乳腺癌干细胞与肿瘤异质性:特征与治疗策略

Breast Cancer Stem Cells and Tumor Heterogeneity: Characteristics and Therapeutic Strategies.

作者信息

Romaniuk-Drapała Aleksandra, Totoń Ewa, Taube Magdalena, Idzik Malgorzata, Rubiś Błażej, Lisiak Natalia

机构信息

Department of Clinical Chemistry and Molecular Diagnostics, Poznan University of Medical Sciences, Collegium Pharmaceuticum, Rokietnicka Str. 3, 60-806 Poznan, Poland.

出版信息

Cancers (Basel). 2024 Jul 7;16(13):2481. doi: 10.3390/cancers16132481.

Abstract

Breast cancer is one of the most frequently detected malignancies worldwide. It is responsible for more than 15% of all death cases caused by cancer in women. Breast cancer is a heterogeneous disease representing various histological types, molecular characteristics, and clinical profiles. However, all breast cancers are organized in a hierarchy of heterogeneous cell populations, with a small proportion of cancer stem cells (breast cancer stem cells (BCSCs)) playing a putative role in cancer progression, and they are responsible for therapeutic failure. In different molecular subtypes of breast cancer, they present different characteristics, with specific marker profiles, prognoses, and treatments. Recent efforts have focused on tackling the Wnt, Notch, Hedgehog, PI3K/Akt/mTOR, and HER2 signaling pathways. Developing diagnostics and therapeutic strategies enables more efficient elimination of the tumor mass together with the stem cell population. Thus, the knowledge about appropriate therapeutic methods targeting both "normal" breast cancer cells and breast cancer stem cell subpopulations is crucial for success in cancer elimination.

摘要

乳腺癌是全球最常被检测到的恶性肿瘤之一。它导致了超过15%的女性癌症死亡病例。乳腺癌是一种异质性疾病,具有多种组织学类型、分子特征和临床特征。然而,所有乳腺癌都是由异质性细胞群体组成的层级结构,一小部分癌症干细胞(乳腺癌干细胞(BCSCs))在癌症进展中起假定作用,并且它们是治疗失败的原因。在不同分子亚型的乳腺癌中,它们呈现出不同的特征,具有特定的标志物谱、预后和治疗方法。最近的努力集中在攻克Wnt、Notch、Hedgehog、PI3K/Akt/mTOR和HER2信号通路。开发诊断和治疗策略能够更有效地消除肿瘤块以及干细胞群体。因此,了解针对“正常”乳腺癌细胞和乳腺癌干细胞亚群的适当治疗方法对于成功消除癌症至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b13/11240630/0d1aa428e270/cancers-16-02481-g001.jpg

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