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Unveiling the role of IL-17: Therapeutic insights and cardiovascular implications 揭示 IL-17 的作用:治疗见解和对心血管的影响。
IF 9.3 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-06-01 DOI: 10.1016/j.cytogfr.2024.05.001
Kexin Jiang , Yanjiani Xu , Yan Wang , Nanhao Yin , Fangyang Huang , Mao Chen

Interleukin-17 (IL-17), a pivotal cytokine in immune regulation, has attracted significant attention in recent years due to its roles in various physiological and pathological processes. This review explores IL-17 in immunological context, emphasizing its structure, production, and signaling pathways. Specifically, we explore its involvement in inflammatory diseases and autoimmune diseases, with a notable focus on its emerging implications in cardiovascular system. Through an array of research insights, IL-17 displays multifaceted functions yet awaiting comprehensive discovery. Highlighting therapeutic avenues, we scrutinize the efficacy and clinical application of four marketed IL-17 mAbs along other targeted therapies, emphasizing their potential in immune-mediated disease management. Additionally, we discussed the novel IL-17D-CD93 axis, elucidating recent breakthroughs in their biological function and clinical implications, inviting prospects for transformative advancements in immunology and beyond.

白细胞介素-17(IL-17)是一种在免疫调节中起关键作用的细胞因子,近年来因其在各种生理和病理过程中的作用而备受关注。这篇综述探讨了免疫学背景下的 IL-17,强调了它的结构、产生和信号传导途径。具体而言,我们探讨了 IL-17 在炎症性疾病和自身免疫性疾病中的参与,并重点关注其在心血管系统中的新影响。通过一系列的研究发现,IL-17 具有多方面的功能,但尚待全面发掘。为了突出治疗途径,我们仔细研究了四种已上市的 IL-17 mAbs 及其他靶向疗法的疗效和临床应用,强调了它们在免疫介导疾病治疗中的潜力。此外,我们还讨论了新型 IL-17D-CD93 轴,阐明了它们在生物功能和临床影响方面的最新突破,为免疫学及其他领域的变革性进展提供了前景。
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引用次数: 0
Cytokines and soluble mediators as architects of tumor microenvironment reprogramming in cancer therapy 细胞因子和可溶性介质是癌症治疗中肿瘤微环境重编程的设计师
IF 13 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-02-28 DOI: 10.1016/j.cytogfr.2024.02.003
Suling Xu , Qingqing Wang , Wenxue Ma

Navigating the intricate landscape of the tumor microenvironment (TME) unveils a pivotal arena for cancer therapeutics, where cytokines and soluble mediators emerge as double-edged swords in the fight against cancer. This review ventures beyond traditional perspectives, illuminating the nuanced interplay of these elements as both allies and adversaries in cancer dynamics. It critically evaluates the evolving paradigms of TME reprogramming, spotlighting innovative strategies that target the sophisticated network of cytokines and mediators. Special focus is placed on unveiling the therapeutic potential of novel cytokines and mediators, particularly their synergistic interactions with extracellular vesicles, which represent underexplored conduits for therapeutic targeting. Addressing a significant gap in current research, we explore the untapped potential of these biochemical players in orchestrating immune responses, tumor proliferation, and metastasis. The review advocates for a paradigm shift towards exploiting these dynamic interactions within the TME, aiming to transcend conventional treatments and pave the way for a new era of precision oncology. Through a critical synthesis of recent advancements, we highlight the imperative for innovative approaches that harness the full spectrum of cytokine and mediator activities, setting the stage for breakthrough therapies that offer heightened specificity, reduced toxicity, and improved patient outcomes.

在错综复杂的肿瘤微环境(TME)中,细胞因子和可溶性介质成为抗击癌症的双刃剑。这篇综述超越了传统视角,揭示了这些元素在癌症动力学中既是盟友又是对手的微妙相互作用。它批判性地评估了TME重编程不断演变的范例,重点介绍了针对细胞因子和介质复杂网络的创新策略。文章特别关注揭示新型细胞因子和介质的治疗潜力,尤其是它们与细胞外囊泡之间的协同作用,因为细胞外囊泡是尚未充分开发的治疗靶向渠道。针对当前研究中存在的重大空白,我们探讨了这些生化角色在协调免疫反应、肿瘤增殖和转移方面尚未开发的潜力。这篇综述倡导范式转变,利用肿瘤组织器官内的这些动态相互作用,旨在超越传统治疗方法,为精准肿瘤学的新时代铺平道路。通过对最新进展的批判性综述,我们强调了利用细胞因子和介质的全方位活动的创新方法的必要性,为提高特异性、降低毒性和改善患者预后的突破性疗法奠定了基础。
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引用次数: 0
Semaphorins and the bone marrow microenvironment: New candidates that influence the hematopoietic system 半合成蛋白与骨髓微环境:影响造血系统的新候选者
IF 13 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-02-27 DOI: 10.1016/j.cytogfr.2024.02.002
Carlos E. da Silva Gonçalves, Ricardo A. Fock

The bone marrow is a haven for hematopoietic and non-hematopoietic cells, creating complex micro-anatomical regions called niches. These distinct niches all participate in an intricate orchestra of cellular interactions that regulates the hematopoietic stem cell and its progenies. In this review, we provide a detailed description of the three most well-known bone marrow niches and their participation in hematopoiesis. We use pre-clinical data, including different in vitro and in vivo studies to discuss how a group of proteins called Semaphorins could potentially modulate both hematopoietic and non-hematopoietic cells, establishing links between the niches, semaphorins, and hematopoietic regulation. Thus, here we provide a deep dive into the inner functioning of the bone marrow and discuss the overarching implications that semaphorins might have on blood formation.

骨髓是造血细胞和非造血细胞的天堂,形成了被称为 "龛 "的复杂微解剖区域。这些不同的龛位都参与了错综复杂的细胞相互作用,从而调节造血干细胞及其后代。在这篇综述中,我们详细介绍了三种最著名的骨髓龛位及其在造血过程中的参与。我们利用临床前数据,包括不同的和研究,讨论一组名为 "拟态蛋白 "的蛋白质如何潜在地调节造血细胞和非造血细胞,在龛位、拟态蛋白和造血调节之间建立联系。因此,我们在此深入探讨骨髓的内部功能,并讨论半合成蛋白可能对血液形成产生的总体影响。
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引用次数: 0
Targeting NKG2D/NKG2DL axis in multiple myeloma therapy 靶向 NKG2D/NKG2DL 轴治疗多发性骨髓瘤
IF 13 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-02-15 DOI: 10.1016/j.cytogfr.2024.02.001
Zhaoyun Liu , Hao Wang , Hui Liu , Kai Ding , Hongli Shen , Xianghong Zhao , Rong Fu

Immune effector cells in patients with multiple myeloma (MM) are at the forefront of many immunotherapy treatments, and several methods have been developed to fully utilise the antitumour potential of immune cells. T and NK cell-derived immune lymphocytes both expressed activating NK receptor group 2 member D(NKG2D). This receptor can identify eight distinct NKG2D ligands (NKG2DL), including major histocompatibility complex class I (MHC) chain-related protein A and B (MICA and MICB). Their binding to NKG2D triggers effector roles in T and NK cells. NKG2DL is polymorphic in MM cells. The decreased expression of NKG2DL on the cell surface is explained by multiple mechanisms of tumour immune escape. In this review, we discuss the mechanisms by which the NKG2D/NKG2DL axis regulates immune effector cells and strategies for promoting NKG2DL expression and inhibiting its release in multiple myeloma and propose therapeutic strategies that increase the expression of NKG2DL in MM cells while enhancing the activation and killing function of NK cells.

多发性骨髓瘤(MM)患者的免疫效应细胞是许多免疫疗法的前沿,目前已开发出多种方法来充分利用免疫细胞的抗肿瘤潜力。T细胞和NK细胞衍生的免疫淋巴细胞都表达活化的NK受体2组D(NKG2D)。该受体可识别八种不同的 NKG2D 配体(NKG2DL),包括主要组织相容性复合体 I 类(MHC)链相关蛋白 A 和 B(MICA 和 MICB)。它们与 NKG2D 的结合会触发 T 细胞和 NK 细胞的效应作用。NKG2DL 在 MM 细胞中呈多态性。NKG2DL在细胞表面表达的减少可以用多种肿瘤免疫逃逸机制来解释。在这篇综述中,我们讨论了NKG2D/NKG2DL轴调节免疫效应细胞的机制,以及促进NKG2DL表达和抑制其在多发性骨髓瘤中释放的策略,并提出了增加NKG2DL在MM细胞中的表达,同时增强NK细胞活化和杀伤功能的治疗策略。
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引用次数: 0
An emerging paradigm of CXCL12 involvement in the metastatic cascade CXCL12参与转移级联反应的一种新兴范式。
IF 13 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-02-01 DOI: 10.1016/j.cytogfr.2023.10.003
Dimitra P. Anastasiadou , Agathe Quesnel , Camille L. Duran , Panagiota S. Filippou , George S. Karagiannis

The chemokine CXCL12, also known as stromal cell-derived factor 1 (SDF1), has emerged as a pivotal regulator in the intricate molecular networks driving cancer progression. As an influential factor in the tumor microenvironment, CXCL12 plays a multifaceted role that spans beyond its traditional role as a chemokine inducing invasion and metastasis. Indeed, CXCL12 has been assigned functions related to epithelial-to-mesenchymal transition, cancer cell stemness, angiogenesis, and immunosuppression, all of which are currently viewed as specialized biological programs contributing to the “metastatic cascade” among other cancer hallmarks. Its interaction with its cognate receptor, CXCR4, initiates a cascade of events that not only shapes the metastatic potential of tumor cells but also defines the niches within the secondary organs that support metastatic colonization. Given the profound implications of CXCL12 in the metastatic cascade, understanding its mechanistic underpinnings is of paramount importance for the targeted elimination of rate-limiting steps in the metastatic process. This review aims to provide a comprehensive overview of the current knowledge surrounding the role of CXCL12 in cancer metastasis, especially its molecular interactions rationalizing its potential as a therapeutic target.

趋化因子CXCL12,也称为基质细胞衍生因子1(SDF1),已成为驱动癌症进展的复杂分子网络中的关键调节因子。作为肿瘤微环境中的一个影响因素,CXCL12发挥着多方面的作用,超越了其作为趋化因子诱导侵袭和转移的传统作用。事实上,CXCL12已被分配与上皮-间充质转化、癌症细胞干细胞、血管生成和免疫抑制相关的功能,所有这些目前都被视为有助于“转移级联”和其他癌症特征的专门生物学程序。它与其同源受体CXCR4的相互作用启动了一系列事件,这些事件不仅塑造了肿瘤细胞的转移潜力,还定义了辅助器官内支持转移定植的小生境。鉴于CXCL12在转移级联反应中的深刻影响,了解其机制基础对于有针对性地消除转移过程中的限速步骤至关重要。这篇综述旨在全面概述当前围绕CXCL12在癌症转移中的作用的知识,特别是其分子相互作用使其作为治疗靶点的潜力合理化。
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引用次数: 0
Bioengineering strategies to enhance the interleukin-18 bioactivity in the modern toolbox of cancer immunotherapy 在癌症免疫疗法的现代工具箱中提高白细胞介素-18生物活性的生物工程策略。
IF 13 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-02-01 DOI: 10.1016/j.cytogfr.2023.09.005
Mojtaba Taheri , Hossein Abdul Tehrani , Fatemeh Daliri , Mona Alibolandi , Masoud Soleimani , Alireza Shoari , Ehsan Arefian , Mohammad Ramezani

Cytokines are the first modern immunotherapeutic agents used for activation immunotherapy. Interleukin-18 (IL-18) has emerged as a potent anticancer immunostimulatory cytokine over the past three decades. IL-18, structurally is a stable protein with very low toxicity at biological doses. IL-18 promotes the process of antigen presentation and also enhances innate and acquired immune responses. It can induce the production of proinflammatory cytokines and increase tumor infiltration of effector immune cells to revert the immunosuppressive milieu of tumors. Furthermore, IL-18 can reduce tumorigenesis, suppress tumor angiogenesis, and induce tumor cell apoptosis. These characteristics present IL-18 as a promising option for cancer immunotherapy. Although several preclinical studies have reported the immunotherapeutic potential of IL-18, clinical trials using it as a monotherapy agent have reported disappointing results. These results may be due to some biological characteristics of IL-18. Several bioengineering approaches have been successfully used to correct its defects as a bioadjuvant. Currently, the challenge with this anticancer immunotherapeutic agent is mainly how to use its capabilities in a rational combinatorial therapy for clinical applications. The present study discussed the strengths and weaknesses of IL-18 as an immunotherapeutic agent, followed by comprehensive review of various promising bioengineering approaches that have been used to overcome its disadvantages. Finally, this study highlights the promising application of IL-18 in modern combinatorial therapies, such as chemotherapy, immune checkpoint blockade therapy, cell-based immunotherapy and cancer vaccines to guide future studies, circumventing the barriers to administration of IL-18 for clinical applications, and bring it to fruition as a potent immunotherapy agent in cancer treatment.

细胞因子是第一种用于激活免疫疗法的现代免疫治疗剂。白细胞介素-18(IL-18)在过去三十年中已成为一种有效的抗癌免疫刺激细胞因子。IL-18在结构上是一种在生物剂量下具有非常低毒性的稳定蛋白。IL-18促进抗原呈递过程,还增强先天和获得性免疫反应。它可以诱导促炎细胞因子的产生,并增加效应免疫细胞的肿瘤浸润,以恢复肿瘤的免疫抑制环境。此外,IL-18可以减少肿瘤发生,抑制肿瘤血管生成,诱导肿瘤细胞凋亡。这些特征使IL-18成为癌症免疫治疗的一种有前景的选择。尽管几项临床前研究已经报道了IL-18的免疫治疗潜力,但使用它作为单一治疗剂的临床试验报告了令人失望的结果。这些结果可能是由于IL-18的一些生物学特性。几种生物工程方法已被成功地用于纠正其作为生物佐剂的缺陷。目前,这种抗癌免疫治疗剂的挑战主要是如何将其能力用于临床应用的合理组合治疗。本研究讨论了IL-18作为一种免疫治疗剂的优势和劣势,然后全面回顾了用于克服其劣势的各种有前景的生物工程方法。最后,本研究强调了IL-18在现代组合疗法中的应用前景,如化疗、免疫检查点阻断疗法、基于细胞的免疫疗法和癌症疫苗,以指导未来的研究,规避临床应用中IL-18的给药障碍,并将其作为一种有效的免疫疗法在癌症治疗中取得成果。
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引用次数: 0
Targeting interleukin-17 in radiation-induced toxicity and cancer progression 瞄准白细胞介素-17 在辐射诱导的毒性和癌症进展中的作用
IF 13 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-02-01 DOI: 10.1016/j.cytogfr.2024.01.001
Piyush Baindara

Recent strategies to combine chemoradiation with immunotherapy to treat locally advanced lung cancer have improved five-year survival outcomes. However, collateral toxicity to healthy lungs, esophagus, cardiac, and vascular tissue continues to limit the effectiveness of curative-intent thoracic radiation (tRT). It is necessary to gain a deeper comprehension of the fundamental mechanisms underlying inflammation-mediated radiation-induced damage to normal cells. Several cells have been linked in published studies to the release of cytokines and chemokines after radiation therapy. Several inflammatory mediators, such as IL-1, IL-6, TNF-α, and TGF-β, also cause the production of Interleukin-17 (IL-17), a cytokine that is essential for maintaining immunological homeostasis and plays a role in the toxicity caused by radiation therapy. However, currently, the role of IL-17 in RT-induced toxicity in conjunction with cancer progression remains poorly understood. This review provides an overview of the most recent data from the literature implicating IL-17 in radiation-mediated tissue injuries and the efficacy of tRT in lung cancer, as well as its potential as a therapeutic target for interventions to reduce the side effects of tRT with curative intent and to boost an anti-tumor immune response to improve treatment outcomes. IL-17 may also act as a biomarker for predicting the effectiveness of a given treatment as well as the toxicity caused by tRT.

最近,化疗与免疫疗法相结合治疗局部晚期肺癌的策略改善了患者的五年生存率。然而,对健康肺部、食道、心脏和血管组织的副毒性继续限制着治疗性胸腔放疗(tRT)的效果。有必要深入了解炎症介导的辐射对正常细胞造成损伤的基本机制。在已发表的研究中,有几种细胞与放疗后细胞因子和趋化因子的释放有关。几种炎症介质,如 IL-1、IL-6、TNF-α 和 TGF-β,也会导致白细胞介素-17(IL-17)的产生,这种细胞因子对维持免疫平衡至关重要,并在放疗引起的毒性中发挥作用。然而,目前人们对 IL-17 在 RT 诱导的毒性与癌症进展中的作用仍知之甚少。本综述概述了IL-17与放射介导的组织损伤和肺癌tRT疗效有关的最新文献数据,以及IL-17作为干预治疗靶点的潜力,以减少治疗性tRT的副作用,增强抗肿瘤免疫反应,改善治疗效果。IL-17 还可以作为一种生物标志物,用于预测特定治疗方法的有效性以及 tRT 引起的毒性。
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引用次数: 0
CDK4/6 inhibition in hormone receptor-positive/HER2-negative breast cancer: Biological and clinical aspects CDK4/6在激素受体阳性/HER2阴性乳腺癌症中的抑制作用:生物学和临床方面。
IF 13 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-02-01 DOI: 10.1016/j.cytogfr.2023.10.001
Demi Wekking , Vera Piera Leoni , Matteo Lambertini , Mariele Dessì , Andrea Pretta , Andrea Cadoni , Luigi Atzori , Mario Scartozzi , Cinzia Solinas

A dysregulated cell division, one of the key hallmarks of cancer, results in uncontrolled cellular proliferation. This aberrant process, mediated by a dysregulated cell-cycle machinery and overactivation of cyclin-dependent kinase (CDK) 4 and 6, can potentially promote tumorigenesis. The clinical application of CDK 4/6 inhibitors, developed to inhibit cell-cycle progression, in the treatment regimens of breast cancer (BC) patients is expanding. Currently, three agents, ribociclib, palbociclib, and abemaciclib, are approved for treating patients with hormone receptor-positive and human epidermal growth factor receptor 2 (HER2)-negative metastatic BC. In addition, abemaciclib is FDA and EMA-approved for patients with hormone receptor-positive HER2-negative, node-positive, early BC at high risk of recurrence. Emerging data suggest potential anti-tumor effects beyond cell cycle arrest, providing novel insights into the agent’s mechanisms of action. As a result, a broader application of the CDK4/6 inhibitors in patients with cancer is achieved, contributing to enhanced optimized treatment in the adjuvant and neoadjuvant settings. Herein, the immunomodulatory activities of CDK4/6 inhibitors, their impact on the cell’s metabolic state, and the effect on the decision of the cell to undergo quiescence or senescence are discussed. Moreover, this review provides an update on clinical trial outcomes and the differences in the underlying mechanisms between the distinct CDK4/6 inhibitors.

细胞分裂失调是癌症的关键标志之一,导致细胞增殖失控。这种异常过程由失调的细胞周期机制和细胞周期蛋白依赖性激酶(CDK)4和6的过度激活介导,可能促进肿瘤发生。为抑制细胞周期进展而开发的CDK4/6抑制剂在癌症(BC)患者治疗方案中的临床应用正在扩大。目前,有三种药物,核糖ciclib、帕博昔单抗和阿贝昔单抗,被批准用于治疗激素受体阳性和人表皮生长因子受体2(HER2)阴性转移性BC的患者。此外,美国食品药品监督管理局和欧洲药品管理局批准阿匹昔单抗用于激素受体阳性HER2阴性、淋巴结阳性、早期BC复发风险高的患者。新出现的数据表明,除了细胞周期阻滞之外,还有潜在的抗肿瘤作用,为该药物的作用机制提供了新的见解。因此,CDK4/6抑制剂在癌症患者中得到了更广泛的应用,有助于在辅助和新辅助环境中加强优化治疗。本文讨论了CDK4/6抑制剂的免疫调节活性、它们对细胞代谢状态的影响以及对细胞经历静止或衰老的决定的影响。此外,这篇综述提供了临床试验结果的更新以及不同CDK4/6抑制剂之间潜在机制的差异。
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引用次数: 0
Therapeutic implications of the interplay between interferons and ER in breast cancer 干扰素与ER相互作用对乳腺癌的治疗意义
IF 13 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-02-01 DOI: 10.1016/j.cytogfr.2024.01.002
Nataša Todorović-Raković , Jonathan R. Whitfield

The involvement of interferons (IFNs) in various diseases, including breast cancer, has sparked controversy due to their diverse roles in immunity and significant impact on pathological mechanisms. In the context of breast cancer, the heightened expression of endogenous IFNs has been linked to anti-tumor activity and a favorable prognosis for patients. Within the tumor tissue and microenvironment, IFNs initiate a cascade of molecular events involving numerous factors, which can lead to either cooperative or repressive interactions. The specific functions of IFNs in breast cancer vary depending on the two major disease phenotypes: hormone dependent (or responsive) and hormone independent (or unresponsive) breast cancer. Hormone dependence is determined by the presence of estrogen receptors (ERs). The interplay between the IFN and ER signaling pathways, and the involvement of intermediate factors such as NFκB, are areas that have been somewhat under-researched, but that hold potential importance for the understanding and treatment of breast cancer. This review aims to provide a comprehensive overview of the actions of IFNs in breast cancer, particularly in relation to the different breast cancer phenotypes and the significance of comprehending the underlying mechanisms. Furthermore, the use of IFN-based therapies in cancer treatment remains a topic of debate and has not yet gained widespread acceptance. However, emerging discoveries may redirect focus towards the potential of IFN-based therapies.

干扰素(IFNs)在包括乳腺癌在内的各种疾病中的参与引发了争议,因为它们在免疫中发挥着不同的作用,并对病理机制产生重大影响。就乳腺癌而言,内源性 IFNs 的高表达与抗肿瘤活性和患者的良好预后有关。在肿瘤组织和微环境中,IFNs 引发了一连串分子事件,其中涉及众多因素,这些因素可能导致合作性或抑制性相互作用。IFNs 在乳腺癌中的具体功能因两种主要疾病表型而异:激素依赖型(或反应型)乳腺癌和激素独立型(或无反应型)乳腺癌。激素依赖性由雌激素受体(ER)的存在决定。IFN和ER信号通路之间的相互作用,以及NFκB等中间因子的参与,都是研究不足的领域,但对了解和治疗乳腺癌具有潜在的重要意义。本综述旨在全面概述 IFNs 在乳腺癌中的作用,特别是与不同乳腺癌表型有关的作用,以及了解其潜在机制的重要性。此外,在癌症治疗中使用基于 IFN 的疗法仍是一个争论不休的话题,尚未得到广泛接受。不过,新的发现可能会让人们重新关注基于 IFN 的疗法的潜力。
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引用次数: 0
Signaling crosstalk between mesenchymal stem cells and tumor cells: Implications for tumor suppression or progression 间充质干细胞与肿瘤细胞之间的信号交叉:肿瘤抑制或进展的意义
IF 13 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-02-01 DOI: 10.1016/j.cytogfr.2024.01.004
Mojtaba Taheri , Hossein Abdul Tehrani , Sadegh Dehghani , Alireza Rajabzadeh , Mona Alibolandi , Nina Zamani , Ehsan Arefian , Mohammad Ramezani

Mesenchymal stem cells (MSCs) have been extensively used in various therapeutic applications over the last two decades, particularly in regenerative medicine and cancer treatment. MSCs have the ability to differentiate into mesodermal and non-mesodermal lineages, which makes them a popular choice in tissue engineering and regenerative medicine. Studies have shown that MSCs have inherent tumor-suppressive properties and can affect the behavior of multiple cells contributing to tumor development. Additionally, MSCs possess a tumor tropism property and have a hypoimmune nature. The intrinsic features of MSCs along with their potential to undergo genetic manipulation and be loaded with various anticancer therapeutics have motivated researchers to use them in different cancer therapy approaches without considering their complex dynamic biological aspects. However, despite their desirable features, several reports have shown that MSCs possess tumor-supportive properties. These contradictory results signify the sophisticated nature of MSCs and warn against the potential therapeutic applications of MSCs. Therefore, researchers should meticulously consider the biological properties of MSCs in preclinical and clinical studies to avoid any undesirable outcomes. This manuscript reviews preclinical studies on MSCs and cancer from the last two decades, discusses how MSC properties affect tumor progression and explains the mechanisms behind tumor suppressive and supportive functions. It also highlights critical cellular pathways that could be targeted in future studies to improve the safety and effectiveness of MSC-based therapies for cancer treatment. The insights obtained from this study will pave the way for further clinical research on MSCs and development of more effective cancer treatments.

过去二十年来,间充质干细胞(MSCs)被广泛应用于各种治疗领域,尤其是再生医学和癌症治疗领域。间充质干细胞具有向中胚层和非中胚层系分化的能力,这使其成为组织工程和再生医学的热门选择。研究表明,间充质干细胞具有内在的肿瘤抑制特性,可影响多种导致肿瘤发生的细胞的行为。此外,间充质干细胞还具有肿瘤滋养特性和低免疫性。间充质干细胞的固有特性,以及其可进行遗传操作和添加各种抗癌药物的潜力,促使研究人员在不考虑其复杂的动态生物学特性的情况下,将其用于不同的癌症治疗方法。然而,尽管间充质干细胞具有令人向往的特性,但仍有一些报告显示间充质干细胞具有支持肿瘤的特性。这些相互矛盾的结果表明了间充质干细胞的复杂性,并对间充质干细胞的潜在治疗应用提出了警告。因此,研究人员应在临床前和临床研究中仔细考虑间充质干细胞的生物学特性,以避免出现任何不良结果。本手稿回顾了过去二十年间有关间充质干细胞与癌症的临床前研究,讨论了间充质干细胞的特性如何影响肿瘤的进展,并解释了间充质干细胞抑制和支持肿瘤功能背后的机制。它还强调了未来研究中可作为靶点的关键细胞通路,以提高基于间充质干细胞的癌症治疗方法的安全性和有效性。这项研究获得的见解将为进一步开展间充质干细胞临床研究和开发更有效的癌症治疗方法铺平道路。
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Cytokine & Growth Factor Reviews
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