Hong Y U, Tang Yunxiang, Zhou Wenyan, Luo Hanyue, Bu Linlin, Qiu Hui, Wu Qiuji
School of Medicine, Wuhan University, Wuhan, 430079, China.
State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, Department of Oral & Maxillofacial-Head Neck Oncology, School & Hospital of Stomatology, Wuhan University, Wuhan, 430079, China.
Oncol Res. 2025 May 29;33(6):1347-1361. doi: 10.32604/or.2025.059327. eCollection 2025.
As a rising immune checkpoint on tumor cells, CD24 is closely related to tumorigenesis and progression. CD24 can directly regulate the malignant behavior of tumor cells and indirectly inhibit the function of immune cells in the meantime, which promotes the immune escape of tumor cells, induces cancer invasion and causes poor prognosis. The basic principle of cancer treatment is to induce cell death and inhibit cell survival. Resistance to chemoradiotherapy is a critical challenge in oncology, which limits the effectiveness of anti-cancer treatments. Many studies have shown a strong association between CD24 and chemoradiotherapy resistance in tumor cells, but the specific mechanism remains unclear. Understanding the mechanisms that CD24 induces chemoradiotherapy resistance may allow us to develop new promising therapeutic strategies to enhance the efficacy of chemoradiotherapy and improve clinical outcomes in the treatment of cancer patients. In this review, we summarized the basic characteristics and functions of CD24, as well as its role in the development of cancer. We focused on the resistance to radiotherapy and chemotherapy mediated by CD24, deciphered fundamental mechanisms and introduced existing clinical studies, with an attempt to propose potential solutions for future explorations.
作为肿瘤细胞上一种新兴的免疫检查点,CD24与肿瘤发生和进展密切相关。CD24可直接调节肿瘤细胞的恶性行为,同时间接抑制免疫细胞功能,促进肿瘤细胞免疫逃逸,诱导癌症侵袭并导致预后不良。癌症治疗的基本原则是诱导细胞死亡并抑制细胞存活。放化疗耐药是肿瘤学中的一项关键挑战,限制了抗癌治疗的有效性。许多研究表明CD24与肿瘤细胞的放化疗耐药之间存在密切关联,但具体机制仍不清楚。了解CD24诱导放化疗耐药的机制可能使我们能够开发新的有前景的治疗策略,以提高放化疗疗效并改善癌症患者的临床治疗结果。在本综述中,我们总结了CD24的基本特征和功能,以及它在癌症发展中的作用。我们重点关注CD24介导的放疗和化疗耐药,解读其基本机制并介绍现有临床研究,试图为未来探索提出潜在解决方案。