打破障碍:抗击结直肠癌铂类抗药性的表观遗传学策略。

IF 15.8 1区 医学 Q1 PHARMACOLOGY & PHARMACY Drug Resistance Updates Pub Date : 2024-09-28 DOI:10.1016/j.drup.2024.101152
Shiwen Luo , Ming Yue , Dequan Wang , Yukang Lu , Qingming Wu , Jue Jiang
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引用次数: 0

摘要

结直肠癌(CRC)是全球癌症相关死亡的主要原因。顺铂和奥沙利铂等铂类药物是治疗 CRC 的一线化疗药物,在单药治疗和联合治疗中均有效。然而,这些疗法的临床疗效往往因耐药性的产生而受到影响,而耐药性的产生是癌症治疗的一大障碍。近年来,人们认识到表观遗传学改变是铂类药物产生耐药性的关键因素。用小分子靶向这些失调的表观遗传机制是一种很有前景的治疗策略。本综述探讨了表观遗传变化与 CRC 中铂类药物耐药性之间的复杂关系,重点介绍了当前的表观遗传疗法及其在对抗耐药机制方面的有效性。通过阐明铂类药物耐药性的表观遗传学基础,本综述旨在为改善 CRC 患者的治疗效果做出贡献。
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Breaking the barrier: Epigenetic strategies to combat platinum resistance in colorectal cancer
Colorectal cancer (CRC) is a leading cause of cancer-related mortality worldwide. Platinum-based drugs, such as cisplatin and oxaliplatin, are frontline chemotherapy for CRC, effective in both monotherapy and combination regimens. However, the clinical efficacy of these treatments is often undermined by the development of drug resistance, a significant obstacle in cancer therapy. In recent years, epigenetic alterations have been recognized as key players in the acquisition of resistance to platinum drugs. Targeting these dysregulated epigenetic mechanisms with small molecules represents a promising therapeutic strategy. This review explores the complex relationship between epigenetic changes and platinum resistance in CRC, highlighting current epigenetic therapies and their effectiveness in countering resistance mechanisms. By elucidating the epigenetic underpinnings of platinum resistance, this review aims to contribute to ongoing efforts to improve treatment outcomes for CRC patients.
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来源期刊
Drug Resistance Updates
Drug Resistance Updates 医学-药学
CiteScore
26.20
自引率
11.90%
发文量
32
审稿时长
29 days
期刊介绍: Drug Resistance Updates serves as a platform for publishing original research, commentary, and expert reviews on significant advancements in drug resistance related to infectious diseases and cancer. It encompasses diverse disciplines such as molecular biology, biochemistry, cell biology, pharmacology, microbiology, preclinical therapeutics, oncology, and clinical medicine. The journal addresses both basic research and clinical aspects of drug resistance, providing insights into novel drugs and strategies to overcome resistance. Original research articles are welcomed, and review articles are authored by leaders in the field by invitation. Articles are written by leaders in the field, in response to an invitation from the Editors, and are peer-reviewed prior to publication. Articles are clear, readable, and up-to-date, suitable for a multidisciplinary readership and include schematic diagrams and other illustrations conveying the major points of the article. The goal is to highlight recent areas of growth and put them in perspective. *Expert reviews in clinical and basic drug resistance research in oncology and infectious disease *Describes emerging technologies and therapies, particularly those that overcome drug resistance *Emphasises common themes in microbial and cancer research
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