Uddin Mohammad Burhan, Wang Zhishan, Yang Chengfeng
Department of Pharmaceutical Sciences, North South University, Bashundhara, Dhaka, 1229, Bangladesh.
Stony Brook Cancer Center, Stony Brook University, Stony Brook, NY, 11794, USA.
Adv Sci (Weinh). 2024 Dec 11;12(4):e2403936. doi: 10.1002/advs.202403936.
Significant advances in the development of new cancer therapies have given rise to multiple novel therapeutic options in chemotherapy, radiotherapy, immunotherapy, and targeted therapies. Although the development of resistance is often reported along with temporary disease remission, there is often tumor recurrence of an even more aggressive nature. Resistance to currently available anticancer drugs results in poor overall and disease-free survival rates for cancer patients. There are multiple mechanisms through which tumor cells develop resistance to therapeutic agents. To date, efforts to overcome resistance have only achieved limited success. Epitranscriptomics, especially related to mA RNA modification dysregulation in cancer, is an emerging mechanism for cancer therapy resistance. Here, recent studies regarding the contributions of mA modification and its regulatory proteins to the development of resistance to different cancer therapies are comprehensively reviewed. The promise and potential limitations of targeting these entities to overcome resistance to various anticancer therapies are also discussed.
新癌症疗法的发展取得了重大进展,在化疗、放疗、免疫疗法和靶向疗法方面带来了多种新型治疗选择。尽管常常报告在疾病暂时缓解的同时出现耐药性,但往往会出现更具侵袭性的肿瘤复发。对现有抗癌药物的耐药性导致癌症患者的总体生存率和无病生存率较低。肿瘤细胞产生对治疗药物耐药性的机制有多种。迄今为止,克服耐药性的努力仅取得了有限的成功。表观转录组学,尤其是与癌症中 mA RNA 修饰失调相关的表观转录组学,是癌症治疗耐药性的一种新兴机制。在此,全面综述了关于 mA 修饰及其调节蛋白对不同癌症治疗耐药性发展的贡献的最新研究。还讨论了靶向这些实体以克服对各种抗癌疗法耐药性的前景和潜在局限性。
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