Leveraging insights from cancer to improve tuberculosis therapy.

IF 12.8 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Trends in molecular medicine Pub Date : 2024-08-13 DOI:10.1016/j.molmed.2024.07.011
Meenal Datta, Laura E Via, Véronique Dartois, Lei Xu, Clifton E Barry, Rakesh K Jain
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Abstract

Exploring and exploiting the microenvironmental similarities between pulmonary tuberculosis (TB) granulomas and malignant tumors has revealed new strategies for more efficacious host-directed therapies (HDTs). This opinion article discusses a paradigm shift in TB therapeutic development, drawing on critical insights from oncology. We summarize recent efforts to characterize and overcome key shared features between tumors and granulomas, including excessive fibrosis, abnormal angiogenesis, hypoxia and necrosis, and immunosuppression. We provide specific examples of cancer therapy application to TB to overcome these microenvironmental abnormalities, including matrix-targeting therapies, antiangiogenic agents, and immune-stimulatory drugs. Finally, we propose a new framework for combining HDTs with anti-TB agents to maximize therapeutic delivery and efficacy while reducing treatment dosages, duration, and harmful side effects to benefit TB patients.

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从癌症中汲取灵感,改进结核病治疗。
探索和利用肺结核(TB)肉芽肿与恶性肿瘤之间的微环境相似性揭示了更有效的宿主导向疗法(HDT)的新策略。这篇观点文章借鉴肿瘤学的重要见解,讨论了结核病疗法开发的范式转变。我们总结了最近为描述和克服肿瘤与肉芽肿之间的主要共同特征所做的努力,包括过度纤维化、异常血管生成、缺氧和坏死以及免疫抑制。我们提供了将癌症疗法应用于结核病以克服这些微环境异常的具体实例,包括基质靶向疗法、抗血管生成药物和免疫刺激药物。最后,我们提出了将 HDT 与抗结核药物相结合的新框架,以最大限度地提高疗效,同时减少治疗剂量、缩短治疗时间并降低有害副作用,从而造福结核病患者。
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来源期刊
Trends in molecular medicine
Trends in molecular medicine 医学-生化与分子生物学
CiteScore
24.60
自引率
0.00%
发文量
142
审稿时长
6-12 weeks
期刊介绍: Trends in Molecular Medicine (TMM) aims to offer concise and contextualized perspectives on the latest research advancing biomedical science toward better diagnosis, treatment, and prevention of human diseases. It focuses on research at the intersection of basic biology and clinical research, covering new concepts in human biology and pathology with clear implications for diagnostics and therapy. TMM reviews bridge the gap between bench and bedside, discussing research from preclinical studies to patient-enrolled trials. The major themes include disease mechanisms, tools and technologies, diagnostics, and therapeutics, with a preference for articles relevant to multiple themes. TMM serves as a platform for discussion, pushing traditional boundaries and fostering collaboration between scientists and clinicians. The journal seeks to publish provocative and authoritative articles that are also accessible to a broad audience, inspiring new directions in molecular medicine to enhance human health.
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