Targeting the Key Signaling Pathways in Breast Cancer: From Molecular Mechanism to Therapeutic Interventions.

Deepika Singh, Ankit Sahoo
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Abstract

Breast cancer is a public health issue in developing and developed countries. Nowadays, the concept of BCSC (breast cancer stem cell) is gaining popularity among oncology researchers. The breast cancer stem cell is a tiny cell fraction inside the tumor mass that shows features that look like stem cells that are implicated in the genesis, recurrence, and metastasis of breast cancer tumors. Extracellular cues, mutations, and epigenetic control all contribute to the intricacy of gene expression control in Breast cancer stem cells. Thus, signaling pathways identified in breast cancer are Hedgehog and NOTCH, signal transducer and transcription 3, wingless-type MMTV integration site family (Wnt)/-catenin, and nuclear factor-kappa B, particularly connected with a phenotype of stem cell. Furthermore, the tumor microenvironment, such as hypoxic regions, can impact these BCSCs. Various approved signaling pathway targeted molecules have been patented, which show protective effects against breast cancer and have been used in clinical uses. PARP inhibitors are found to be very useful in the treatment of breast cancer. Promoting studies on the molecular pathways underlying the development of cancer in breast cancer patients was one of the main objectives of this study topic. The objective of this review Topic was to discover new intrinsic and extrinsic molecular pathways. Research focusing on novel signaling pathways that may lead to novel treatments or identifying patients at-risk of not responding to standard therapy approaches were the areas of focus we highlighted. The paper covers the linkage between breast cancer stem cells and cellular signaling, the tumor microenvironment in BC, and the relevance of signaling pathways and their therapeutic interventions. The review also covered patent applications associated with these signaling pathways and their prospects.

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针对乳腺癌的关键信号通路:从分子机制到治疗干预。
乳腺癌是发展中国家和发达国家的公共卫生问题。如今,乳腺癌干细胞(BCSC)的概念越来越受到肿瘤研究人员的青睐。乳腺癌干细胞是肿瘤组织内的一种微小细胞,其特征与干细胞相似,与乳腺癌肿瘤的发生、复发和转移有关。细胞外线索、突变和表观遗传控制都是乳腺癌干细胞基因表达控制错综复杂的原因。因此,在乳腺癌中发现的信号通路有Hedgehog和NOTCH、信号转导和转录3、无翅型MMTV整合位点家族(Wnt)/-catenin和核因子-kappa B,尤其与干细胞的表型有关。此外,肿瘤微环境(如缺氧区域)也会对这些碱性细胞干细胞产生影响。各种已获批准的信号通路靶向分子已获得专利,它们对乳腺癌具有保护作用,并已用于临床。PARP 抑制剂在治疗乳腺癌方面非常有用。促进对乳腺癌患者癌症发生的分子途径的研究是本研究课题的主要目标之一。本综述专题的目标是发现新的内在和外在分子通路。我们强调的重点研究领域包括:研究新的信号通路,这些通路可能导致新的治疗方法,或识别对标准治疗方法无效的高危患者。论文涵盖了乳腺癌干细胞与细胞信号传导之间的联系、乳腺癌的肿瘤微环境、信号传导途径及其治疗干预的相关性。综述还涉及与这些信号通路相关的专利申请及其前景。
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