Department of Biochemistry and Molecular Biology, Faculty of Biology, Complutense University, Madrid, 28040, Spain.
Instituto de Investigaciones Sanitarias San Carlos (IdISSC), Madrid, 28040, Spain.
Cell Commun Signal. 2024 May 3;22(1):255. doi: 10.1186/s12964-024-01643-5.
Cancer's complexity is in part due to the presence of intratumor heterogeneity and the dynamic nature of cancer cell plasticity, which create substantial obstacles in effective cancer management. Variability within a tumor arises from the existence of diverse populations of cancer cells, impacting the progression, spread, and resistance to treatments. At the core of this variability is the concept of cellular plasticity - the intrinsic ability of cancer cells to alter their molecular and cellular identity in reaction to environmental and genetic changes. This adaptability is a cornerstone of cancer's persistence and progression, making it a formidable target for treatments. Emerging studies have emphasized the critical role of such plasticity in fostering tumor diversity, which in turn influences the course of the disease and the effectiveness of therapeutic strategies. The transformative nature of cancer involves a network of signal transduction pathways, notably those that drive the epithelial-to-mesenchymal transition and metabolic remodeling, shaping the evolutionary path of cancer cells. Despite advancements, our understanding of the precise molecular machinations and signaling networks driving these changes is still evolving, underscoring the necessity for further research. This editorial presents a series entitled "Signaling Cancer Cell Plasticity and Intratumor Heterogeneity" in Cell Communication and Signaling, dedicated to unraveling these complex processes and proposing new avenues for therapeutic intervention.
癌症的复杂性部分归因于肿瘤内异质性和癌细胞可塑性的动态性质,这给有效的癌症管理带来了巨大的障碍。肿瘤内的变异性源于癌细胞的多样性群体的存在,影响了癌症的进展、扩散和对治疗的耐药性。这种变异性的核心是细胞可塑性的概念——癌细胞在应对环境和遗传变化时改变其分子和细胞特征的内在能力。这种适应性是癌症持续存在和进展的基石,使其成为治疗的一个艰巨目标。新兴的研究强调了这种可塑性在促进肿瘤多样性方面的关键作用,而肿瘤多样性反过来又影响疾病的进程和治疗策略的有效性。癌症的变革性质涉及一系列信号转导途径,特别是那些驱动上皮-间充质转化和代谢重塑的途径,塑造了癌细胞的进化路径。尽管取得了进展,但我们对驱动这些变化的确切分子机制和信号网络的理解仍在不断发展,这突显了进一步研究的必要性。本社论在《细胞通讯与信号》中呈现了一系列题为“信号转导癌细胞可塑性和肿瘤内异质性”的文章,致力于揭示这些复杂过程,并提出新的治疗干预途径。