Tripathi Siddhant, Sharma Yashika, Kumar Dileep
Poona College of Pharmacy, Bharati Vidyapeeth (Deemed to be) University, Pune, Maharashtra, 411038, India.
Department of Pharmaceutical Chemistry, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, 576104, Karnataka, India.
Metabol Open. 2025 Jan 9;25:100347. doi: 10.1016/j.metop.2025.100347. eCollection 2025 Mar.
The highly nuanced transition from an inflammatory process to tumorigenesis is of great scientific interest. While it is well known that environmental stimuli can cause inflammation, less is known about the oncogenic modifications that chronic inflammation in the tissue microenvironment can bring about, as well as how these modifications can set off pro-tumorigenic processes. It is clear that no matter where the environmental factors come from, maintaining an inflammatory microenvironment encourages carcinogenesis. In addition to encouraging angiogenesis and metastatic processes, sustaining the survival and proliferation of malignant transformed cells, and possibly altering the efficacy of therapeutic agents, inflammation can negatively regulate the antitumoral adaptive and innate immune responses. Because chronic inflammation has multiple pathways involved in tumorigenesis and metastasis, it has gained recognition as a marker of cancer and a desirable target for cancer therapy. Recent advances in our knowledge of the molecular mechanisms that drive cancer's progression demonstrate that inflammation promotes tumorigenesis and metastasis while suppressing anti-tumor immunity. In many solid tumor types, including breast, lung, and liver cancer, inflammation stimulates the activation of oncogenes and impairs the body's defenses against the tumor. Additionally, it alters the microenvironment of the tumor. As a tactical approach to cancer treatment, these findings have underscored the importance of targeting inflammatory pathways. This review highlights the role of inflammation in cancer development and metastasis, focusing on its impact on tumor progression, immune suppression, and therapy resistance. It examines current anti-inflammatory strategies, including NSAIDs, cytokine modulators, and STAT3 inhibitors, while addressing their potential and limitations. The review emphasizes the need for further research to unravel the complex mechanisms linking inflammation to cancer progression and identify molecular targets for specific cancer subtypes.
从炎症过程到肿瘤发生的高度细微转变具有重大的科学研究价值。虽然众所周知环境刺激可引发炎症,但对于组织微环境中的慢性炎症所带来的致癌性改变,以及这些改变如何引发促肿瘤过程,人们了解得较少。很明显,无论环境因素来自何处,维持炎症微环境都会促进癌症发生。炎症除了促进血管生成和转移过程、维持恶性转化细胞的存活和增殖,并可能改变治疗药物的疗效外,还会对抗肿瘤适应性免疫和先天性免疫反应产生负面调节作用。由于慢性炎症在肿瘤发生和转移中涉及多种途径,它已被公认为癌症的一个标志物和癌症治疗的理想靶点。我们对驱动癌症进展的分子机制的认识最近取得的进展表明,炎症在促进肿瘤发生和转移的同时抑制抗肿瘤免疫。在许多实体瘤类型中,包括乳腺癌、肺癌和肝癌,炎症会刺激癌基因的激活并损害机体对肿瘤的防御能力。此外,它还会改变肿瘤的微环境。作为癌症治疗的一种策略性方法,这些发现凸显了靶向炎症途径的重要性。本综述重点介绍炎症在癌症发展和转移中的作用,着重阐述其对肿瘤进展、免疫抑制和治疗耐药性的影响。它研究了当前的抗炎策略,包括非甾体抗炎药、细胞因子调节剂和信号转导与转录激活因子3(STAT3)抑制剂,同时探讨了它们的潜力和局限性。该综述强调需要进一步研究,以阐明将炎症与癌症进展联系起来的复杂机制,并确定针对特定癌症亚型的分子靶点。