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铁死亡为结直肠癌治疗打开了一扇新的大门。

Ferroptosis open a new door for colorectal cancer treatment.

作者信息

Liang Hong, He Xia, Tong Yitong, Bai Niuniu, Pu Yushu, Han Ke, Wang Yi

机构信息

Department of Pharmacy, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.

Personalized Drug Therapy Key Laboratory of Sichuan Province, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.

出版信息

Front Oncol. 2023 Mar 16;13:1059520. doi: 10.3389/fonc.2023.1059520. eCollection 2023.

Abstract

Colorectal cancer (CRC) is the third highest incidence and the second highest mortality malignant tumor in the world. The etiology and pathogenesis of CRC are complex. Due to the long course of the disease and no obvious early symptoms, most patients are diagnosed as middle and late stages. CRC is prone to metastasis, most commonly liver metastasis, which is one of the leading causes of death in CRC patients. Ferroptosis is a newly discovered cell death form with iron dependence, which is driven by excessive lipid peroxides on the cell membrane. It is different from other form of programmed cell death in morphology and mechanism, such as apoptosis, pyroptosis and necroptosis. Numerous studies have shown that ferroptosis may play an important role in the development of CRC. For advanced or metastatic CRC, ferroptosis promises to open a new door in the setting of poor response to chemotherapy and targeted therapy. This mini review focuses on the pathogenesis of CRC, the mechanism of ferroptosis and the research status of ferroptosis in CRC treatment. The potential association between ferroptosis and CRC and some challenges are discussed.

摘要

结直肠癌(CRC)是全球发病率第三高、死亡率第二高的恶性肿瘤。CRC的病因和发病机制复杂。由于病程长且早期症状不明显,大多数患者确诊时已处于中晚期。CRC易于转移,最常见的是肝转移,这是CRC患者死亡的主要原因之一。铁死亡是一种新发现的铁依赖性细胞死亡形式,由细胞膜上过量的脂质过氧化物驱动。它在形态和机制上与其他形式的程序性细胞死亡不同,如凋亡、焦亡和坏死性凋亡。大量研究表明,铁死亡可能在CRC的发生发展中起重要作用。对于晚期或转移性CRC,铁死亡有望在化疗和靶向治疗反应不佳的情况下开启一扇新的大门。本综述聚焦于CRC的发病机制、铁死亡的机制以及铁死亡在CRC治疗中的研究现状。讨论了铁死亡与CRC之间的潜在关联以及一些挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfd5/10061081/27b558ef17a4/fonc-13-1059520-g001.jpg

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