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癌症中的失巢凋亡抗性:机制、治疗策略、潜在靶点及增强理解的模型

Anoikis resistance in Cancer: Mechanisms, therapeutic strategies, potential targets, and models for enhanced understanding.

作者信息

Shaw Pallab, Dey Bhowmik Arpan, Gopinatha Pillai Mohan Shankar, Robbins Nathan, Dwivedi Shailendra Kumar Dhar, Rao Geeta

机构信息

Peggy and Charles Stephenson Cancer Center, The University of Oklahoma Health Sciences, Oklahoma City, 73104, Oklahoma, USA; Department of Pathology, The University of Oklahoma Health Sciences, Oklahoma City, 73104, Oklahoma, USA.

Peggy and Charles Stephenson Cancer Center, The University of Oklahoma Health Sciences, Oklahoma City, 73104, Oklahoma, USA; Department of Obstetrics and Gynecology, The University of Oklahoma Health Sciences, Oklahoma City, 73104, Oklahoma, USA.

出版信息

Cancer Lett. 2025 Aug 1;624:217750. doi: 10.1016/j.canlet.2025.217750. Epub 2025 Apr 26.

Abstract

Anoikis, defined as programmed cell death triggered by the loss of cell-extracellular matrix (ECM) and cell-cell interactions, is crucial for maintaining tissue homeostasis and preventing aberrant cell migration. Cancer cells, however, display anoikis resistance (AR) which in turn enables cancer metastasis. AR results from alterations in apoptotic signaling, metabolic reprogramming, autophagy modulation, and epigenetic changes, allowing cancer cells to survive in detached conditions. In this review we describe the mechanisms underlying both anoikis and AR, focusing on intrinsic and extrinsic pathways, disrupted cell-ECM interactions, and autophagy in cancer. Recent findings (i.e., between 2014 and 2024) on epigenetic regulation of AR and its role in metastasis are discussed. Therapeutic strategies targeting AR, including chemical inhibitors, are highlighted alongside a network analysis of 122 proteins reported to be associated with AR which identifies 53 hub proteins as potential targets. We also evaluate in vitro and in vivo models for studying AR, emphasizing their role in advancing metastasis research. Our overall goal is to guide future studies and therapeutic developments to counter cancer metastasis.

摘要

失巢凋亡被定义为由细胞-细胞外基质(ECM)和细胞-细胞相互作用丧失引发的程序性细胞死亡,对于维持组织稳态和防止异常细胞迁移至关重要。然而,癌细胞表现出失巢凋亡抗性(AR),这反过来又促进了癌症转移。AR源于凋亡信号传导、代谢重编程、自噬调节和表观遗传变化的改变,使癌细胞能够在脱离条件下存活。在这篇综述中,我们描述了失巢凋亡和AR的潜在机制,重点关注内在和外在途径、破坏的细胞-ECM相互作用以及癌症中的自噬。讨论了2014年至2024年期间关于AR的表观遗传调控及其在转移中的作用的最新发现。强调了针对AR的治疗策略,包括化学抑制剂,同时对据报道与AR相关的122种蛋白质进行了网络分析,确定了53种枢纽蛋白作为潜在靶点。我们还评估了用于研究AR的体外和体内模型,强调了它们在推进转移研究中的作用。我们的总体目标是指导未来对抗癌症转移的研究和治疗发展。

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