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细胞凋亡的全面洞察:分子机制、信号通路及调控疗法

A Comprehensive Insight into Apoptosis: Molecular Mechanisms, Signaling Pathways, and Modulating Therapeutics.

作者信息

Mosadegh Mehrdad, Noori Goodarzi Narjes, Erfani Yousef

机构信息

Department of Pathobiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Department of Medical Laboratory Sciences, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Cancer Invest. 2025 Jan;43(1):33-58. doi: 10.1080/07357907.2024.2445528. Epub 2025 Jan 6.

Abstract

Apoptosis, or programmed cell death, is a fundamental biological process essential for maintaining tissue homeostasis. Dysregulation of apoptosis is implicated in a variety of diseases, including cancer, neurodegenerative disorders, and autoimmune conditions. This review provides an in-depth insight into the molecular mechanisms and signaling pathways that regulate apoptosis, highlighting both intrinsic and extrinsic pathways. Additionally, the review explains the tumor microenvironment's influence on apoptosis and its implications for cancer therapy resistance. Understanding the complex interplay between apoptotic signaling and cellular responses is crucial for developing targeted therapies that can effectively manage diseases associated with apoptosis dysregulation. The effects of conventional therapeutics and alternative substances with natural sources such as herbal compounds, alongside vitamins, minerals, and trace elements on cellular homeostasis and disease pathogenesis have been thoroughly investigated. Moreover, recent advances in therapeutic strategies aimed at modulating apoptosis are discussed, with a focus on novel interventions such as nutrition bio shield dietary supplement. These emerging approaches offer potential benefits beyond conventional treatments by selectively targeting apoptotic pathways to inhibit cancer progression and metastasis. By integrating insights from recent studies, this review aims to enhance our understanding of apoptosis and guide future research in developing innovative therapeutic approaches.

摘要

细胞凋亡,即程序性细胞死亡,是维持组织稳态所必需的基本生物学过程。细胞凋亡失调与多种疾病有关,包括癌症、神经退行性疾病和自身免疫性疾病。本综述深入探讨了调节细胞凋亡的分子机制和信号通路,重点介绍了内在和外在途径。此外,该综述解释了肿瘤微环境对细胞凋亡的影响及其对癌症治疗耐药性的影响。了解凋亡信号与细胞反应之间的复杂相互作用对于开发能够有效管理与细胞凋亡失调相关疾病的靶向治疗至关重要。传统疗法以及具有天然来源的替代物质(如草药化合物)与维生素、矿物质和微量元素对细胞稳态和疾病发病机制的影响已得到充分研究。此外,还讨论了旨在调节细胞凋亡的治疗策略的最新进展,重点是营养生物护盾膳食补充剂等新型干预措施。这些新兴方法通过选择性靶向凋亡途径来抑制癌症进展和转移,提供了超越传统治疗的潜在益处。通过整合近期研究的见解,本综述旨在加深我们对细胞凋亡的理解,并指导未来开发创新治疗方法的研究。

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