School of Pharmacy, Weifang Medical University, Weifang, Shandong, China.
School of Pharmacy, Weifang Medical University, Weifang, Shandong, China.
Drug Resist Updat. 2022 Dec;65:100884. doi: 10.1016/j.drup.2022.100884. Epub 2022 Oct 13.
Dysregulation or aberrant signaling transduction contributes to tumorigenesis. Targeting these abnormal signaling pathways becomes an effective anticancer strategy. However, feedback activation or crosstalk between signaling pathways drives adaptive drug resistance which causes failure of cancer therapy. In this review article, we summarized treatments that cause feedback activation of AKT, ERK, STAT3, EGFR, FGFR, and HER2/3 signaling pathways and the combination therapy to enhance anti-tumor effect or to overcome drug resistance, to explore the underlying mechanisms that define the protein molecules participated or regulated the feedback activation. In addition, we reviewed clinical trials that employ combination treatments to suppress feedback activation and improve therapeutic efficacy of cancer treatments.
失调或异常信号转导导致肿瘤发生。针对这些异常信号通路成为一种有效的抗癌策略。然而,信号通路之间的反馈激活或串扰导致适应性药物耐药性,从而导致癌症治疗失败。在这篇综述文章中,我们总结了导致 AKT、ERK、STAT3、EGFR、FGFR 和 HER2/3 信号通路反馈激活的治疗方法以及联合治疗以增强抗肿瘤效果或克服耐药性的方法,以探讨定义参与或调节反馈激活的蛋白质分子的潜在机制。此外,我们回顾了采用联合治疗抑制反馈激活并提高癌症治疗疗效的临床试验。
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