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Targeting senescent cells to reshape the tumor microenvironment and improve anticancer efficacy 针对衰老细胞重塑肿瘤微环境,提高抗癌疗效
IF 14.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-05-27 DOI: 10.1016/j.semcancer.2024.05.002
Birong Jiang , Wei Zhang , Xuguang Zhang , Yu Sun

Cancer is daunting pathology with remarkable breadth and scope, spanning genetics, epigenetics, proteomics, metalobomics and cell biology. Cellular senescence represents a stress-induced and essentially irreversible cell fate associated with aging and various age-related diseases, including malignancies. Senescent cells are characterized of morphologic alterations and metabolic reprogramming, and develop a highly active secretome termed as the senescence-associated secretory phenotype (SASP). Since the first discovery, senescence has been understood as an important barrier to tumor progression, as its induction in pre-neoplastic cells limits carcinogenesis. Paradoxically, senescent cells arising in the tumor microenvironment (TME) contribute to tumor progression, including augmented therapeutic resistance. In this article, we define typical forms of senescent cells commonly observed within the TME and how senescent cells functionally remodel their surrounding niche, affect immune responses and promote cancer evolution. Furthermore, we highlight the recently emerging pipelines of senotherapies particularly senolytics, which can selectively deplete senescent cells from affected organs in vivo and impede tumor progression by restoring therapeutic responses and securing anticancer efficacies. Together, co-targeting cancer cells and their normal but senescent counterparts in the TME holds the potential to achieve increased therapeutic benefits and restrained disease relapse in future clinical oncology.

癌症是一种令人生畏的病理学,其研究范围广泛,涉及遗传学、表观遗传学、蛋白质组学、金属组学和细胞生物学。细胞衰老是一种压力诱导的、本质上不可逆的细胞命运,与衰老和各种年龄相关疾病(包括恶性肿瘤)有关。衰老细胞具有形态改变和新陈代谢重编程的特征,并发展出高度活跃的分泌组,称为衰老相关分泌表型(SASP)。自首次发现衰老以来,衰老一直被认为是肿瘤进展的重要障碍,因为在肿瘤前细胞中诱导衰老会限制癌变。矛盾的是,在肿瘤微环境(TME)中出现的衰老细胞会导致肿瘤进展,包括增强治疗耐药性。在本文中,我们定义了在肿瘤微环境中常见的衰老细胞的典型形式,以及衰老细胞如何在功能上重塑其周围的生态位、影响免疫反应并促进癌症进化。此外,我们还重点介绍了最近新出现的衰老疗法,尤其是衰老溶解剂,它们可以选择性地清除体内受影响器官中的衰老细胞,并通过恢复治疗反应和确保抗癌疗效来阻碍肿瘤进展。总之,在未来的临床肿瘤学研究中,以癌细胞及其正常但衰老的对应细胞为共同靶点,有望提高治疗效果并抑制疾病复发。
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引用次数: 0
p53/MDM2 signaling pathway in aging, senescence and tumorigenesis. p53/MDM2 信号通路在衰老、衰老和肿瘤发生中的作用。
IF 14.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-05-17 DOI: 10.1016/j.semcancer.2024.05.001
Youyi Huang, Xiaofang Che, Peter W Wang, Xiujuan Qu

A wealth of evidence has emerged that there is an association between aging, senescence and tumorigenesis. Senescence, a biological process by which cells cease to divide and enter a status of permanent cell cycle arrest, contributes to aging and aging-related diseases, including cancer. Aging populations have the higher incidence of cancer due to a lifetime of exposure to cancer-causing agents, reduction of repairing DNA damage, accumulated genetic mutations, and decreased immune system efficiency. Cancer patients undergoing cytotoxic therapies, such as chemotherapy and radiotherapy, accelerate aging. There is growing evidence that p53/MDM2 (murine double minute 2) axis is critically involved in regulation of aging, senescence and oncogenesis. Therefore, in this review, we describe the functions and mechanisms of p53/MDM2-mediated senescence, aging and carcinogenesis. Moreover, we highlight the small molecular inhibitors, natural compounds and PROTACs (proteolysis targeting chimeras) that target p53/MDM2 pathway to influence aging and cancer. Modification of p53/MDM2 could be a potential strategy for treatment of aging, senescence and tumorigenesis.

大量证据表明,衰老、衰老和肿瘤发生之间存在关联。衰老是细胞停止分裂并进入永久性细胞周期停滞状态的一种生物过程,是导致衰老和与衰老相关的疾病(包括癌症)的原因之一。由于终生暴露于致癌物质、DNA 损伤修复能力下降、基因突变累积以及免疫系统效率降低,老龄人口的癌症发病率较高。接受化疗和放疗等细胞毒疗法的癌症患者会加速衰老。越来越多的证据表明,p53/MDM2(鼠双分 2)轴在衰老、衰老和肿瘤发生的调控过程中起着至关重要的作用。因此,在这篇综述中,我们描述了 p53/MDM2 介导的衰老、老化和癌变的功能和机制。此外,我们还重点介绍了针对 p53/MDM2 通路影响衰老和癌症的小分子抑制剂、天然化合物和 PROTACs(蛋白水解靶向嵌合体)。改变 p53/MDM2 可能是治疗衰老、衰老和肿瘤发生的一种潜在策略。
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引用次数: 0
p53/MDM2 signaling pathway in aging, senescence and tumorigenesis p53/MDM2 信号通路在衰老、衰老和肿瘤发生中的作用
IF 14.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-05-17 DOI: 10.1016/j.semcancer.2024.05.001
Youyi Huang , Xiaofang Che , Peter W. Wang , Xiujuan Qu

A wealth of evidence has emerged that there is an association between aging, senescence and tumorigenesis. Senescence, a biological process by which cells cease to divide and enter a status of permanent cell cycle arrest, contributes to aging and aging-related diseases, including cancer. Aging populations have the higher incidence of cancer due to a lifetime of exposure to cancer-causing agents, reduction of repairing DNA damage, accumulated genetic mutations, and decreased immune system efficiency. Cancer patients undergoing cytotoxic therapies, such as chemotherapy and radiotherapy, accelerate aging. There is growing evidence that p53/MDM2 (murine double minute 2) axis is critically involved in regulation of aging, senescence and oncogenesis. Therefore, in this review, we describe the functions and mechanisms of p53/MDM2-mediated senescence, aging and carcinogenesis. Moreover, we highlight the small molecular inhibitors, natural compounds and PROTACs (proteolysis targeting chimeras) that target p53/MDM2 pathway to influence aging and cancer. Modification of p53/MDM2 could be a potential strategy for treatment of aging, senescence and tumorigenesis.

大量证据表明,衰老、衰老和肿瘤发生之间存在关联。衰老是细胞停止分裂并进入永久性细胞周期停滞状态的一种生物过程,是导致衰老和与衰老相关的疾病(包括癌症)的原因之一。由于终生暴露于致癌物质、DNA 损伤修复能力下降、基因突变累积以及免疫系统效率降低,老龄人口的癌症发病率较高。接受化疗和放疗等细胞毒疗法的癌症患者会加速衰老。越来越多的证据表明,p53/MDM2(鼠双分 2)轴在衰老、衰老和肿瘤发生的调控过程中起着至关重要的作用。因此,在这篇综述中,我们描述了 p53/MDM2 介导的衰老、老化和癌变的功能和机制。此外,我们还重点介绍了针对 p53/MDM2 通路影响衰老和癌症的小分子抑制剂、天然化合物和 PROTACs(蛋白水解靶向嵌合体)。改变 p53/MDM2 可能是治疗衰老、衰老和肿瘤发生的一种潜在策略。
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引用次数: 0
Extracellular vesicles in glioblastoma: Biomarkers and therapeutic tools 胶质母细胞瘤中的细胞外小泡:生物标记物和治疗工具。
IF 14.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-05-14 DOI: 10.1016/j.semcancer.2024.04.003
Ilaria Cela , Emily Capone , Gianluca Trevisi , Gianluca Sala

Glioblastoma (GBM) is the most aggressive tumor among the gliomas and intracranial tumors and to date prognosis for GBM patients remains poor, with a median survival typically measured in months to a few years depending on various factors. Although standardized therapies are routinely employed, it is clear that these strategies are unable to cope with heterogeneity and invasiveness of GBM. Furthermore, diagnosis and monitoring of responses to therapies are directly dependent on tissue biopsies or magnetic resonance imaging (MRI) techniques. From this point of view, liquid biopsies are arising as key sources of a variety of biomarkers with the advantage of being easily accessible and monitorable. In this context, extracellular vesicles (EVs), physiologically shed into body fluids by virtually all cells, are gaining increasing interest both as natural carriers of biomarkers and as specific signatures even for GBM. What makes these vesicles particularly attractive is they are also emerging as therapeutical vehicles to treat GBM given their native ability to cross the blood-brain barrier (BBB). Here, we reviewed recent advances on the use of EVs as biomarker for liquid biopsy and nanocarriers for targeted delivery of anticancer drugs in glioblastoma.

胶质母细胞瘤(GBM)是胶质瘤和颅内肿瘤中侵袭性最强的肿瘤,迄今为止,GBM 患者的预后仍然很差,中位生存期通常在几个月到几年之间,具体取决于各种因素。虽然常规采用标准化疗法,但这些策略显然无法应对 GBM 的异质性和侵袭性。此外,诊断和监测对疗法的反应直接依赖于组织活检或磁共振成像(MRI)技术。从这个角度来看,液体活检作为各种生物标志物的关键来源,具有易于获取和监测的优势。在这种情况下,细胞外囊泡 (EVs) 作为生物标志物的天然载体,甚至作为 GBM 的特异性标志物,越来越受到人们的关注。这些囊泡特别吸引人的地方在于,由于它们本身具有穿越血脑屏障(BBB)的能力,因此也正在成为治疗 GBM 的治疗载体。在此,我们回顾了将 EVs 作为液体活检生物标记物和纳米载体用于胶质母细胞瘤抗癌药物靶向递送的最新进展。
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引用次数: 0
Comparative analysis of the minimal information for studies of extracellular vesicles guidelines: Advancements and implications for extracellular vesicle research 细胞外囊泡研究最低限度信息指南的比较分析》:细胞外囊泡研究的进展和意义。
IF 14.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-04-23 DOI: 10.1016/j.semcancer.2024.04.002
Elisavet Maria Vaiaki, Marco Falasca

In 2014, the International Society for Extracellular Vesicles (ISEV) introduced the Minimal Information for Studies of Extracellular Vesicles (MISEV) guidelines to establish standards for extracellular vesicle (EV) research. These guidelines aimed to enhance reliability and reproducibility, addressing the expanding field of EV science. EVs, membrane-bound particles released by cells, play crucial roles in intercellular communication and are potential biomarkers for various conditions. Over the years, the EV landscape witnessed a surge in publications, emphasizing their roles in cancer and immune modulation. In response, the MISEV guidelines underwent evolution, leading to the MISEV2018 update. This version, generated through community outreach, provided a comprehensive framework for EV research methodologies, emphasizing separation, characterization, reporting standards, and community engagement. The MISEV2018 guidelines reflected responsiveness to feedback, acknowledging the evolving EV research landscape. The guidelines served as a testament to the commitment of the scientific community to rigorous standards and the collective discernment of experts. The present article compares previous MISEV guidelines with its 2023 counterpart, highlighting advancements, changes, and impacts on EV research standardization. The 2023 guidelines build upon the 2018 principles, offering new recommendations for emerging areas. This comparative exploration contributes to understanding the transformative journey in EV research, emphasizing MISEV's pivotal role and the scientific community's adaptability to challenges.

2014年,国际细胞外囊泡学会(ISEV)推出了《细胞外囊泡研究的最低限度信息》(MISEV)指南,以建立细胞外囊泡(EV)研究的标准。这些指南旨在提高可靠性和可重复性,以应对不断扩大的EV科学领域。EV是细胞释放的膜结合颗粒,在细胞间通信中发挥着重要作用,也是各种疾病的潜在生物标记物。多年来,EV 领域的论文激增,强调其在癌症和免疫调节中的作用。作为回应,MISEV 指南经历了演变,最终形成了 MISEV2018 更新版。该版本通过社区外联活动产生,为 EV 研究方法提供了一个全面的框架,强调了分离、表征、报告标准和社区参与。MISEV2018 指南反映了对反馈意见的回应,承认了电动汽车研究领域的不断发展。该指南证明了科学界对严格标准的承诺和专家的集体鉴别力。本文将以往的 MISEV 指南与 2023 年的指南进行比较,重点介绍电动汽车研究标准化的进步、变化和影响。2023 年指南以 2018 年原则为基础,针对新兴领域提出了新的建议。这种比较探索有助于理解电动汽车研究的变革历程,强调了 MISEV 的关键作用和科学界对挑战的适应能力。
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引用次数: 0
Alternative splicing in EMT and TGF-β signaling during cancer progression 癌症进展过程中 EMT 和 TGF-β 信号传递中的替代剪接
IF 14.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-04-15 DOI: 10.1016/j.semcancer.2024.04.001
Ying E. Zhang, Christina H. Stuelten

Epithelial to mesenchymal transition (EMT) is a physiological process during development where epithelial cells transform to acquire mesenchymal characteristics, which allows them to migrate and colonize secondary tissues. Many cellular signaling pathways and master transcriptional factors exert a myriad of controls to fine tune this vital process to meet various developmental and physiological needs. Adding to the complexity of this network are post-transcriptional and post-translational regulations. Among them, alternative splicing has been shown to play important roles to drive EMT-associated phenotypic changes, including actin cytoskeleton remodeling, cell-cell junction changes, cell motility and invasiveness. In advanced cancers, transforming growth factor-β (TGF-β) is a major inducer of EMT and is associated with tumor cell metastasis, cancer stem cell self-renewal, and drug resistance. This review aims to provide an overview of recent discoveries regarding alternative splicing events and the involvement of splicing factors in the EMT and TGF-β signaling. It will emphasize the importance of various splicing factors involved in EMT and explore their regulatory mechanisms.

上皮细胞向间充质细胞转化(EMT)是发育过程中的一个生理过程,在这一过程中,上皮细胞转化为间充质细胞,从而获得间充质细胞的特征,使其能够迁移并定植于次级组织。许多细胞信号通路和主转录因子对这一重要过程进行微调,以满足各种发育和生理需要。转录后和翻译后调控也增加了这一网络的复杂性。其中,替代剪接已被证明在驱动 EMT 相关表型变化(包括肌动蛋白细胞骨架重塑、细胞-细胞连接变化、细胞运动性和侵袭性)方面发挥了重要作用。在晚期癌症中,转化生长因子-β(TGF-β)是EMT的主要诱导因素,与肿瘤细胞转移、癌症干细胞自我更新和耐药性有关。本综述旨在概述有关替代剪接事件和剪接因子参与 EMT 和 TGF-β 信号转导的最新发现。它将强调参与 EMT 的各种剪接因子的重要性,并探讨其调控机制。
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引用次数: 0
Hypoxic adaptation of mitochondria and its impact on tumor cell function 线粒体的低氧适应性及其对肿瘤细胞功能的影响
IF 14.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-03-30 DOI: 10.1016/j.semcancer.2024.03.004
Martin Benej , Ioanna Papandreou , Nicholas C. Denko

Mitochondria are the major sink for oxygen in the cell, consuming it during ATP production. Therefore, when environmental oxygen levels drop in the tumor, significant adaptation is required. Mitochondrial activity is also a major producer of biosynthetic precursors and a regulator of cellular oxidative and reductive balance. Because of the complex biochemistry, mitochondrial adaptation to hypoxia occurs through multiple mechanisms and has significant impact on other cellular processes such as macromolecule synthesis and gene regulation. In tumor hypoxia, mitochondria shift their location in the cell and accelerate the fission and quality control pathways. Hypoxic mitochondria also undergo significant changes to fundamental metabolic pathways of carbon metabolism and electron transport. These metabolic changes further impact the nuclear epigenome because mitochondrial metabolites are used as enzymatic substrates for modifying chromatin. This coordinated response delivers physiological flexibility and increased tumor cell robustness during the environmental stress of low oxygen.

线粒体是细胞内氧气的主要来源,在产生 ATP 的过程中消耗氧气。因此,当肿瘤内的环境氧含量下降时,就需要做出重大调整。线粒体活动还是生物合成前体的主要生产者,也是细胞氧化和还原平衡的调节器。由于生化过程复杂,线粒体对缺氧的适应是通过多种机制进行的,并对大分子合成和基因调控等其他细胞过程产生重大影响。肿瘤缺氧时,线粒体会转移其在细胞中的位置,并加速裂变和质量控制途径。缺氧线粒体的碳代谢和电子传递等基本代谢途径也发生了重大变化。这些代谢变化会进一步影响核表观基因组,因为线粒体代谢产物被用作修改染色质的酶底物。在低氧环境压力下,这种协调反应提供了生理灵活性,并增强了肿瘤细胞的稳健性。
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引用次数: 0
Hypoxia-targeting bacteria in cancer therapy 癌症治疗中的低氧靶向细菌
IF 14.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-03-29 DOI: 10.1016/j.semcancer.2024.03.003
Verena Staedtke , Nihao Sun , Renyuan Bai

Tumor hypoxia plays a crucial role in driving cancer progression and fostering resistance to therapies by contributing significantly to chemoresistance, radioresistance, angiogenesis, invasiveness, metastasis, altered cell metabolism, and genomic instability. Despite the challenges encountered in therapeutically addressing tumor hypoxia with conventional drugs, a noteworthy alternative has emerged through the utilization of anaerobic oncolytic bacteria. These bacteria exhibit a preference for accumulating and proliferating within the hypoxic regions of tumors, where they can initiate robust antitumor effects and immune responses. Through simple genetic manipulation or sophisticated synthetic bioengineering, these bacteria can be further optimized to improve safety and antitumor activities, or they can be combined synergistically with chemotherapies, radiation, or other immunotherapies. In this review, we explore the potential benefits and challenges associated with this innovative anticancer approach, addressing issues related to clinical translation, particularly as several strains have progressed to clinical evaluation.

肿瘤缺氧对化疗抗药性、放射抗药性、血管生成、侵袭性、转移、细胞新陈代谢改变和基因组不稳定性有重要影响,因此在推动癌症进展和增强治疗抗药性方面起着至关重要的作用。尽管传统药物在治疗肿瘤缺氧方面遇到了挑战,但通过利用厌氧溶瘤菌,出现了一种值得注意的替代方法。这些细菌喜欢在肿瘤缺氧区域聚集和增殖,从而产生强大的抗肿瘤作用和免疫反应。通过简单的基因操作或复杂的合成生物工程,这些细菌可以进一步优化,以提高安全性和抗肿瘤活性,也可以与化疗、放疗或其他免疫疗法协同作用。在这篇综述中,我们将探讨这种创新抗癌方法的潜在益处和挑战,并讨论与临床转化相关的问题,特别是一些菌株已进入临床评估阶段。
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引用次数: 0
Exploiting transcription factors to target EMT and cancer stem cells for tumor modulation and therapy 利用转录因子靶向 EMT 和癌症干细胞进行肿瘤调节和治疗。
IF 14.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-03-19 DOI: 10.1016/j.semcancer.2024.03.002
Abdul Q. Khan , Adria Hasan , Snober S. Mir , Khalid Rashid , Shahab Uddin , Martin Steinhoff

Transcription factors (TFs) are essential in controlling gene regulatory networks that determine cellular fate during embryogenesis and tumor development. TFs are the major players in promoting cancer stemness by regulating the function of cancer stem cells (CSCs). Understanding how TFs interact with their downstream targets for determining cell fate during embryogenesis and tumor development is a critical area of research. CSCs are increasingly recognized for their significance in tumorigenesis and patient prognosis, as they play a significant role in cancer initiation, progression, metastasis, and treatment resistance. However, traditional therapies have limited effectiveness in eliminating this subset of cells, allowing CSCs to persist and potentially form secondary tumors. Recent studies have revealed that cancer cells and tumors with CSC-like features also exhibit genes related to the epithelial-to-mesenchymal transition (EMT). EMT-associated transcription factors (EMT-TFs) like TWIST and Snail/Slug can upregulate EMT-related genes and reprogram cancer cells into a stem-like phenotype. Importantly, the regulation of EMT-TFs, particularly through post-translational modifications (PTMs), plays a significant role in cancer metastasis and the acquisition of stem cell-like features. PTMs, including phosphorylation, ubiquitination, and SUMOylation, can alter the stability, localization, and activity of EMT-TFs, thereby modulating their ability to drive EMT and stemness properties in cancer cells. Although targeting EMT-TFs holds potential in tackling CSCs, current pharmacological approaches to do so directly are unavailable. Therefore, this review aims to explore the role of EMT- and CSC-TFs, their connection and impact in cellular development and cancer, emphasizing the potential of TF networks as targets for therapeutic intervention.

转录因子(TFs)是控制基因调控网络的关键,而基因调控网络决定着胚胎发生和肿瘤发展过程中的细胞命运。转录因子通过调节癌症干细胞(CSCs)的功能,是促进癌症干性的主要角色。了解TF如何与其下游靶标相互作用,从而在胚胎发生和肿瘤发生过程中决定细胞命运,是一个至关重要的研究领域。癌症干细胞在肿瘤发生和患者预后方面的重要性日益得到认可,因为它们在癌症的发生、发展、转移和耐药性方面发挥着重要作用。然而,传统疗法在消除这一细胞亚群方面效果有限,使得癌细胞间充质干细胞得以持续存在,并有可能形成继发性肿瘤。最近的研究发现,具有类似 CSC 特征的癌细胞和肿瘤也表现出与上皮细胞向间质转化(EMT)相关的基因。EMT相关转录因子(EMT-TFs),如TWIST和Snail/Slug,可上调EMT相关基因,将癌细胞重编程为干细胞样表型。重要的是,EMT-TFs的调控,特别是通过翻译后修饰(PTMs)进行的调控,在癌症转移和获得干细胞样特征方面发挥着重要作用。包括磷酸化、泛素化和SUMOylation在内的PTM可改变EMT-TFs的稳定性、定位和活性,从而调节它们在癌细胞中驱动EMT和干细胞特性的能力。虽然靶向 EMT-TFs 有可能解决干细胞问题,但目前还没有直接解决这一问题的药理学方法。因此,本综述旨在探讨 EMT-TFs 和 CSC-TFs 的作用、它们在细胞发育和癌症中的联系和影响,强调 TF 网络作为治疗干预靶点的潜力。
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引用次数: 0
GLUT and HK: Two primary and essential key players in tumor glycolysis GLUT 和 HK:肿瘤糖酵解过程中两个重要的关键角色。
IF 14.5 1区 医学 Q1 ONCOLOGY Pub Date : 2024-03-15 DOI: 10.1016/j.semcancer.2024.03.001
Dhiraj Yadav , Anubha Yadav , Sujata Bhattacharya , Akansha Dagar , Vinit Kumar , Reshma Rani

Cancer cells reprogram their metabolism to become "glycolysis-dominant," which enables them to meet their energy and macromolecule needs and enhancing their rate of survival. This glycolytic-dominancy is known as the “Warburg effect”, a significant factor in the growth and invasion of malignant tumors. Many studies confirmed that members of the GLUT family, specifically HK-II from the HK family play a pivotal role in the Warburg effect, and are closely associated with glucose transportation followed by glucose metabolism in cancer cells. Overexpression of GLUTs and HK-II correlates with aggressive tumor behaviour and tumor microenvironment making them attractive therapeutic targets. Several studies have proven that the regulation of GLUTs and HK-II expression improves the treatment outcome for various tumors. Therefore, small molecule inhibitors targeting GLUT and HK-II show promise in sensitizing cancer cells to treatment, either alone or in combination with existing therapies including chemotherapy, radiotherapy, immunotherapy, and photodynamic therapy. Despite existing therapies, viable methods to target the glycolysis of cancer cells are currently lacking to increase the effectiveness of cancer treatment. This review explores the current understanding of GLUT and HK-II in cancer metabolism, recent inhibitor developments, and strategies for future drug development, offering insights into improving cancer treatment efficacy.

癌细胞将其新陈代谢重新编程为 "糖酵解主导",这使它们能够满足其能量和大分子需求,并提高其存活率。这种糖酵解优势被称为 "沃伯格效应",是恶性肿瘤生长和侵袭的一个重要因素。许多研究证实,GLUT 家族成员,特别是 HK 家族中的 HK-II 在沃伯格效应中起着关键作用,与癌细胞中的葡萄糖运输和葡萄糖代谢密切相关。GLUTs 和 HK-II 的过表达与侵袭性肿瘤行为和肿瘤微环境相关,因此成为有吸引力的治疗靶点。多项研究证明,调节 GLUTs 和 HK-II 的表达可改善各种肿瘤的治疗效果。因此,靶向 GLUT 和 HK-II 的小分子抑制剂有望使癌细胞对治疗敏感,既可以单独使用,也可以与化疗、放疗、免疫疗法和光动力疗法等现有疗法联合使用。尽管存在现有的疗法,但目前还缺乏针对癌细胞糖酵解的可行方法来提高癌症治疗的有效性。这篇综述探讨了目前对 GLUT 和 HK-II 在癌症代谢中的作用、最近的抑制剂开发以及未来的药物开发策略的理解,为提高癌症治疗效果提供了见解。
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