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铁死亡:非小细胞肺癌中的治疗潜力与策略

Ferroptosis: Therapeutic Potential and Strategies in Non-Small Cell Lung Cancer.

作者信息

Lei Ying, Jiang Shuxia, Kong Chengyu, Pang Ping, Shan Hongli

机构信息

Shanghai Frontiers Science Research Center for Druggability of Cardiovascular Noncoding RNA, Institute for Frontier Medical Technology, School of Chemistry and Chemical Engineering, Shanghai University of Engineering Science, Shanghai 201620, China.

出版信息

Biology (Basel). 2025 May 14;14(5):545. doi: 10.3390/biology14050545.

Abstract

Non-small cell lung cancer (NSCLC) is the most common subtype of lung cancer and a leading cause of cancer-related morbidity and mortality worldwide. Despite advancements in therapeutic strategies, the prognosis for NSCLC patients remains unfavorable. The effective treatment of NSCLC remains challenging due to its aggressive metastatic and invasive properties. Therefore, there is an urgent need to explore novel treatment strategies. In recent years, different from apoptosis and necrosis, ferroptosis has garnered increasing attention since its initial identification in 2012. It is increasingly recognized as a key factor in the development and progression of various cancers. In this review, we summarize the distinctive morphological and biochemical characteristics of ferroptosis and its regulatory mechanisms. Furthermore, we discuss the genetic regulation of ferroptosis in NSCLC, highlighting key biomarkers that may serve as potential therapeutic targets. We also evaluate emerging therapeutic strategies targeting ferroptosis, including gene therapy, natural compounds, chemical agents, combination therapies, and nanoparticle-based approaches. Based on current evidence, the limitations and future prospects of ferroptosis-based therapies for NSCLC are discussed. This review aims to provide novel insights into the potential of ferroptosis-based therapies for NSCLC and its implications for the development of novel treatments.

摘要

非小细胞肺癌(NSCLC)是肺癌最常见的亚型,也是全球癌症相关发病和死亡的主要原因。尽管治疗策略取得了进展,但NSCLC患者的预后仍然不佳。由于其具有侵袭性的转移和浸润特性,NSCLC的有效治疗仍然具有挑战性。因此,迫切需要探索新的治疗策略。近年来,不同于凋亡和坏死,铁死亡自2012年首次被发现以来受到了越来越多的关注。它越来越被认为是各种癌症发生和发展的关键因素。在这篇综述中,我们总结了铁死亡独特的形态学和生化特征及其调控机制。此外,我们讨论了NSCLC中铁死亡的基因调控,强调了可能作为潜在治疗靶点的关键生物标志物。我们还评估了针对铁死亡的新兴治疗策略,包括基因治疗、天然化合物、化学试剂、联合疗法和基于纳米颗粒的方法。基于目前的证据,讨论了基于铁死亡的NSCLC治疗的局限性和未来前景。这篇综述旨在为基于铁死亡的NSCLC治疗潜力及其对新疗法开发的意义提供新的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/341b/12108931/e161fdde3777/biology-14-00545-g001.jpg

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