Caravia Laura Georgiana, Mitranovici Melinda Ildiko, Oala Ioan Emilian, Tiron Andreea Taisia, Simionescu Anca Angela, Borcan Alina Maria, Craina Marius
Division of Cellular and Molecular Biology and Histology, Department of Morphological Sciences, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Public Health Department, "George Emil Palade" University of Medicine, Pharmacy, Sciences and Technology, 540142 Targu Mures, Romania.
Cells. 2025 Apr 14;14(8):594. doi: 10.3390/cells14080594.
Endometrial cancer is one of the most common malignancies seen in women in developed countries. While patients in the early stages of this cancer show better responses to surgery, adjuvant hormonal therapy, and chemotherapy, patients with recurrence show treatment resistance. Researchers have recently focused on cancer stem cells (CSCs) in the treatment of gynecologic cancer in general but also specifically in endometrial cancer. CSCs have been investigated because of their resistance to conventional therapies, such as chemo- and radiotherapy, and their ability to induce the progression and recurrence of malignancy. The activation of alternative pathways, such as WNT, PI3K, NF-kB, or NOTCH, could be the basis of the acquisition of these abilities of CSCs. Their specific markers and signaling pathways could be treatment targets for CSCs. In this article, we discuss the importance of obtaining a better understanding of the molecular basis and pathways of CSCs in endometrial cancer and the role of CSCs, aiming to discover more specific therapeutic approaches.
子宫内膜癌是发达国家女性中最常见的恶性肿瘤之一。虽然该癌症早期患者对手术、辅助激素治疗和化疗反应较好,但复发患者则表现出治疗抵抗。研究人员最近将重点放在了癌症干细胞(CSCs)上,这不仅涉及妇科癌症的总体治疗,也特别针对子宫内膜癌。对癌症干细胞进行研究是因为它们对化疗和放疗等传统疗法具有抗性,并且能够诱发恶性肿瘤的进展和复发。WNT、PI3K、NF-κB或NOTCH等替代途径的激活可能是癌症干细胞获得这些能力的基础。它们的特异性标志物和信号通路可能成为癌症干细胞的治疗靶点。在本文中,我们讨论了更深入了解子宫内膜癌中癌症干细胞的分子基础和途径以及癌症干细胞的作用的重要性,旨在发现更具特异性的治疗方法。
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