Institut National de la Santé et de la Recherche Médicale, University of Strasbourg, 67000 Strasbourg, France.
Department of Operative Dentistry and Endodontics, Dental Faculty, University of Strasbourg, 67000 Strasbourg, France.
Cells. 2024 Jan 26;13(3):240. doi: 10.3390/cells13030240.
Melanoma frequently harbors genetic alterations in key molecules leading to the aberrant activation of PI3K and its downstream pathways. Although the role of PI3K/AKT/mTOR in melanoma progression and drug resistance is well documented, targeting the PI3K/AKT/mTOR pathway showed less efficiency in clinical trials than might have been expected, since the suppression of the PI3K/mTOR signaling pathway-induced feedback loops is mostly associated with the activation of compensatory pathways such as MAPK/MEK/ERK. Consequently, the development of intrinsic and acquired resistance can occur. As a solid tumor, melanoma is notorious for its heterogeneity. This can be expressed in the form of genetically divergent subpopulations including a small fraction of cancer stem-like cells (CSCs) and non-cancer stem cells (non-CSCs) that make the most of the tumor mass. Like other CSCs, melanoma stem-like cells (MSCs) are characterized by their unique cell surface proteins/stemness markers and aberrant signaling pathways. In addition to its function as a robust marker for stemness properties, CD133 is crucial for the maintenance of stemness properties and drug resistance. Herein, the role of CD133-dependent activation of PI3K/mTOR in the regulation of melanoma progression, drug resistance, and recurrence is reviewed.
黑色素瘤经常存在导致 PI3K 及其下游途径异常激活的关键分子的遗传改变。尽管 PI3K/AKT/mTOR 在黑色素瘤进展和耐药中的作用已得到充分证实,但靶向 PI3K/AKT/mTOR 途径在临床试验中的效果并不如预期的那样好,因为抑制 PI3K/mTOR 信号通路诱导的反馈环主要与补偿途径的激活有关,如 MAPK/MEK/ERK。因此,可能会发生内在和获得性耐药。作为一种实体瘤,黑色素瘤以其异质性而臭名昭著。这可以表现为遗传上不同的亚群,包括一小部分癌症干细胞样细胞(CSCs)和非癌症干细胞样细胞(非-CSCs),它们最大限度地利用肿瘤质量。与其他 CSCs 一样,黑色素瘤干细胞样细胞(MSCs)的特征是其独特的细胞表面蛋白/干细胞标志物和异常信号通路。除了作为干细胞特性的强大标志物的功能外,CD133 对于维持干细胞特性和耐药性至关重要。本文综述了 CD133 依赖性 PI3K/mTOR 激活在调节黑色素瘤进展、耐药性和复发中的作用。
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