Attiq Ali, Afzal Sheryar
Discipline of Pharmacology, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Minden, Penang, Malaysia.
Department of Biomedical Sciences, Faculty of Veterinary Medicine, King Faisal University, Al Ahsa, Saudi Arabia.
Front Pharmacol. 2023 Aug 17;14:1255727. doi: 10.3389/fphar.2023.1255727. eCollection 2023.
Unresolved inflammation is a pathological consequence of persistent inflammatory stimulus and perturbation in regulatory mechanisms. It increases the risk of tumour development and orchestrates all stages of tumorigenesis in selected organs. In certain cancers, inflammatory processes create the appropriate conditions for neoplastic transformation. While in other types, oncogenic changes pave the way for an inflammatory microenvironment that leads to tumour development. Of interest, hallmarks of tumour-promoting and cancer-associated inflammation are striking similar, sharing a complex network of stromal (fibroblasts and vascular cells) and inflammatory immune cells that collectively form the tumour microenvironment (TME). The cross-talks of signalling pathways initially developed to support homeostasis, change their role, and promote atypical proliferation, survival, angiogenesis, and subversion of adaptive immunity in TME. These transcriptional and regulatory pathways invariably contribute to cancer-promoting inflammation in chronic inflammatory disorders and foster "smouldering" inflammation in the microenvironment of various tumour types. Besides identifying common target sites of numerous cancer types, signalling programs and their cross-talks governing immune cells' plasticity and functional diversity can be used to develop new fate-mapping and lineage-tracing mechanisms. Here, we review the vital molecular mechanisms and pathways that establish the connection between inflammation and tumour development, progression, and metastasis. We also discussed the cross-talks between signalling pathways and devised strategies focusing on these interaction mechanisms to harness synthetic lethal drug combinations for targeted cancer therapy.
未解决的炎症是持续性炎症刺激和调节机制紊乱的病理后果。它会增加肿瘤发生的风险,并在特定器官中协调肿瘤发生的各个阶段。在某些癌症中,炎症过程为肿瘤转化创造了合适的条件。而在其他类型中,致癌变化为导致肿瘤发展的炎症微环境铺平了道路。有趣的是,促肿瘤和癌症相关炎症的特征惊人地相似,共享一个由基质细胞(成纤维细胞和血管细胞)和炎症免疫细胞组成的复杂网络,它们共同构成肿瘤微环境(TME)。最初为支持体内平衡而发展的信号通路之间的相互作用,改变了它们的作用,并促进了TME中的非典型增殖、存活、血管生成和适应性免疫的颠覆。这些转录和调节途径总是在慢性炎症性疾病中促进癌症相关炎症,并在各种肿瘤类型的微环境中促进“潜伏”炎症。除了确定多种癌症类型的共同靶点外,控制免疫细胞可塑性和功能多样性的信号程序及其相互作用可用于开发新的命运映射和谱系追踪机制。在这里,我们回顾了建立炎症与肿瘤发生、发展和转移之间联系的重要分子机制和途径。我们还讨论了信号通路之间的相互作用,并设计了以这些相互作用机制为重点的策略,以利用合成致死药物组合进行靶向癌症治疗。