靶向 CD44 和其他多效共受体作为广泛抑制肿瘤生长和转移的手段。
Targeting CD44 and other pleiotropic co-receptors as a means for broad inhibition of tumor growth and metastasis.
机构信息
Institute of Biological and Chemical Systems - Functional Molecular Systems, Karlsruhe Institute of Technology, Karlsruhe, Germany.
School of Medicine, Universidad de Valparaiso, Valparaiso, Chile.
出版信息
Clin Exp Metastasis. 2024 Oct;41(5):599-611. doi: 10.1007/s10585-024-10292-4. Epub 2024 May 18.
Although progress has been made in the treatment of cancer, particularly for the four major types of cancers affecting the lungs, colon, breast and prostate, resistance to cancer treatment often emerges upon inhibition of major signaling pathways, which leads to the activation of additional pathways as a last-resort survival mechanism by the cancer cells. This signaling plasticity provides cancer cells with a level of operational freedom, reducing treatment efficacy. Plasticity is a characteristic of cancer cells that are not only able to switch signaling pathways but also from one cellular state (differentiated cells to stem cells or vice versa) to another. It seems implausible that the inhibition of one or a few signaling pathways of heterogeneous and plastic tumors can sustain a durable effect. We propose that inhibiting molecules with pleiotropic functions such as cell surface co-receptors can be a key to preventing therapy escape instead of targeting bona fide receptors. Therefore, we ask the question whether co-receptors often considered as "accessory molecules" are an overlooked key to control cancer cell behavior.
尽管在癌症治疗方面已经取得了进展,特别是针对影响肺部、结肠、乳房和前列腺的四种主要类型的癌症,但主要信号通路的抑制常常会导致癌症治疗产生耐药性,从而激活额外的通路作为癌细胞的最后生存机制。这种信号转导可塑性为癌细胞提供了一定程度的操作自由度,降低了治疗效果。可塑性是癌细胞的一个特征,不仅能够切换信号通路,还能够从一种细胞状态(分化细胞到干细胞或反之)转变为另一种状态。似乎不太可能的是,抑制异质和可塑性肿瘤的一个或几个信号通路能够维持持久的效果。我们提出,抑制具有多效性功能的分子,如细胞表面共受体,可以成为防止治疗逃逸的关键,而不是针对真正的受体。因此,我们提出一个问题,即通常被认为是“辅助分子”的共受体是否是控制癌细胞行为的一个被忽视的关键。