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Review Article: Involvement of the Gut Microbiome and Probiotic Interventions in Pediatric Acute Lymphoblastic Leukemia. 综述文章:肠道微生物组和益生菌干预在儿童急性淋巴细胞白血病中的作用。
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 DOI: 10.1615/CritRevOncog.2025058176
Inesa Navasardyan

Acute lymphoblastic leukemia (ALL) is a common pediatric cancer marked by uncontrolled proliferation of lymphoblasts, primarily affecting children aged two to five years. While treatment success rates have reached 90% in children, challenges such as therapy toxicity and relapse persist. The gut microbiome, known to impact immune function, is often disrupted in ALL patients, potentially worsening with treatments like chemotherapy and antibiotics. Research suggests probiotics may help restore microbial balance and mitigate side effects, with certain strains showing promise in reducing gastrointestinal symptoms; however, their use requires caution in immunocompromised patients due to infection risks. Probiotics could improve treatment outcomes in ALL, but further research is needed to establish safe, standardized protocols for use in this sensitive population.

急性淋巴细胞白血病(ALL)是一种常见的儿童癌症,其特征是淋巴细胞不受控制的增殖,主要影响2至5岁的儿童。虽然儿童的治疗成功率已达到90%,但治疗毒性和复发等挑战仍然存在。众所周知,影响免疫功能的肠道微生物群在ALL患者中经常被破坏,在化疗和抗生素等治疗中可能会恶化。研究表明,益生菌可能有助于恢复微生物平衡,减轻副作用,某些菌株有望减轻胃肠道症状;然而,由于感染风险,免疫功能低下的患者需要谨慎使用。益生菌可以改善急性淋巴细胞白血病的治疗效果,但需要进一步的研究来建立安全、标准化的方案,用于这一敏感人群。
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引用次数: 0
Research Article: FKBP4-HSP90 Interaction in Colorectal Cancer: A Novel Therapeutic Target. 研究文章:FKBP4-HSP90在结直肠癌中的相互作用:一个新的治疗靶点。
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 DOI: 10.1615/CritRevOncog.2025059228
Yuvasri Golivi, Santosh Kumar Behera, Sujatha Peela, Afroz Alam

Key molecular pathways involved in colorectal cancer (CRC) progression include the activation of the heat shock protein 90 (HSP90) pathway, PI3K/AKT, TP53, and mismatch repair (MMR) pathways. In the current study, we identified that FKBP4 is overexpressed at the transcript and translational levels in CRC patient samples, suggesting it may be a predictive biomarker for diagnosis. Our STRING network data analysis identified a strong association (string score: 0.999) between FKBP4 and HSP90. HSP90 is involved in stability, transportation, and protein folding. TCGA CRC patient samples data revealed a strong positive correlation between FKBP4 and HSP90. Furthermore, molecular docking, dynamics simulations, and hydrogen bond analysis confirmed a strong interaction between FKBP4 and HSP90, suggesting its importance in CRC cell survival and progression. These findings highlight that disrupting the FKBP4-HSP90 complex could be a promising therapeutic approach for CRC.

参与结直肠癌(CRC)进展的关键分子途径包括热休克蛋白90 (HSP90)途径、PI3K/AKT、TP53和错配修复(MMR)途径的激活。在目前的研究中,我们发现FKBP4在CRC患者样本的转录和翻译水平上过表达,这表明它可能是诊断的预测性生物标志物。我们的STRING网络数据分析发现FKBP4和HSP90之间有很强的相关性(STRING得分:0.999)。HSP90参与稳定性、运输和蛋白质折叠。TCGA结直肠癌患者样本数据显示FKBP4与HSP90呈正相关。此外,分子对接、动力学模拟和氢键分析证实了FKBP4和HSP90之间的强相互作用,提示其在结直肠癌细胞存活和进展中的重要性。这些发现强调,破坏FKBP4-HSP90复合体可能是一种有希望的治疗结直肠癌的方法。
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引用次数: 0
Molecular Docking: An Emerging Tool for Target-Based Cancer Therapy. 分子对接:靶向肿瘤治疗的新兴工具。
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 DOI: 10.1615/CritRevOncog.2024056533
Pavithra Uppathi, Suraj Rajakumari, Kallimakula Venkareddy Saritha

Molecular docking is a structure-based computational technique that plays a major role in drug discovery. Molecular docking enhances the efficacy of determining the metabolic interaction between two molecules, i.e., the small molecule (ligand) and the target molecule (protein), to find the best orientation of a ligand to its target molecule with minimal free energy in forming a stable complex. By stimulating drug-target interactions, docking helps identify small molecules that might inhibit cancer-promoting proteins, aiding in the development of novel targeted therapies. Molecular docking enables researchers to screen vast reorganization, identifying potential anti-cancer drugs with enhanced specificity and reduced toxicity. The growing importance of molecular docking underscores its potential to revolutionize cancer treatment by accelerating the identification of novel drugs and improving clinical outcomes. As a wide approach, this computational drug design technique can be considered more effective and timesaving than other cancer treatment methods. In this review, we showcase brief information on the role of molecular docking and its importance in cancer research for drug discovery and target identification. Therefore, in recent years, it can be concluded that molecular docking can be scrutinized as one of the novel strategies at the leading edge of cancer-targeting drug discovery.

分子对接是一种基于结构的计算技术,在药物发现中起着重要作用。分子对接提高了确定小分子(配体)和靶分子(蛋白质)两分子之间代谢相互作用的效率,以最小的自由能找到配体与靶分子的最佳取向,形成稳定的配合物。通过刺激药物靶标相互作用,对接有助于识别可能抑制促癌蛋白的小分子,有助于开发新的靶向治疗方法。分子对接使研究人员能够筛选大量重组,识别具有增强特异性和降低毒性的潜在抗癌药物。分子对接日益增长的重要性强调了它通过加速新药的鉴定和改善临床结果来彻底改变癌症治疗的潜力。作为一种广泛的方法,这种计算药物设计技术可以被认为比其他癌症治疗方法更有效和节省时间。在本文中,我们简要介绍了分子对接在癌症研究中的作用及其在药物发现和靶点鉴定中的重要性。因此,近年来,分子对接可以被视为癌症靶向药物发现的前沿新策略之一。
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引用次数: 0
Molecular Dynamics of Adenomatous Polyposis Coli (APC) Protein and Its Inhibitors: A Special Insight to Colorectal Cancer. 大肠腺瘤性息肉病(APC)蛋白及其抑制剂的分子动力学:结直肠癌的特殊见解。
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 DOI: 10.1615/CritRevOncog.v30.i1.110
Rina Kumari, Dilip Ghava, Rajeshwari Rathod, Amrita Kumari Panda, Sunil Kumar, Santosh Kumar Behera

Colorectal cancer (CRC) initiates in colon or rectum is named as colon or rectal cancer, based on the site of inception. Various genetic alterations responsible for CRC include several signaling pathways. The Wingless/Wnt signaling pathway is the vital pathway which involved in the cancer pathogenesis. The hallmark of human CRC is adenomatous polyposis coli (APC), a negative regulator of the Wnt pathway. Mutations in the APC gene is a critical event in the development of human CRC which may lead to overexpression and stabilization of β-catenin that enters into the nucleus and helps in cancer cell proliferation. Significant obstacles to the therapeutic intervention of the Wnt signaling system still exist, despite promising approaches for the development of anti-cancer medicines targeting this route. The advent of computational techniques for cancer diagnosis, prognosis, and drug development has spurred the researchers to explore CRC at an early stage. This report had unzipped the importance of APC in Wnt signaling pathway associated with current advances and challenges in drug discovery for CRC. A combinatorial computational approach identified the potential anti-cancerous drug among XL888, 5-bromouracil, 5-fluorouracil, and Ganetespib against APC which is often treated as gatekeeper of CRC. This in silico investigation revealed Ganetespib as a potential anti-cancerous drug against APC for CRC therapeutics, which will be an alternative to chemotherapy. In vitro and in vivo studies are needed further to confirm the efficiency and evaluate potency of Ganetespib against the target.

结直肠癌(Colorectal cancer, CRC)起源于结肠或直肠,根据其发病部位命名为结肠或直肠癌。导致结直肠癌的各种基因改变包括几种信号通路。无翼/Wnt信号通路是参与肿瘤发生的重要信号通路。人类结直肠癌的标志是大肠腺瘤性息肉病(APC),它是Wnt通路的负调节因子。APC基因的突变是人类结直肠癌发展过程中的一个关键事件,它可能导致β-catenin的过表达和稳定,而β-catenin进入细胞核,帮助癌细胞增殖。尽管针对Wnt信号系统的抗癌药物的开发有希望,但对Wnt信号系统的治疗干预仍然存在重大障碍。用于癌症诊断、预后和药物开发的计算技术的出现促使研究人员在早期阶段探索结直肠癌。本文综述了APC在Wnt信号通路中的重要性,以及目前CRC药物研发的进展和挑战。通过组合计算方法确定XL888、5-溴脲嘧啶、5-氟尿嘧啶和Ganetespib对APC的潜在抗癌药物,APC通常被视为结直肠癌的看门人。这项计算机研究显示,Ganetespib作为一种潜在的抗癌药物,可用于结直肠癌的APC治疗,将成为化疗的替代方案。需要进一步的体外和体内研究来证实Ganetespib对靶点的有效性和效力。
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引用次数: 0
Targeting Breast Adenocarcinoma with Grangea maderaspatana Natural Compounds: A Molecular Docking and Pharmacokinetic Study. 黄芪天然化合物靶向乳腺腺癌:分子对接及药代动力学研究。
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 DOI: 10.1615/CritRevOncog.2024056639
Suraj Rajakumari, Pavithra Uppathi, Kallimakula Venkareddy Saritha

Millions of women worldwide have breast cancer, a common and possibly fatal illness according to WHO Reports. A genetic mutation usually causes breast adenocarcinomas. Only 5-10% of cancers are induced by genetic mutations that develop with age, and the "wear and tear" of general life causes 85-90% of breast cancers. There are not many FDA-approved treatments available on the market right now, but those that have extreme toxicity and side effects restrict their use. Consequently, it is essential to use alternative medications to prevent breast cancer. The Grangea maderaspatana plant has a variety of natural chemicals that have been selected for their therapeutic characteristics. These properties include cytotoxicity, antispasmodic, anti-inflammatory, sedative, anti-flatulent, antipyretic, antidiarrheal, antioxidant, estrogenicity, and anti-implantation activity. The whole plant has been used in folk medicine since the classical era to treat an assortment of illnesses. However, using molecular docking, we evaluated the interactions between the natural substances of Grangea maderaspatana and the breast adenocarcinoma receptor (PDB-1M17). Two reference medications, anastrozole and tamoxifen, are utilized to investigate drug similarity and comparability. The compound - (-) Frullanolide has showed aromatase inhibitor (estrogen blocker) efficacy as tamoxifen and anastrozole, which is utilized in the treatment of breast cancer. Given their favorable pharmacokinetics (ADMET) characteristics, the majority of these substances show promise as therapeutic candidates for breast adenocarcinoma. The findings from this research could aid in the development of new and efficient treatment options for breast cancer, potentially improving patient outcomes and standards of living.

根据世界卫生组织的报告,全世界有数百万妇女患有乳腺癌,这是一种常见且可能致命的疾病。基因突变通常会导致乳腺腺癌。只有5-10%的癌症是由随着年龄增长而发生的基因突变引起的,而85-90%的乳腺癌是由日常生活的“磨损”引起的。目前市场上获得fda批准的治疗方法并不多,但那些具有极端毒性和副作用的治疗方法限制了它们的使用。因此,必须使用替代药物来预防乳腺癌。Grangea maderaspatana植物具有多种天然化学物质,这些化学物质因其治疗特性而被选中。这些特性包括细胞毒性、抗痉挛、抗炎、镇静、抗胀气、解热、止泻、抗氧化、雌性激素和抗着床活性。自古典时代以来,整个植物一直被用于民间医学,以治疗各种疾病。然而,通过分子对接,我们评估了Grangea maderaspatana天然物质与乳腺腺癌受体(PDB-1M17)之间的相互作用。两种参考药物阿那曲唑和他莫昔芬被用来调查药物的相似性和可比性。化合物- (-)frulanolide已显示出与他莫昔芬和阿那曲唑一样的芳香酶抑制剂(雌激素阻滞剂)功效,用于治疗乳腺癌。鉴于其良好的药代动力学(ADMET)特性,这些物质中的大多数显示出有望作为乳腺腺癌的治疗候选者。这项研究的发现可能有助于开发新的、有效的乳腺癌治疗方案,有可能改善患者的治疗效果和生活水平。
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引用次数: 0
Research Article: Immunogenic Cell Death-Related Gene Expression Signatures in Breast Cancer Subtypes: A TCGA- and GEO-Based Analysis with Potential Therapeutic Implications. 研究文章:乳腺癌亚型中免疫原性细胞死亡相关基因表达特征:基于TCGA和geo的潜在治疗意义分析。
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 DOI: 10.1615/CritRevOncog.2025059938
Faustine Marius, Rama Rao Malla

Immunogenic cell death (ICD) is a regulated form of cell death that elicits an adaptive immune response, recognized as a promising strategy in cancer immunotherapy. Its therapeutic efficacy, however, can be influenced by tumor-intrinsic factors, particularly in heterogeneous diseases like breast cancer (BC). This study investigated the ICD-related gene expression signature in BC using the Gene Expression Omnibus (GEO) and The Cancer Genome Atlas (TCGA) cohorts. Analysis revealed significantly elevated expression of HSP90AA1, CXCR3, MYD88, FOXP3, PDIA3, XBP1, and IFNB1, and reduced expression of P2RX7 in BC tissues compared with normal tissues. Furthermore, the expression of these genes varied significantly across distinct BC subtypes, patient ages, and tumor stages. Concurrently, an investigation into the UPR pathway, known to intersect with ICD, highlighted Binding immunoglobulin Protein (BiP/GRP78/HSPA5) as a molecule of interest. To explore potential modulators of this pathway, in silico docking studies were performed, which predicted favorable binding interactions of quercetin and taxifolin with BiP. These findings suggest that characterizing the expression patterns of these ICD-related genes and UPR components could inform the development of personalized immunotherapeutic strategies for BC, tailored to specific tumor subtypes, stages, and patient demographics. Further exploration of BiP's role and its potential for therapeutic manipulation may offer novel avenues to enhance anti-tumor immunity.

免疫原性细胞死亡(ICD)是一种受调控的细胞死亡形式,引起适应性免疫反应,被认为是癌症免疫治疗中很有前途的策略。然而,其治疗效果可能受到肿瘤内在因素的影响,特别是在异质性疾病如乳腺癌(BC)中。本研究利用gene expression Omnibus (GEO)和Cancer Genome Atlas (TCGA)队列研究了BC中icd相关基因的表达特征。分析显示,与正常组织相比,HSP90AA1、CXCR3、MYD88、FOXP3、PDIA3、XBP1和IFNB1的表达显著升高,P2RX7的表达降低。此外,这些基因的表达在不同的BC亚型、患者年龄和肿瘤分期中存在显著差异。同时,对已知与ICD交叉的UPR通路的研究突出了结合免疫球蛋白蛋白(BiP/GRP78/HSPA5)作为感兴趣的分子。为了探索这一途径的潜在调节剂,进行了硅对接研究,预测了槲皮素和taxifolin与BiP的有利结合相互作用。这些发现表明,表征这些icd相关基因和UPR成分的表达模式,可以为针对特定肿瘤亚型、分期和患者人口统计学量身定制的BC个性化免疫治疗策略的发展提供信息。进一步探索BiP的作用及其治疗操作的潜力可能为增强抗肿瘤免疫提供新的途径。
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引用次数: 0
In Silico Analysis of Anti-Cancer Activity of Exopolysaccharide Isolated from Novel Pseudolagarobasidium acaciicola through Mass Production, Gel Permeation Separation, and Compositional Analysis. 通过大规模生产、凝胶渗透分离和成分分析对新型金针菇外多糖抗癌活性的硅晶分析。
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 DOI: 10.1615/CritRevOncog.2024056496
Smita Behera, Nibha Gupta

Bacteria, fungi, and algae are examples of microorganisms that synthesize polysaccharides, which are macromolecules that belong to the carbohydrate class. Production of polysaccharides represents an alternative to chemical and plant-derived compounds that could be used for human well-being which requires implementation of different methods standardized during the extraction and purification process. In the current investigation, Pseudolagarobasidium acaciicola, a novel fungal source of exopolysaccharide (EPS) was used which produced 2773.23 ± 100.39 mg/L when cultured under pre-optimized composed medium for 7 days under submerged culture conditions. Biochemical estimation of crude polysaccharides revealed the presence of carbohydrates, protein, reducing sugar, least phenolics and no flavonoids. Partially purified EPS (ppEPS) was subjected to monosaccharide analysis, molecular weight determination and structural confirmation using FTIR and LCMS analysis. The presence of maltose, fructose, xylose, galactose, glucose, raffinose and sorbose was evident in the ppEPS using HPTLC at 285 nm, with molecular weight of dextran 70 (tentative). Characterization revealed the presence of functional groups including -OH, -COO, C-O-C and C-O with compounds like cellulose, phosphate and 3'-Sialyl-N-acetyllactosamine with glycan as the main structural form. Hence, our hypothesis is: the fungal strain may be used as a novel source of glycan and explore more possibilities for enhanced recovery of EPS important for further drug discovery and formulation programs. Based on existing research on the anti-cancerous characteristics of β-Glycans, an in silico study was carried out, which suggested that β-Glycans may operate more potent against its receptor CLEC7A than the oral chemotherapy drug imatinib.

细菌、真菌和藻类是合成多糖的微生物的例子,多糖是属于碳水化合物类的大分子。多糖的生产是化学和植物衍生化合物的一种替代品,可用于人类福祉,这需要在提取和纯化过程中实施不同的标准化方法。本实验以一种新型的胞外多糖(EPS)真菌为研究对象,在预先优化的组合培养基中培养7 d,产生2773.23±100.39 mg/L。对粗多糖进行生化分析,发现多糖中含有碳水化合物、蛋白质、还原糖,酚类物质最少,不含黄酮类化合物。部分纯化的EPS (pepps)进行单糖分析、分子量测定和FTIR和LCMS结构鉴定。在285 nm的HPTLC下发现了麦芽糖、果糖、木糖、半乳糖、葡萄糖、棉子糖和山梨糖的存在,分子量为葡聚糖70(推测)。表征表明,以聚糖为主要结构形式的纤维素、磷酸盐和3′-唾液酰- n -乙酰乳胺等化合物存在-OH、-COO、C-O- c和C-O等官能团。因此,我们的假设是:该真菌菌株可能作为一种新的聚糖来源,并探索更多的可能性,以提高EPS的回收率,这对进一步的药物发现和配方计划很重要。基于已有的对β-聚糖抗癌特性的研究,我们进行了一项硅片研究,结果表明β-聚糖对其受体CLEC7A的作用可能比口服化疗药物伊马替尼更有效。
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引用次数: 0
Coralyne Targets the Catalytic Domain of MMP9: An In Silico and In Vitro Investigation. Coralyne靶向MMP9的催化结构域:一个硅和体外研究。
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 DOI: 10.1615/CritRevOncog.2024056393
Rahul Kumar Vempati, Rama Rao Malla

Coralyne (COR) is a protoberberine-like isoquinoline alkaloid, and it is known for double-stranded (ds) DNA intercalation and topoisomerase inhibition. It can also sensitize cancer cells through various mechanisms. COR reduces the proliferation and migration of breast cancer cells by inhibiting the expression and activity of matrix metalloproteinase 9 (MMP9). However, the mechanism involved in the inhibitory activity of COR on MMP9 is not known. In the present study, in silico docking studies showed that COR binds to the active site of MMP9 catalytic domain (MMP9-CD) with considerable affinity. The binding affinity of COR to the MMP9-CD, estimated by three different web servers: CB Dock, Seam Dock, and PyRx, was found to be either -7.4 or -7.5 kcal/mol. Another web server that is routinely used for docking studies, Docking Server, has predicted a binding affinity of -5.9 kcal/mol. All four docking servers predicted the same binding site for COR within the MMP9-CD. Corroborating our docking results, molecular dynamic simulation studies have also shown that COR interacts with the same key active site amino acid residues of the MMP9-CD that are essential for its proteolytic function. Molecular mechanics with generalized born and surface area (MMGBSA) calculations using Schrodinger's prime module have shown that the binding free energy with which COR binds to MMP9 is -50 kcal/mol. It inhibited activity of recombinant human MMP9 activity and induced significant cytotoxicity and reduced the proliferation of MDA-MB 468 cells. Overall, our in silico and in vitro experiments show that COR potentially inhibits the activity of MMP9 by directly binding to the active site of its catalytic domain and possibly inhibits proliferation of MDA-MB 468 cells.

Coralyne (COR)是一种类似于原小檗碱的异喹啉类生物碱,具有嵌入双链DNA和抑制拓扑异构酶的功能。它还可以通过各种机制使癌细胞敏感。COR通过抑制基质金属蛋白酶9 (matrix metalloproteinase 9, MMP9)的表达和活性,减少乳腺癌细胞的增殖和迁移。然而,COR对MMP9的抑制作用机制尚不清楚。在本研究中,硅对接研究表明,COR以相当的亲和力结合到MMP9催化结构域的活性位点(MMP9- cd)。通过三个不同的web服务器:CB Dock、Seam Dock和PyRx估计,COR与MMP9-CD的结合亲和力为-7.4或-7.5 kcal/mol。另一个经常用于对接研究的web服务器,对接服务器,已经预测了-5.9 kcal/mol的结合亲和力。所有四个对接服务器都预测了MMP9-CD中COR的相同结合位点。分子动力学模拟研究也证实了我们的对接结果,表明COR与MMP9-CD的相同关键活性位点氨基酸残基相互作用,这些氨基酸残基对其蛋白水解功能至关重要。利用薛定谔素数模进行广义出生和表面积(MMGBSA)计算的分子力学结果表明,COR与MMP9的结合自由能为-50 kcal/mol。抑制重组人MMP9活性,诱导显著的细胞毒性,降低MDA-MB 468细胞的增殖。总之,我们的硅和体外实验表明,COR可能通过直接结合MMP9催化结构域的活性位点抑制MMP9的活性,并可能抑制MDA-MB 468细胞的增殖。
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引用次数: 0
Review Article: Efficacy and Safety of JNK Inhibitors in Cancer Therapy. 综述文章:JNK抑制剂在癌症治疗中的有效性和安全性。
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 DOI: 10.1615/CritRevOncog.2025060497
Lakkakula Suhasini Sahithi, Poojith Nuthalapati, Mohammed Faiz Hussain, Sirpu Natesh Nagabhishek, Bibi Umeza, Roopa D Santoshi, Khan A K Afzal, Mohan Krishna Ghanta

The c-Jun N-terminal protein kinases (JNKs) are members of the mitogen-activated protein kinase (MAPK) family. JNK1, JNK2, and JNK3 are three isoforms encoded by distinct genes. JNK signaling controls a variety of biological functions, such as cell proliferation, survival, apoptosis, and differentiation. Additionally, it controls the death and survival of cancer cells. Many studies show that JNK-driven tumorigenesis plays a major role in various cancers. Because JNKs are potential targets for cancer therapy since they are activated aberrantly in many cancers, the development of efficient and specific JNK inhibitors is the current focus in cancer therapeutics. This review provides insights into the development of new JNK inhibitors for the treatment of cancer and enhances understanding of JNK's involvement in cancer progression.

c-Jun n端蛋白激酶(JNKs)是丝裂原活化蛋白激酶(MAPK)家族的成员。JNK1、JNK2和JNK3是由不同基因编码的三种亚型。JNK信号控制多种生物学功能,如细胞增殖、存活、凋亡和分化。此外,它还控制着癌细胞的死亡和存活。许多研究表明,jnk驱动的肿瘤发生在多种癌症中起着重要作用。由于JNK在许多癌症中被异常激活,因此它们是癌症治疗的潜在靶点,因此开发高效且特异性的JNK抑制剂是当前癌症治疗的重点。这篇综述为开发新的JNK抑制剂治疗癌症提供了见解,并增强了对JNK参与癌症进展的理解。
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引用次数: 0
Review Article: Fecal Microbiota Transplantation in Melanoma: Mechanisms-Mediated Enhancement of Anti-Tumor Immunotherapy. 综述文章:黑素瘤的粪便微生物群移植:机制介导的抗肿瘤免疫治疗增强。
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 DOI: 10.1615/CritRevOncog.2025058249
William Ung, Benjamin Bonavida

The gut microbiota is integral to human health, influencing nutrition, metabolism, and immunity. Dysbiosis has been implicated in cancer development and resistance to therapies, highlighting the potential of microbiota modulation as a therapeutic strategy. Melanoma, while comprising only 1% of skin cancer diagnoses, accounts for over 80% of skin cancer related deaths, emphasizing the need for innovative approaches to enhance treatment efficacy. Although immune checkpoint inhibitors (ICIs) such as anti-programmed cell death protein (PD-1) and cytotoxic T-lymphocyte associated protein 4 (CTLA-4) blockade therapies have significantly improved survival for some melanoma patients, the majority fails to achieve durable responses and often develops long-term resistance to these treatments. Fecal microbiota transplantation (FMT) is emerging as a promising intervention to restore microbial balance and enhance treatment efficacy. This review explores the historical evolution and current applications of FMT in oncology, with a focus on its ability to modulate the gut microbiome, augment antitumor immunity, and overcome resistance to checkpoint blockade therapy in melanoma. Despite its promise, significant challenges remain, including ensuring the safety of the procedure, selecting suitable donors, and addressing regulatory hurdles. Future research aimed at optimizing FMT protocols, identifying key microbial strains, and understanding the mechanisms underlying microbiota-immune interactions will be essential to fully harness the potential of FMT as a transformative adjunct in cancer treatment.

肠道菌群是人体健康不可或缺的一部分,影响着营养、新陈代谢和免疫力。生态失调与癌症的发展和对治疗的耐药性有关,这突出了微生物群调节作为一种治疗策略的潜力。黑色素瘤虽然仅占皮肤癌诊断的1%,但却占皮肤癌相关死亡的80%以上,这强调需要采用创新方法来提高治疗效果。尽管免疫检查点抑制剂(ICIs)如抗程序性细胞死亡蛋白(PD-1)和细胞毒性t淋巴细胞相关蛋白4 (CTLA-4)阻断疗法显著提高了一些黑色素瘤患者的生存率,但大多数患者未能获得持久的反应,并且经常对这些治疗产生长期耐药性。粪便微生物群移植(FMT)是一种恢复微生物平衡和提高治疗效果的有前途的干预措施。本综述探讨了FMT在肿瘤学中的历史演变和当前应用,重点关注其调节肠道微生物群、增强抗肿瘤免疫和克服对黑色素瘤检查点阻断治疗的耐药性的能力。尽管有希望,但仍然存在重大挑战,包括确保程序的安全性,选择合适的供体以及解决监管障碍。未来的研究旨在优化FMT方案,确定关键的微生物菌株,并了解微生物-免疫相互作用的机制,这对于充分利用FMT作为癌症治疗的变革性辅助手段的潜力至关重要。
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引用次数: 0
期刊
Critical Reviews in Oncogenesis
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