Iluta Sabina, Nistor Madalina, Buruiana Sanda, Dima Delia
Department of Hematology, Iuliu Hatieganu University of Medicine and Pharmacy, 400347 Cluj Napoca, Romania.
Medfuture Research Center for Advanced Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, 400347 Cluj Napoca, Romania.
Genes (Basel). 2024 Dec 13;15(12):1597. doi: 10.3390/genes15121597.
Relapse and metastasis are the major challenges that stand in the way of cancer healing and survival, mainly attributed to cancer stem cells (CSCs). Their capabilities of self-renewal and tumorigenic potential leads to treatment resistance development. CSCs function through signaling pathways such as the Wnt/β-catenin cascade. While commonly involved in embryogenesis and adult tissues homeostasis, the dysregulation of the Wnt pathway has direct correlations with tumorigenesis, metastasis, and drug resistance. The development of therapies that target CSCs and bulk tumors is both crucial and urgent. However, the extensive crosstalk present between Wnt and other signaling networks (Hedgehog and Notch) complicates the development of efficient long-term therapies with minimal side-effects on normal tissues. Despite the obstacles, the emergence of Wnt inhibitors and subsequent modulation of the signaling pathways would provide dynamic therapeutic approaches to impairing CSCs and reversing resistance mechanisms.
复发和转移是癌症治愈和生存的主要挑战,主要归因于癌症干细胞(CSCs)。它们的自我更新能力和致瘤潜力导致了治疗耐药性的产生。癌症干细胞通过Wnt/β-连环蛋白级联等信号通路发挥作用。虽然Wnt通路通常参与胚胎发生和成人组织稳态,但Wnt通路的失调与肿瘤发生、转移和耐药性直接相关。开发针对癌症干细胞和实体肿瘤的疗法既至关重要又迫在眉睫。然而,Wnt与其他信号网络(Hedgehog和Notch)之间存在广泛的相互作用,这使得开发对正常组织副作用最小的高效长期疗法变得复杂。尽管存在障碍,但Wnt抑制剂的出现以及随后对信号通路的调节将为损害癌症干细胞和逆转耐药机制提供动态治疗方法。