Chen Huey-Miin, Nikolic Ana, Singhal Divya, Gallo Marco
Arnie Charbonneau Cancer Institute, Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada.
Cancers (Basel). 2022 Oct 9;14(19):4942. doi: 10.3390/cancers14194942.
Cancer stem cells (CSCs) represent a therapy-resistant reservoir in glioblastoma (GBM). It is now becoming clear that epigenetic and chromatin remodelling programs link the stemlike behaviour of CSCs to their treatment resistance. New evidence indicates that the epigenome of GBM cells is shaped by intrinsic and extrinsic factors, including their genetic makeup, their interactions and communication with other neoplastic and non-neoplastic cells, including immune cells, and their metabolic niche. In this review, we explore how all these factors contribute to epigenomic heterogeneity in a tumour and the selection of therapy-resistant cells. Lastly, we discuss current and emerging experimental platforms aimed at precisely understanding the epigenetic mechanisms of therapy resistance that ultimately lead to tumour relapse. Given the growing arsenal of drugs that target epigenetic enzymes, our review addresses promising preclinical and clinical applications of epidrugs to treat GBM, and possible mechanisms of resistance that need to be overcome.
癌症干细胞(CSCs)是胶质母细胞瘤(GBM)中具有治疗抗性的细胞库。现在越来越清楚的是,表观遗传和染色质重塑程序将CSCs的干细胞样行为与其治疗抗性联系起来。新证据表明,GBM细胞的表观基因组由内在和外在因素塑造,包括它们的基因组成、它们与其他肿瘤和非肿瘤细胞(包括免疫细胞)的相互作用和通讯,以及它们的代谢微环境。在这篇综述中,我们探讨了所有这些因素如何导致肿瘤中的表观基因组异质性以及治疗抗性细胞的选择。最后,我们讨论了旨在精确理解最终导致肿瘤复发的治疗抗性表观遗传机制的当前和新兴实验平台。鉴于靶向表观遗传酶的药物库不断增加,我们的综述讨论了表观遗传药物治疗GBM的有前景的临床前和临床应用,以及需要克服的可能抗性机制。
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