疗耐药性和侵袭性中的核心作用,重点关注 CRC 细胞与 TME 之间的交叉通讯。通过这种分析,我们的主要目标是从更全局的角度来增加对这种复杂疾病的理解。由于许多治疗晚期 CRC 的方法因涉及化疗耐药性的机制而失败,因此这里暴露和分析的数据对于开发新的有效治疗方法具有重要意义。
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