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探索乳腺癌的治疗前景:靶向乳腺癌干细胞

Navigating the therapeutic landscape for breast cancer: targeting breast cancer stem cells.

作者信息

Dey Soudeep, Dinakar Yirivinti Hayagreeva, R Soundarya, Jain Vikas, Jain Rupshee

机构信息

Department of Pharmaceutical Chemistry, JSS College of Pharmacy, JSS Academy of Higher Education and Research, Mysuru, 570015, India.

Department of Pharmaceutics, JSS College of Pharmacy, JSS Academy of Higher Education and Research, Mysuru, 570015, India.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 2025 Mar;398(3):2387-2406. doi: 10.1007/s00210-024-03542-5. Epub 2024 Oct 23.

Abstract

Breast cancer is a common and deadly malignancy that affects women globally, and breast cancer stem cells (BCSCs) play an important role in tumorigenesis, development, metastasis, and recurrence. Traditional therapies often fail to eliminate BCSCs, leading to treatment resistance and relapse. This review explores the therapeutic strategies which are designed to target BCSCs, including inhibition of key signaling pathway and targeting receptor. This paper also explores the approaches to targeting BCSCs including chemotherapy, phytomedicines, and nanotechnology. Nanotechnology has gained a lot of importance in cancer therapy because of its ability to deliver therapeutic agents with more precision and minimal side effects. Various chemotherapeutic drugs, siRNAs, or gene editing tools are delivered efficiently with the use of nanocarriers which target pathways, receptors, and proteins associated with BCSCs. Over the past few years, stimuli-responsive and receptor-targeted nanocarriers have been explored for better therapeutic effects. In recent times, strategies such as chimeric antigen receptor (CAR) T-cell therapy, ablation therapy, and cell-free therapies are explored for targeting these stem cells. This review provides a recent developmental overview of strategies to attack BCSCs from conventional chemotherapeutic agents to nanotechnological platforms such as polymeric, lipidic, and metal-based nanoparticles and advanced technologies like CAR T cell therapies.

摘要

乳腺癌是一种常见且致命的恶性肿瘤,全球女性均受其影响,而乳腺癌干细胞(BCSCs)在肿瘤发生、发展、转移和复发中起着重要作用。传统疗法往往无法清除乳腺癌干细胞,导致治疗抵抗和复发。本综述探讨了旨在靶向乳腺癌干细胞的治疗策略,包括抑制关键信号通路和靶向受体。本文还探讨了靶向乳腺癌干细胞的方法,包括化疗、植物药和纳米技术。纳米技术因其能够更精确地递送治疗剂且副作用最小,在癌症治疗中变得非常重要。使用纳米载体可有效递送各种化疗药物、小干扰RNA(siRNAs)或基因编辑工具,这些纳米载体靶向与乳腺癌干细胞相关的信号通路、受体和蛋白质。在过去几年中,人们探索了刺激响应型和受体靶向型纳米载体以获得更好的治疗效果。近年来,人们还探索了嵌合抗原受体(CAR)T细胞疗法、消融疗法和无细胞疗法等策略来靶向这些干细胞。本综述提供了从传统化疗药物到纳米技术平台(如聚合物、脂质和金属基纳米颗粒)以及CAR T细胞疗法等先进技术攻击乳腺癌干细胞策略的最新发展概况。

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