Xu Ana P, Xu Lucy B, Smith Elizabeth R, Fleishman Joshua S, Chen Zhe-Sheng, Xu Xiang-Xi
University of Miami, Miami, FL, USA.
Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL, USA.
Med Rev (2021). 2024 Jun 5;4(6):522-530. doi: 10.1515/mr-2024-0019. eCollection 2024 Dec.
Taxanes, including paclitaxel, docetaxel, and cabazitaxel, are key agents in cancer treatment, often used as front-line chemotherapy drugs in combination with other agent(s) (commonly carboplatin) and as second-line treatments alone. Generally, taxanes are highly effective, but drug resistance unavoidably develops following repeated treatment. Taxanes work by binding to and stabilizing microtubules, leading to mitotic arrest, mitotic catastrophe, and micronucleation. The long-recognized mechanisms of drug resistance generally can be classified into three categories: drug efflux, microtubule polymerization, and apoptotic pathway. A recent new addition to this list is a mechanism related to the nuclear envelope, as cancer cells undergo micronucleation and nuclear membrane rupture when treated with taxanes. All these mechanisms may operate simultaneously as taxane resistance is multi-factorial. Here, we review the cell biology understanding of nuclear envelope breaking in production of micronucleation, and nuclear membrane rupture and repair, and propose that these processes are involved in taxane resistance.
紫杉烷类药物,包括紫杉醇、多西他赛和卡巴他赛,是癌症治疗中的关键药物,常作为一线化疗药物与其他药物(通常是卡铂)联合使用,也可单独作为二线治疗药物。一般来说,紫杉烷类药物非常有效,但反复治疗后不可避免地会产生耐药性。紫杉烷类药物通过与微管结合并使其稳定发挥作用,导致有丝分裂停滞、有丝分裂灾难和微核形成。长期以来公认的耐药机制通常可分为三类:药物外排、微管聚合和凋亡途径。最近,这个列表中又新增了一种与核膜相关的机制,因为癌细胞在用紫杉烷类药物治疗时会发生微核形成和核膜破裂。由于紫杉烷类药物耐药是多因素的,所有这些机制可能同时起作用。在这里,我们综述了对微核形成、核膜破裂和修复过程中核膜破裂的细胞生物学理解,并提出这些过程与紫杉烷类药物耐药有关。