Department of Radiotherapy and Oncology, Affiliated Kunshan Hospital of Jiangsu University, Kunshan, China.
Department of Radiotherapy and Oncology, Affiliated Kunshan Hospital of Jiangsu University, Kunshan, China.
Biomed Pharmacother. 2024 Feb;171:116115. doi: 10.1016/j.biopha.2023.116115. Epub 2024 Jan 5.
Ferroptosis and cuproptosis, regulated forms of cell death resulting from metal ion accumulation, are closely related in terms of occurrence, cell metabolism, signaling pathways, and drug resistance. Notably, it is now understood that these processes play crucial roles in regulating physiological and pathological processes, especially in tumor development. Consequently, ferroptosis and cuproptosis have gained increasing significance as potential targets for anti-cancer drug development. This article systematically outlines the molecular mechanisms and cross-talk components of both ferroptosis and cuproptosis, elucidating their impacts on cancer. Furthermore, it investigates the clinical perspective of targeted ferroptosis and cuproptosis in cancer chemotherapy, immunotherapy, and radiotherapy. Our discussion extends to a comparative analysis of nanoparticles developed based on the mechanisms of ferroptosis and cuproptosis in cancer, contrasting them with current conventional therapies. Opportunities and challenges in cancer treatment are explored, emphasizing the potential therapeutic direction of co-targeting ferroptosis and cuproptosis. The article also attempts to analyze the clinical applications of this co-targeting approach for cancer treatment while summarizing the existing barriers that require overcoming.
铁死亡和铜死亡是由金属离子积累引起的细胞死亡的两种形式,它们在发生、细胞代谢、信号通路和耐药性等方面密切相关。值得注意的是,现在人们已经认识到这些过程在调节生理和病理过程中起着至关重要的作用,特别是在肿瘤发展中。因此,铁死亡和铜死亡作为抗癌药物开发的潜在靶点越来越受到重视。本文系统地概述了铁死亡和铜死亡的分子机制和相互作用成分,阐明了它们对癌症的影响。此外,还研究了靶向铁死亡和铜死亡在癌症化疗、免疫治疗和放射治疗中的临床前景。我们的讨论还扩展到了基于铁死亡和铜死亡机制在癌症中开发的纳米粒子的比较分析,将它们与当前的常规疗法进行了对比。探讨了癌症治疗中的机遇和挑战,强调了联合靶向铁死亡和铜死亡的潜在治疗方向。本文还尝试分析了这种联合靶向治疗方法在癌症治疗中的临床应用,同时总结了需要克服的现有障碍。