Obeagu Emmanuel Ifeanyi, Maibouge Tanko Mahamane Salissou
Department of Biomedical and Laboratory Science, Africa University, Mutare, Zimbabwe.
Ann Med Surg (Lond). 2025 Mar 20;87(6):3403-3409. doi: 10.1097/MS9.0000000000003173. eCollection 2025 Jun.
Iron metabolism plays a crucial role in breast cancer progression by supporting rapid cell proliferation, metastasis, and therapy resistance. Breast cancer cells exhibit increased iron uptake through overexpression of transferrin receptor 1, leading to intracellular iron accumulation. Elevated ferritin levels further protect tumor cells from oxidative stress-induced damage, while reduced ferroportin expression limits iron export, creating an iron-rich microenvironment that favors tumorigenesis. These alterations in iron homeostasis contribute to an aggressive cancer phenotype and are associated with poor clinical outcomes. Beyond its role in tumor growth, dysregulated iron metabolism influences the tumor microenvironment by promoting angiogenesis and immune evasion. Iron-laden macrophages within the tumor stroma support cancer progression by supplying iron to malignant cells, fueling their metabolic demands. Moreover, iron-driven oxidative stress generates reactive oxygen species, leading to DNA damage, genomic instability, and the activation of pathways involved in epithelial-mesenchymal transition. These processes enhance breast cancer cell invasion and metastasis, particularly in aggressive subtypes such as triple-negative breast cancer.
铁代谢通过支持快速的细胞增殖、转移和治疗抗性在乳腺癌进展中起关键作用。乳腺癌细胞通过转铁蛋白受体1的过表达表现出铁摄取增加,导致细胞内铁积累。铁蛋白水平升高进一步保护肿瘤细胞免受氧化应激诱导的损伤,而铁转运蛋白表达降低限制了铁的输出,从而形成有利于肿瘤发生的富含铁的微环境。铁稳态的这些改变促成了侵袭性癌症表型,并与不良临床结果相关。除了在肿瘤生长中的作用外,失调的铁代谢还通过促进血管生成和免疫逃逸影响肿瘤微环境。肿瘤基质中富含铁的巨噬细胞通过向恶性细胞供应铁来支持癌症进展,满足其代谢需求。此外,铁驱动的氧化应激产生活性氧,导致DNA损伤、基因组不稳定以及上皮-间质转化相关途径的激活。这些过程增强了乳腺癌细胞的侵袭和转移,特别是在三阴性乳腺癌等侵袭性亚型中。
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