Shirbhate Ekta, Singh Vaibhav, Kore Rakesh, Vishwakarma Subham, Veerasamy Ravichandran, Tiwari Amit K, Rajak Harish
Department of Pharmacy, Guru Ghasidas University, Bilaspur, 495 009, (C.G.), India.
Faculty of Pharmacy, AIMST University, Semeling, 08100, Bedong, Kedah Darul Aman, Malaysia.
Curr Top Med Chem. 2024;24(6):523-540. doi: 10.2174/0115680266284527240118041129.
Scientists are constantly researching and launching potential chemotherapeutic agents as an irreplaceable weapon to fight the battle against cancer. Despite remarkable advancement over the past several decades to wipe out cancer through early diagnosis, proper prevention, and timely treatment, cancer is not ready to give up and leave the battleground. It continuously tries to find some other way to give a tough fight for its survival, either by escaping from the effect of chemotherapeutic drugs or utilising its own chemical messengers like cytokines to ensure resistance. Cytokines play a significant role in cancer cell growth and progression, and the present article highlights their substantial contribution to mechanisms of resistance toward therapeutic drugs. Multiple clinical studies have even described the importance of specific cytokines released from cancer cells as well as stromal cells in conferring resistance. Herein, we discuss the different mechanism behind drug resistance and the crosstalk between tumor development and cytokines release and their contribution to showing resistance towards chemotherapeutics. As a part of this review, different approaches to cytokines profile have been identified and employed to successfully target new evolving mechanisms of resistance and their possible treatment options.
科学家们不断研究并推出潜在的化疗药物,作为对抗癌症的不可或缺的武器。尽管在过去几十年里,通过早期诊断、适当预防和及时治疗来消灭癌症取得了显著进展,但癌症并未准备好放弃战场。它不断试图寻找其他方法来为生存进行激烈抗争,要么通过逃避化疗药物的作用,要么利用自身的化学信使如细胞因子来确保耐药性。细胞因子在癌细胞的生长和进展中起着重要作用,本文重点介绍了它们对治疗药物耐药机制的重大贡献。多项临床研究甚至描述了癌细胞以及基质细胞释放的特定细胞因子在赋予耐药性方面的重要性。在此,我们讨论耐药背后的不同机制,以及肿瘤发展与细胞因子释放之间的相互作用,及其对化疗耐药性的影响。作为本综述的一部分,已确定并采用了不同的细胞因子分析方法,以成功靶向新出现的耐药机制及其可能的治疗选择。