Department of Histology and Embryology, Jessenius Faculty of Medicine, Comenius University in Bratislava, Martin, Slovakia.
Clinic of Obstetrics and Gynecology, Jessenius Faculty of Medicine, Comenius University in Bratislava, Martin, Slovakia.
Cancer Metastasis Rev. 2024 Mar;43(1):87-113. doi: 10.1007/s10555-023-10134-x. Epub 2023 Oct 4.
Cancer cell plasticity plays a crucial role in tumor initiation, progression, and metastasis and is implicated in the multiple cancer defense mechanisms associated with therapy resistance and therapy evasion. Cancer resistance represents one of the significant obstacles in the clinical management of cancer. Some reversal chemosensitizing agents have been developed to resolve this serious clinical problem, but they have not yet been proven applicable in oncological practice. Activated nuclear factor kappa B (NF-κB) is a frequently observed biomarker in chemoresistant breast cancer (BC). Therefore, it denotes an attractive cellular target to mitigate cancer resistance. We summarize that flavonoids represent an essential class of phytochemicals that act as significant regulators of NF-κB signaling and negatively affect the fundamental cellular processes contributing to acquired cell plasticity and drug resistance. In this regard, flavokawain A, icariin, alpinetin, genistein, wogonin, apigenin, oroxylin A, xanthohumol, EGCG, hesperidin, naringenin, orientin, luteolin, delphinidin, fisetin, norwogonin, curcumin, cardamonin, methyl gallate and catechin-3-O-gallate, ampelopsin, puerarin, hyperoside, baicalein, paratocarpin E, and kaempferol and also synthetic flavonoids such as LFG-500 and 5,3'-dihydroxy-3,6,7,8,4'-pentamethoxyflavone have been reported to specifically interfere with the NF-κB pathway with complex signaling consequences in BC cells and could be potentially crucial in re-sensitizing unresponsive BC cases. The targeting NF-κB by above-mentioned flavonoids includes the modification of tumor microenvironment and epithelial-mesenchymal transition, growth factor receptor regulations, and modulations of specific pathways such as PI3K/AKT, MAP kinase/ERK, and Janus kinase/signal transduction in BC cells. Besides that, NF-κB signaling in BC cells modulated by flavonoids has also involved the regulation of ATP-binding cassette transporters, apoptosis, autophagy, cell cycle, and changes in the activity of cancer stem cells, oncogenes, or controlling of gene repair. The evaluation of conventional therapies in combination with plasticity-regulating/sensitizing agents offers new opportunities to make significant progress towards a complete cure for cancer.
癌细胞可塑性在肿瘤的发生、发展和转移中起着至关重要的作用,并与治疗抵抗和治疗逃逸相关的多种癌症防御机制有关。癌症耐药性是癌症临床治疗的重大障碍之一。已经开发了一些逆转化学增敏剂来解决这个严重的临床问题,但尚未证明它们在肿瘤学实践中适用。激活的核因子 kappa B(NF-κB)是耐药性乳腺癌(BC)中经常观察到的生物标志物。因此,它是减轻癌症耐药性的一个有吸引力的细胞靶标。我们总结认为,类黄酮是一类重要的植物化学物质,作为 NF-κB 信号的重要调节剂,对获得性细胞可塑性和耐药性相关的基本细胞过程有负面影响。在这方面, flavokawain A、淫羊藿苷、白杨素、染料木黄酮、柚皮苷、芹菜素、高圣草素、白杨素、黄烷酮、姜黄素、cardamonin、甲基没食子酸酯和儿茶素-3-O-没食子酸酯、ampelopsin、葛根素、圣草酚、白杨素、paratocarpin E、kaempferol 以及合成类黄酮如 LFG-500 和 5,3'-二羟基-3,6,7,8,4'-五甲氧基黄酮已被报道可特异性干扰 NF-κB 通路,并在 BC 细胞中产生复杂的信号后果,并且可能在重新敏化无反应性 BC 病例中至关重要。上述类黄酮通过靶向 NF-κB 包括肿瘤微环境和上皮-间充质转化的修饰、生长因子受体的调节以及特定途径如 PI3K/AKT、MAP 激酶/ERK 和 Janus 激酶/信号转导的调制在 BC 细胞中。此外,BC 细胞中 NF-κB 信号的调节也涉及 ABC 转运蛋白、细胞凋亡、自噬、细胞周期和癌症干细胞、癌基因活性的变化或基因修复的控制。评估联合使用可塑性调节/敏化剂的常规疗法为实现癌症完全治愈提供了新的机会。
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