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三重阴性乳腺癌中主开关的再激活:通过 microRNA-200/205 对抗转移和化疗耐药性的战略蓝图:系统评价。

Reawakening the master switches in triple-negative breast cancer: A strategic blueprint for confronting metastasis and chemoresistance via microRNA-200/205: A systematic review.

机构信息

Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.

Faculty of Medicine, University of Barcelona, Barcelona, Spain; Department of Medical Oncology, Hospital Clínic of Barcelona, Barcelona, Spain; Translational Genomics and Targeted Therapies in Solid Tumors, August Pi I Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain, University of Barcelona, Barcelona, Spain.

出版信息

Crit Rev Oncol Hematol. 2024 Dec;204:104516. doi: 10.1016/j.critrevonc.2024.104516. Epub 2024 Sep 19.

Abstract

Triple-negative breast cancer (TNBC) exhibits a proclivity for early recurrence and development of metastasis. Moreover, drug resistance tends to arise few months following chemotherapeutic regimen with agents such as Doxorubicin, Paclitaxel, Docetaxel, and Cisplatin. miR-200 family and miR-205 are considered key regulators of metastasis by regulating the Epithelial-to-mesenchymal transition (EMT) via inhibiting ZEB1. Therefore, these microRNAs may offer therapeutic applications. Moreover, they hold potential for inhibiting chemoresistance and increasing chemosensitivity. These microRNAs are suppressed in TNBC cells. Increasing their levels, however, can inhibit EMT and improve progression-free survival (PFS). Besides using direct miRNA therapy via viral vectors, some drugs like Acetaminophen, or Tamoxifen are deemed useful for TNBC due to their ability to upregulate these miRNAs. In this review, by conducting an advanced search on PubMed, Embase, and Medline and selecting pertinent studies, we aimed to explore the potential applications of these microRNAs in controlling EMT and overcoming chemoresistance.

摘要

三阴性乳腺癌 (TNBC) 表现出早期复发和转移的倾向。此外,在使用多柔比星、紫杉醇、多西他赛和顺铂等药物进行化疗方案后几个月,往往会出现耐药性。miR-200 家族和 miR-205 被认为是通过抑制 ZEB1 来调节上皮-间充质转化 (EMT) 的关键调节剂,从而调节转移。因此,这些 microRNAs 可能具有治疗应用的潜力。此外,它们具有抑制耐药性和提高化疗敏感性的潜力。这些 microRNAs 在 TNBC 细胞中受到抑制。然而,增加它们的水平可以抑制 EMT 并改善无进展生存期 (PFS)。除了通过病毒载体进行直接 miRNA 治疗外,由于其上调这些 miRNAs 的能力,一些药物,如对乙酰氨基酚或他莫昔芬,被认为对 TNBC 有用。在这篇综述中,我们通过在 PubMed、Embase 和 Medline 上进行高级搜索并选择相关研究,旨在探讨这些 microRNAs 在控制 EMT 和克服化疗耐药性方面的潜在应用。

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