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The Multifaceted Role of Regulatory T Cells in Breast Cancer. 调节性T细胞在乳腺癌中的多重作用。
IF 7.7 2区 医学 Q1 ONCOLOGY Pub Date : 2021-03-01 Epub Date: 2020-12-04 DOI: 10.1146/annurev-cancerbio-042920-104912
Kevin Kos, Karin E de Visser

The microenvironment of breast cancer hosts a dynamic cross talk between diverse players of the immune system. While cytotoxic immune cells are equipped to control tumor growth and metastasis, tumor-corrupted immunosuppressive immune cells strive to impair effective immunity and promote tumor progression. Of these, regulatory T cells (Tregs), the gatekeepers of immune homeostasis, emerge as multifaceted players involved in breast cancer. Intriguingly, clinical observations suggest that blood and intratumoral Tregs can have strong prognostic value, dictated by breast cancer subtype. Accordingly, emerging preclinical evidence shows that Tregs occupy a central role in breast cancer initiation and progression and provide critical support to metastasis formation. Here, Tregs are not only important for immune escape but also promote tumor progression independent of their immune regulatory capacity. Combining insights into Treg biology with advances made across the rapidly growing field of immuno-oncology is expected to set the stage for the design of more effective immunotherapy strategies.

乳腺癌的微环境承载着免疫系统不同参与者之间的动态串扰。虽然细胞毒性免疫细胞能够控制肿瘤的生长和转移,但肿瘤破坏的免疫抑制免疫细胞会努力损害有效免疫并促进肿瘤的进展。其中,调节T细胞(Tregs),免疫稳态的守门人,在乳腺癌中扮演着多方面的角色。有趣的是,临床观察表明,血液和肿瘤内Tregs可能具有很强的预后价值,这取决于乳腺癌亚型。因此,新出现的临床前证据表明Tregs在乳腺癌的发生和发展中起着核心作用,并为转移形成提供关键支持。在这里,Tregs不仅对免疫逃逸很重要,而且还独立于其免疫调节能力促进肿瘤进展。将Treg生物学的见解与快速发展的免疫肿瘤学领域的进展相结合,有望为设计更有效的免疫治疗策略奠定基础。
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引用次数: 19
The Bidirectional Relationship Between Cancer Epigenetics and Metabolism. 肿瘤表观遗传学与代谢的双向关系。
IF 7.7 2区 医学 Q1 ONCOLOGY Pub Date : 2021-03-01 Epub Date: 2020-11-30 DOI: 10.1146/annurev-cancerbio-070820-035832
Luke T Izzo, Hayley C Affronti, Kathryn E Wellen

Metabolic and epigenetic reprogramming are characteristics of cancer cells that, in many cases, are linked. Oncogenic signaling, diet, and tumor microenvironment each influence the availability of metabolites that are substrates or inhibitors of epigenetic enzymes. Reciprocally, altered expression or activity of chromatin-modifying enzymes can exert direct and indirect effects on cellular metabolism. In this article, we discuss the bidirectional relationship between epigenetics and metabolism in cancer. First, we focus on epigenetic control of metabolism, highlighting evidence that alterations in histone modifications, chromatin remodeling, or the enhancer landscape can drive metabolic features that support growth and proliferation. We then discuss metabolic regulation of chromatin-modifying enzymes and roles in tumor growth and progression. Throughout, we highlight proposed therapeutic and dietary interventions that leverage metabolic-epigenetic cross talk and have the potential to improve cancer therapy.

代谢重编程和表观遗传重编程是癌细胞的特征,在许多情况下,它们是相互关联的。致癌信号、饮食和肿瘤微环境都会影响作为表观遗传酶底物或抑制剂的代谢物的可用性。反过来,染色质修饰酶的表达或活性的改变可以对细胞代谢产生直接或间接的影响。在本文中,我们讨论了表观遗传学与肿瘤代谢的双向关系。首先,我们关注代谢的表观遗传控制,强调组蛋白修饰、染色质重塑或增强子景观的改变可以驱动支持生长和增殖的代谢特征的证据。然后讨论染色质修饰酶的代谢调节及其在肿瘤生长和进展中的作用。总之,我们强调了利用代谢-表观遗传串扰的治疗和饮食干预措施,并有可能改善癌症治疗。
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引用次数: 18
Nutritional Preconditioning in Cancer Treatment in Relation to DNA Damage and Aging. 癌症治疗中的营养预处理与DNA损伤和衰老的关系
IF 4.7 2区 医学 Q1 ONCOLOGY Pub Date : 2021-03-01 Epub Date: 2020-12-02 DOI: 10.1146/annurev-cancerbio-060820-090737
Winnie M C van den Boogaard, Marry M van den Heuvel-Eibrink, Jan H J Hoeijmakers, Wilbert P Vermeij

Dietary restriction (DR) is the most successful nutritional intervention for extending lifespan and preserving health in numerous species. Reducing food intake triggers a protective response that shifts energy resources from growth to maintenance and resilience mechanisms. This so-called survival response has been shown to particularly increase life- and health span and decrease DNA damage in DNA repair-deficient mice exhibiting accelerated aging. Accumulation of DNA damage is the main cause of aging, but also of cancer. Moreover, radiotherapies and most chemotherapies are based on damaging DNA, consistent with their ability to induce toxicity and accelerate aging. Since fasting and DR decrease DNA damage and its effects, nutritional preconditioning holds promise for improving (cancer) therapy and preventing short- and long-term side effects of anticancer treatments. This review provides an overview of the link between aging and cancer, highlights important preclinical studies applying such nutritional preconditioning, and summarizes the first clinical trials implementing nutritional preconditioning in cancer treatment.

在许多物种中,限制饮食(DR)是延长寿命和保持健康最成功的营养干预措施。减少食物摄入会引发保护性反应,将能源资源从增长转移到维持和恢复机制。这种所谓的生存反应已被证明可以特别延长衰老加速的DNA修复缺陷小鼠的寿命和健康寿命,并减少DNA损伤。DNA损伤的积累是导致衰老的主要原因,也是癌症的主要原因。此外,放射治疗和大多数化疗都是基于破坏DNA,这与它们诱导毒性和加速衰老的能力一致。由于禁食和DR可减少DNA损伤及其影响,营养预处理有望改善(癌症)治疗和预防抗癌治疗的短期和长期副作用。这篇综述概述了衰老与癌症之间的联系,重点介绍了应用这种营养预处理的重要临床前研究,并总结了在癌症治疗中实施营养预处理首次临床试验。
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引用次数: 0
The Pleiotropic Role of the KEAP1/NRF2 Pathway in Cancer KEAP1/NRF2通路在癌症中的多效性作用
IF 7.7 2区 医学 Q1 ONCOLOGY Pub Date : 2020-03-09 DOI: 10.1146/annurev-cancerbio-030518-055627
Warren L. Wu, T. Papagiannakopoulos
The unregulated proliferative capacity of many tumors is dependent on dysfunctional nutrient utilization and ROS (reactive oxygen species) signaling to sustain a deranged metabolic state. Although it is clear that cancers broadly rely on these survival and signaling pathways, how they achieve these aims varies dramatically. Mutations in the KEAP1/NRF2 pathway represent a potent cancer adaptation to exploit native cytoprotective pathways that involve both nutrient metabolism and ROS regulation. Despite activating these advantageous processes, mutations within KEAP1/ NRF2 are not universally selected for across cancers and instead appear to interact with particular tumor driver mutations and tissues of origin. Here, we highlight the relationship between the KEAP1/NRF2 signaling axis and tumor biology with a focus on genetic mutation, metabolism, immune regulation, and treatment implications and opportunities. Understanding the dysregulation of KEAP1 and NRF2 provides not only insight into a commonly mutated tumor suppressor pathway but also a window into the factors dictating the development and evolution of many cancers.
许多肿瘤不受调节的增殖能力依赖于失调的营养利用和ROS(活性氧)信号传导来维持紊乱的代谢状态。尽管很明显,癌症广泛依赖于这些生存和信号通路,但它们如何实现这些目标却大相径庭。KEAP1/NRF2途径的突变代表了癌症对利用涉及营养代谢和ROS调节的天然细胞保护途径的有效适应。尽管激活了这些有利的过程,但KEAP1/NRF2内的突变并不是普遍选择用于跨癌症,而是似乎与特定的肿瘤驱动突变和起源组织相互作用。在这里,我们强调了KEAP1/NRF2信号轴与肿瘤生物学之间的关系,重点关注基因突变、代谢、免疫调节以及治疗意义和机会。了解KEAP1和NRF2的失调不仅可以深入了解一种常见的突变肿瘤抑制途径,还可以了解决定许多癌症发展和进化的因素。
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引用次数: 41
Acquired Resistance in Lung Cancer 癌症患者的获得性耐药性
IF 7.7 2区 医学 Q1 ONCOLOGY Pub Date : 2020-03-09 DOI: 10.1146/annurev-cancerbio-030419-033502
Asmin Tulpule, T. Bivona
The last decade has witnessed a transformation in the treatment of advanced-stage lung cancer from a largely palliative approach to one where long-term durable remissions and even cures might be within reach. In this review, we discuss the current state of oncogene-directed precision medicine therapies in lung cancer and focus on the major cause of mortality for lung cancer patients: acquired resistance. We consider the multifaceted resistance mechanisms tumors utilize, often simultaneously. We then present areas for future scientific and clinical investigation with an emphasis on population dynamics, early detection, combinatorial therapies targeting resistance mechanisms, and understanding the drug-tolerant persister state.
过去十年见证了晚期肺癌治疗的转变,从主要采用姑息疗法到长期持久的缓解甚至治愈可能触手可及。在这篇综述中,我们讨论了肿瘤基因导向的肺癌精准医学治疗的现状,并重点讨论了肺癌患者死亡的主要原因:获得性耐药。我们考虑肿瘤利用的多方面的耐药机制,通常是同时的。然后,我们提出了未来科学和临床研究的领域,重点是种群动态,早期检测,针对耐药机制的联合治疗,以及了解耐药持续状态。
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引用次数: 8
Mitophagy and Mitochondrial Dysfunction in Cancer 癌症的线粒体自噬与线粒体功能障碍
IF 7.7 2区 医学 Q1 ONCOLOGY Pub Date : 2020-03-09 DOI: 10.1146/annurev-cancerbio-030419-033405
K. Macleod
The process of mitophagy, in which mitochondria are selectively turned over at the autophagolysosome, plays a central role in both eliminating dysfunctional mitochondria and reducing mitochondrial mass as an adaptive response to key physiological stresses, such as hypoxia, nutrient deprivation, and DNA damage. Defects in mitophagy have been linked to altered mitochondrial metabolism, production of excess reactive oxygen species and ferroptosis, heightened inflammasome activation, altered cell fate decisions, and senescence, among other cellular consequences. Consequently, functional mitophagy contributes to proper tissue differentiation and repair and metabolic homeostasis, limiting inflammatory responses and modulating tumor progression and metastasis. This review examines the major pathways that control mitophagy, including PINK1-dependent mitophagy and BNIP3/NIX-dependent mitophagy. It also discusses the cellular signaling mechanisms used to sense mitochondrial dysfunction to activate mitophagy and how defective mitophagy results in deregulated tumor cell growth and cancer.
线粒体自噬过程中,线粒体在自噬溶酶体中选择性地翻转,在消除功能失调的线粒体和减少线粒体质量方面发挥着核心作用,这是对关键生理应激(如缺氧、营养缺乏和DNA损伤)的适应性反应。线粒体自噬缺陷与线粒体代谢改变、过量活性氧的产生和脱铁性贫血、炎症小体激活增强、细胞命运决定改变和衰老等细胞后果有关。因此,功能性线粒体自噬有助于适当的组织分化、修复和代谢稳态,限制炎症反应并调节肿瘤进展和转移。本文综述了控制线粒体自噬的主要途径,包括PINK1依赖性线粒体自噬和BNIP3/NIX依赖性线粒体自噬。它还讨论了用于感知线粒体功能障碍以激活线粒体自噬的细胞信号机制,以及线粒体自噬缺陷如何导致肿瘤细胞生长失调和癌症。
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引用次数: 39
Toward Targeting Antiapoptotic MCL-1 for Cancer Therapy 靶向抗凋亡MCL-1用于癌症治疗的研究
IF 7.7 2区 医学 Q1 ONCOLOGY Pub Date : 2020-03-09 DOI: 10.1146/annurev-cancerbio-030419-033510
G. Kelly, A. Strasser
Apoptosis is critical for embryonic development, tissue homeostasis, and the removal of infected or otherwise dangerous cells. It is controlled by three subgroups of the BCL-2 protein family—the BH3-only proteins that initiate cell death; the effectors of cell killing, BAX and BAK; and the antiapoptotic guardians, including MCL-1 and BCL-2. Defects in apoptosis can promote tumorigenesis and render malignant cells refractory to anticancer therapeutics. Activation of cell death by inhibiting antiapoptotic BCL-2 family members has emerged as an attractive strategy for cancer therapy, with the BCL-2 inhibitor venetoclax leading the way. Large-scale cancer genome analyses have revealed frequent amplification of the locus encoding antiapoptotic MCL-1 in human cancers, and functional studies have shown that MCL-1 is essential for the sustained survival and expansion of many types of tumor cells. Structural analysis and medicinal chemistry have led to the development of three distinct small-molecule inhibitors of MCL-1 that are currently undergoing clinical testing.
细胞凋亡对胚胎发育、组织稳态以及清除受感染或其他危险细胞至关重要。它由BCL-2蛋白家族的三个亚群控制——仅BH3蛋白启动细胞死亡;细胞杀伤效应物BAX和BAK;以及抗凋亡的监护人,包括MCL-1和BCL-2。细胞凋亡缺陷可促进肿瘤发生,并使恶性细胞对抗癌治疗具有难治性。通过抑制抗凋亡BCL-2家族成员激活细胞死亡已成为癌症治疗的一种有吸引力的策略,其中BCL-2抑制剂venetoclax起到了主导作用。大规模癌症基因组分析显示,在人类癌症中,编码抗凋亡MCL-1的基因座频繁扩增,功能研究表明,MCL-1对许多类型肿瘤细胞的持续生存和扩展至关重要。结构分析和药物化学已经开发出三种不同的MCL-1小分子抑制剂,目前正在进行临床测试。
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引用次数: 23
Metabolic Drivers in Hereditary Cancer Syndromes 遗传性癌症综合征的代谢驱动因素
IF 7.7 2区 医学 Q1 ONCOLOGY Pub Date : 2020-03-09 DOI: 10.1146/annurev-cancerbio-030419-033612
M. Sciacovelli, Christin Schmidt, E. Maher, C. Frezza
Cancer is a multifaceted disease in which inherited genetic variants can be important drivers of tumorigenesis. The discovery that germline mutations of metabolic genes predispose to familial forms of cancer caused a shift in our understanding of how metabolism contributes to tumorigenesis, providing evidence that metabolic alterations can be oncogenic. In this review, we focus on mitochondrial enzymes whose mutations predispose to familial cancer, and we fully appraise their involvement in cancer formation and progression. Elucidating the molecular mechanisms that orchestrate transformation in these diverse tumors may answer key biological questions about tumor formation and evolution, leading to the identification of new therapeutic targets of intervention.
癌症是一种多方面的疾病,遗传性基因变异可能是肿瘤发生的重要驱动因素。代谢基因的种系突变易患家族形式的癌症,这一发现改变了我们对代谢如何促进肿瘤发生的理解,提供了代谢改变可能致癌的证据。在这篇综述中,我们将重点放在易患家族性癌症的线粒体酶上,并充分评估它们在癌症形成和发展中的作用。阐明这些不同肿瘤中协调转化的分子机制可能会回答有关肿瘤形成和进化的关键生物学问题,从而确定新的干预治疗靶点。
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引用次数: 27
Metabolism in the Tumor Microenvironment 肿瘤微环境中的代谢
IF 7.7 2区 医学 Q1 ONCOLOGY Pub Date : 2020-03-09 DOI: 10.1146/annurev-cancerbio-030419-033333
Allison N. Lau, M. V. Heiden
Experiments in culture systems where one cell type is provided with abundant nutrients and oxygen have been used to inform much of our understanding of cancer metabolism. However, many differences have been observed between the metabolism of tumors and the metabolism of cancer cells grown in monoculture. These differences reflect, at least in part, the presence of nonmalignant cells in the tumor microenvironment and the interactions between those cells and cancer cells. However, less is known about how the metabolism of various tumor stromal cell types differs from that of cancer cells, and how this difference might inform therapeutic targeting of metabolic pathways. Emerging data have identified both cooperative and competitive relationships between different cell types in a tumor, and this review examines how four abundant stromal cell types in the tumor microenvironment, fibroblasts, T cells, macrophages, and endothelial cells, contribute to the metabolism of tumors.
在培养系统中的实验中,一种细胞类型提供了丰富的营养和氧气,这在很大程度上为我们了解癌症代谢提供了信息。然而,已经观察到肿瘤的代谢和在单一培养中生长的癌症细胞的代谢之间的许多差异。这些差异至少部分反映了肿瘤微环境中非恶性细胞的存在以及这些细胞与癌症细胞之间的相互作用。然而,人们对各种肿瘤基质细胞类型的代谢与癌症细胞的代谢如何不同,以及这种差异如何为代谢途径的治疗靶向提供信息知之甚少。新出现的数据已经确定了肿瘤中不同细胞类型之间的合作和竞争关系,这篇综述研究了肿瘤微环境中四种丰富的基质细胞类型,成纤维细胞、T细胞、巨噬细胞和内皮细胞,如何对肿瘤的代谢做出贡献。
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引用次数: 67
Reactivation of Endogenous Retroelements in Cancer Development and Therapy 内源性逆转录因子在癌症发展和治疗中的再激活
IF 7.7 2区 医学 Q1 ONCOLOGY Pub Date : 2020-03-09 DOI: 10.1146/annurev-cancerbio-030419-033525
Charles A. Ishak, D. D. Carvalho
Domesticated retroelements contribute extensively as regulatory elements within host gene networks. Upon germline integration, retroelement mobilization is restricted through epigenetic silencing, mutational degradation, and innate immune defenses described as the viral mimicry response. Recent discoveries reveal how early events in tumorigenesis reactivate retroelements to facilitate onco-exaptation, replication stress, retrotransposition, mitotic errors, and sterile inflammation, which collectively disrupt genome integrity. The characterization of altered epigenetic homeostasis at retroelements in cancer cells also reveals new epigenetic targets whose inactivation can bolster responses to cancer therapies. Recent discoveries reviewed here frame reactivated retroelements as both drivers of tumorigenesis and therapy responses, where their reactivation by emerging epigenetic therapies can potentiate immune checkpoint blockade, cancer vaccines, and other standard therapies.
驯化的逆转录因子作为调控元件在宿主基因网络中发挥着广泛的作用。在种系整合后,通过表观遗传沉默、突变降解和被描述为病毒模仿反应的先天免疫防御,逆转录因子的动员受到限制。最近的发现揭示了肿瘤发生的早期事件如何重新激活逆转录因子以促进肿瘤共移除、复制应激、逆转录转位、有丝分裂错误和无菌炎症,这些都破坏了基因组的完整性。癌细胞中逆转录因子改变的表观遗传稳态的特征也揭示了新的表观遗传靶点,其失活可以增强对癌症治疗的反应。本文回顾了最近的发现,认为重新激活的逆转录因子既是肿瘤发生的驱动因素,也是治疗反应的驱动因素,新兴的表观遗传疗法可以增强免疫检查点阻断、癌症疫苗和其他标准疗法。
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引用次数: 34
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