Nrf2、HER2 和 ALDH 在癌症干细胞中的潜在作用:叙事性综述。
Potential Role of Nrf2, HER2, and ALDH in Cancer Stem Cells: A Narrative Review.
机构信息
Faculty of Pharmacy, Islamic Azad University, Tehran, Iran.
Kermanshah University of Medical Sciences, Kermanshah, Iran.
出版信息
J Membr Biol. 2024 Apr;257(1-2):3-16. doi: 10.1007/s00232-024-00307-2. Epub 2024 Feb 14.
Cancer is one of the main causes of death among humans, second only to cardiovascular diseases. In recent years, numerous studies have been conducted on the pathophysiology of cancer, and it has been established that this disease is developed by a group of stem cells known as cancer stem cells (CSCs). Thus, cancer is considered a stem cell disease; however, there is no comprehensive consensus about the characteristics of these cells. Several different signaling pathways including Notch, Hedgehog, transforming growth factor-β (TGF-β), and WNT/β-catenin pathways cause the self-renewal of CSCs. CSCs change their metabolic pathways in order to access easy energy. Therefore, one of the key objectives of researchers in cancer treatment is to destroy CSCs. Nuclear factor erythroid 2-related factor 2 (Nrf2) plays an essential role in the protection of CSCs from reactive oxygen species (ROS) and chemotherapeutic agents by regulating antioxidants and detoxification enzymes. Human epidermal growth factor receptor 2 (HER2) is a member of the tyrosine kinase receptor family, which contributes to the protection of cancer cells against treatment and implicated in the invasion, epithelial-mesenchymal transition (EMT), and tumorigenesis. Aldehyde dehydrogenases (ALDHs) are highly active in CSCs and protect the cells against damage caused by active aldehydes through the regulation of aldehyde metabolism. On the other hand, ALDHs promote the formation and maintenance of tumor cells and lead to drug resistance in tumors through the activation of various signaling pathways, such as the ALDH1A1/HIF-1α/VEGF axis and Wnt/β-catenin, as well as changing the intracellular pH value. Given the growing body of information in this field, in the present narrative review, we attempted to shed light on the function of Nrf2, HER2, and ALDH in CSCs.
癌症是人类死亡的主要原因之一,仅次于心血管疾病。近年来,人们对癌症的病理生理学进行了大量研究,现已证实,这种疾病是由一组称为癌症干细胞(CSC)的干细胞发展而来的。因此,癌症被认为是一种干细胞疾病;然而,对于这些细胞的特征尚无全面共识。包括 Notch、Hedgehog、转化生长因子-β(TGF-β)和 WNT/β-连环蛋白在内的几条不同的信号通路导致 CSCs 的自我更新。CSC 会改变其代谢途径以获取易于获取的能量。因此,癌症治疗研究人员的一个主要目标是摧毁 CSC。核因子红细胞 2 相关因子 2(Nrf2)通过调节抗氧化剂和解毒酶在保护 CSC 免受活性氧(ROS)和化疗药物的侵害方面发挥着重要作用。人类表皮生长因子受体 2(HER2)是酪氨酸激酶受体家族的成员,有助于保护癌细胞免受治疗的侵害,并与侵袭、上皮-间充质转化(EMT)和肿瘤发生有关。醛脱氢酶(ALDHs)在 CSC 中高度活跃,通过调节醛代谢来保护细胞免受活性醛引起的损伤。另一方面,ALDHs 通过激活各种信号通路,如 ALDH1A1/HIF-1α/VEGF 轴和 Wnt/β-连环蛋白,以及改变细胞内 pH 值,促进肿瘤细胞的形成和维持,并导致肿瘤产生耐药性。鉴于该领域不断增加的信息量,在本叙述性综述中,我们试图阐明 Nrf2、HER2 和 ALDH 在 CSC 中的功能。