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靶向癌症中受调控的细胞死亡途径以实现有效治疗:全面综述

Targeting regulated cell death pathways in cancers for effective treatment: a comprehensive review.

作者信息

Saxena Ruchi, Welsh Craig M, He You-Wen

机构信息

Department of Integrative Immunobiology, Duke University School of Medicine, Durham, United States.

Department of Molecular Biology and Biochemistry, Sue and Bill Gross Stem Cell Research Center, University of California, Irvine, United States.

出版信息

Front Cell Dev Biol. 2024 Nov 15;12:1462339. doi: 10.3389/fcell.2024.1462339. eCollection 2024.

Abstract

Cancer is a complex disease characterized by specific "mission-critical" events that drive the uncontrolled growth and spread of tumor cells and their offspring. These events are essential for the advancement of the disease. One of the main contributors to these events is dysregulation of cell death pathways-such as apoptosis, necroptosis, ferroptosis, autophagy, pyroptosis, cuproptosis, parthanatos and-allows cancer cells to avoid programmed cell death and continue proliferating unabated. The different cell death pathways in cancers provide useful targets for cancer treatment. This review examines recent progresses in the preclinical and clinical development of targeting dysregulated cell death pathways for cancer treatment. To develop effective cancer therapies, it is essential to identify and target these mission-critical events that prevent tumor cells from timely death. By precisely targeting these crucial events, researchers can develop therapies with maximum impact and minimal side effects. A comprehensive understanding of the molecular and cellular mechanisms underlying these regulated cell death pathways will further the development of highly effective and personalized cancer treatments.

摘要

癌症是一种复杂的疾病,其特征在于特定的“关键任务”事件,这些事件驱动肿瘤细胞及其子代的不受控制的生长和扩散。这些事件对于疾病的进展至关重要。导致这些事件的主要因素之一是细胞死亡途径的失调,如细胞凋亡、坏死性凋亡、铁死亡、自噬、焦亡、铜死亡、PARP 依赖性坏死等,这使得癌细胞能够避免程序性细胞死亡并持续无节制地增殖。癌症中不同的细胞死亡途径为癌症治疗提供了有用的靶点。本综述探讨了针对失调的细胞死亡途径进行癌症治疗的临床前和临床开发的最新进展。为了开发有效的癌症治疗方法,识别并靶向这些阻止肿瘤细胞及时死亡的关键任务事件至关重要。通过精确靶向这些关键事件,研究人员可以开发出具有最大疗效和最小副作用的治疗方法。对这些调节性细胞死亡途径背后的分子和细胞机制的全面理解将推动高效和个性化癌症治疗的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f00e/11604647/db73002c056e/fcell-12-1462339-g001.jpg

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