Sun Jinzhe, Chen Jun
Department of Oncology, The Second Hospital of Dalian Medical University, Dalian 116000, China.
Zhongguo Fei Ai Za Zhi. 2023 Jan 20;26(1):52-58. doi: 10.3779/j.issn.1009-3419.2023.101.03.
As one of the most common malignant tumors, lung cancer poses a serious threat to human life and health. The platinum-based drug cisplatin (DDP) is used as the first-line treatment for lung cancer. The poor prognosis of lung cancer is mostly due to developed resistance to cisplatin, which poses a serious treatment challenge. The mechanism of cisplatin resistance is complex and unclear. Numerous studies have shown that DNA methylation plays a crucial role in the emergence of lung cancer cisplatin resistance. DNA hypermethylation results in the deactivation of numerous drug resistance genes and tumor suppressor genes through a change in chromatin conformation. Finding new therapeutic targets and indicators to predict the therapeutic effect can be aided by elucidating the complex mechanism. In order to discover novel strategies to overcome cisplatin resistance in lung cancer, this paper discusses DNA methylation-mediated cisplatin resistance and offers an overview of current demethylation procedures. .
作为最常见的恶性肿瘤之一,肺癌对人类生命和健康构成严重威胁。铂类药物顺铂(DDP)被用作肺癌的一线治疗药物。肺癌预后不佳主要是由于对顺铂产生了耐药性,这带来了严峻的治疗挑战。顺铂耐药的机制复杂且尚不明确。大量研究表明,DNA甲基化在肺癌顺铂耐药的发生中起关键作用。DNA高度甲基化通过染色质构象的改变导致众多耐药基因和抑癌基因失活。阐明这一复杂机制有助于寻找新的治疗靶点和预测治疗效果的指标。为了发现克服肺癌顺铂耐药的新策略,本文讨论了DNA甲基化介导的顺铂耐药,并概述了当前的去甲基化程序。