Shen Xuetong, Gao Chundi, Li Huayao, Liu Cun, Wang Longyun, Li Ye, Liu Ruijuan, Sun Changgang, Zhuang Jing
College of First Clinical Medicine, Shandong University of Traditional Chinese Medicine, Jinan, China.
College of Traditional Chinese Medicine, Weifang Medical University, Weifang, China.
Front Pharmacol. 2023 Sep 28;14:1250893. doi: 10.3389/fphar.2023.1250893. eCollection 2023.
The Wnt/β-catenin pathway is abnormally activated in most lung cancer tissues and considered to be an accelerator of carcinogenesis and lung cancer progression, which is closely related to increased morbidity rates, malignant progression, and treatment resistance. Although targeting the canonical Wnt/β-catenin pathway shows significant potential for lung cancer therapy, it still faces challenges owing to its complexity, tumor heterogeneity and wide physiological activity. Therefore, it is necessary to elucidate the role of the abnormal activation of the Wnt/β-catenin pathway in lung cancer progression. Moreover, Wnt inhibitors used in lung cancer clinical trials are expected to break existing therapeutic patterns, although their adverse effects limit the treatment window. This is the first study to summarize the research progress on various compounds, including natural products and derivatives, that target the canonical Wnt pathway in lung cancer to develop safer and more targeted drugs or alternatives. Various natural products have been found to inhibit Wnt/β-catenin in various ways, such as through upstream and downstream intervention pathways, and have shown encouraging preclinical anti-tumor efficacy. Their diversity and low toxicity make them a popular research topic, laying the foundation for further combination therapies and drug development.
Wnt/β-连环蛋白信号通路在大多数肺癌组织中异常激活,被认为是致癌作用和肺癌进展的促进因素,这与发病率增加、恶性进展和治疗耐药性密切相关。尽管靶向经典Wnt/β-连环蛋白信号通路在肺癌治疗中显示出巨大潜力,但由于其复杂性、肿瘤异质性和广泛的生理活性,仍面临挑战。因此,有必要阐明Wnt/β-连环蛋白信号通路异常激活在肺癌进展中的作用。此外,尽管肺癌临床试验中使用的Wnt抑制剂的不良反应限制了治疗窗口,但有望打破现有的治疗模式。这是第一项总结各种化合物(包括天然产物及其衍生物)靶向肺癌中经典Wnt信号通路以开发更安全、更具针对性的药物或替代方案的研究进展。已发现多种天然产物可通过多种方式抑制Wnt/β-连环蛋白,如通过上游和下游干预途径,并已显示出令人鼓舞的临床前抗肿瘤疗效。它们的多样性和低毒性使其成为热门研究课题,为进一步的联合治疗和药物开发奠定了基础。