Sakellakis Minas, Chalkias Athanasios
Hellenic GU Cancer Group, Athens, Greece.
Department of Medical Oncology, Metropolitan Hospital, 9 Ethnarchou Makariou, 18547, Athens, Greece.
Mol Diagn Ther. 2023 Mar;27(2):227-242. doi: 10.1007/s40291-022-00636-9. Epub 2023 Jan 4.
Ion channels have major regulatory functions in living cells. Apart from their role in ion transport, they are responsible for cellular electrogenesis and excitability, and may also regulate tissue homeostasis. Although cancer is not officially classified as a channelopathy, it has been increasingly recognized that ion channel aberrations play an important role in virtually all cancer types. Ion channels can exert pro-tumorigenic activities due to genetic or epigenetic alterations, or as a response to molecular signals, such as growth factors, hormones, etc. Increasing evidence suggests that ion channels and pumps play a critical role in the regulation of prostate cancer cell proliferation, apoptosis evasion, migration, epithelial-to-mesenchymal transition, and angiogenesis. There is also evidence suggesting that ion channels might play a role in treatment failure in patients with prostate cancer. Hence, they represent promising targets for diagnosis, staging, and treatment, and their effects may be of particular significance for specific patient populations, including those undergoing anesthesia and surgery. In this article, the role of major types of ion channels involved in the development and progression of prostate cancer are reviewed. Identifying the underlying molecular mechanisms of the pro-tumorigenic effects of ion channels may potentially inform the development of novel therapeutic strategies to counter this malignancy.
离子通道在活细胞中具有主要的调节功能。除了在离子转运中的作用外,它们还负责细胞电发生和兴奋性,并且可能还调节组织稳态。尽管癌症未被正式归类为通道病,但人们越来越认识到离子通道异常在几乎所有癌症类型中都起着重要作用。由于遗传或表观遗传改变,或作为对分子信号(如生长因子、激素等)的反应,离子通道可发挥促肿瘤活性。越来越多的证据表明,离子通道和泵在前列腺癌细胞增殖、逃避凋亡、迁移、上皮-间质转化和血管生成的调节中起关键作用。也有证据表明离子通道可能在前列腺癌患者的治疗失败中起作用。因此,它们是诊断、分期和治疗的有希望的靶点,并且它们的作用对于特定患者群体(包括接受麻醉和手术的患者)可能具有特别重要的意义。在本文中,我们综述了参与前列腺癌发生和发展的主要类型离子通道的作用。确定离子通道促肿瘤作用的潜在分子机制可能为对抗这种恶性肿瘤的新型治疗策略的开发提供信息。