Fertility and Infertility Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Tissue Engineering, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Curr Mol Med. 2024;24(8):951-961. doi: 10.2174/1566524023666230817102114.
A major challenge in treating cancer is the development of drug resistance, which can result in treatment failure and tumor recurrence. Targeting cancer stem cells (CSCs) and non-coding RNAs (ncRNAs) with a polyphenolic substance called resveratrol has the ability to combat this problem by lowering cancer resistance to drugs and opening up new therapeutic options. Resveratrol alters the expression of genes related to self-renewal, modulating important signaling pathways involved in cancer initiation and CSC control. Additionally, resveratrol affects non-coding RNAs (ncRNAs), including Micro-RNAs (miRNAs) and long non-coding RNAs (lncRNAs which are essential for stemness, drug resistance, and other cancer-related activities. Numerous studies have shown that resveratrol has the potential to be an effective anticancer drug when used in combination therapy, but issues with absorption and pharmacokinetics still need to be resolved before it can be used in clinical applications. Reducing chemotherapy resistance by better understanding the intricate mechanisms by which resveratrol affects cancer cells and CSCs, as well as its impact on ncRNA expression, could eventually contribute to more effective cancer treatments. To completely understand these pathways and optimize the utilization of resveratrol in combination treatments, additional study is necessary.
治疗癌症的一个主要挑战是耐药性的发展,这可能导致治疗失败和肿瘤复发。用一种叫做白藜芦醇的多酚物质靶向癌症干细胞(CSCs)和非编码 RNA(ncRNAs),具有降低癌症耐药性和开辟新的治疗选择的能力。白藜芦醇改变了与自我更新相关的基因表达,调节了涉及癌症起始和 CSC 控制的重要信号通路。此外,白藜芦醇还影响非编码 RNA(ncRNAs),包括 Micro-RNAs(miRNAs)和长链非编码 RNA(lncRNAs),这些对于干细胞特性、耐药性和其他与癌症相关的活动至关重要。大量研究表明,白藜芦醇在联合治疗中具有成为有效抗癌药物的潜力,但在临床应用之前,仍需解决吸收和药代动力学方面的问题。通过更好地了解白藜芦醇影响癌细胞和 CSCs 的复杂机制,以及它对 ncRNA 表达的影响,从而降低化疗耐药性,最终可能有助于更有效的癌症治疗。为了完全理解这些途径并优化白藜芦醇在联合治疗中的利用,还需要进一步的研究。