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Published on: October 27, 2020
Pharmacological and immunological targeting of tumor mesenchymalization
Justin M David1, Charli Dominguez1, Claudia Palena1
1Laboratory of Tumor Immunology and Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, United States.
Abstract:
Controlling the spread of carcinoma cells to distant organs is the foremost challenge in cancer treatment, as metastatic disease is generally resistant to therapy and is ultimately incurable for the majority of patients. The plasticity of tumor cell phenotype, in which the behaviors and functions of individual tumor cells differ markedly depending upon intrinsic and extrinsic factors, is now known to be a central mechanism in cancer progression. Our expanding knowledge of epithelial and mesenchymal phenotypic states in tumor cells, and the dynamic nature of the transitions between these phenotypes has created new opportunities to intervene to better control the behavior of tumor cells. There are now a variety of innovative pharmacological approaches to preferentially target tumor cells that have acquired mesenchymal features, including cytotoxic agents that directly kill these cells, and inhibitors that block or revert the process of mesenchymalization. Furthermore, novel immunological strategies have been developed to engage the immune system in seeking out and destroying mesenchymalized tumor cells. This review highlights the relevance of phenotypic plasticity in tumor biology, and discusses recently developed pharmacological and immunological means of targeting this phenomenon.
Insights
Tumor cells can change their phenotype, aiding cancer spread. New drugs and immune therapies target these adaptable cancer cells to improve treatment outcomes for metastatic disease.
Area of Science:
- Oncology
- Cancer Biology
- Molecular Medicine
Background:
- Metastatic carcinoma remains a primary challenge in cancer therapy due to its resistance to treatment.
- Tumor cell phenotypic plasticity, characterized by dynamic transitions between epithelial and mesenchymal states, is a key driver of cancer progression and metastasis.
- Understanding these phenotypic shifts offers new therapeutic targets to control tumor cell behavior.
Purpose of the Study:
- To review the significance of phenotypic plasticity in tumor biology.
- To discuss novel pharmacological and immunological strategies targeting tumor cell plasticity.
- To highlight recent advancements in controlling mesenchymal-like tumor cells.
Main Methods:
- Review of current scientific literature on cancer cell plasticity.
- Analysis of emerging pharmacological agents targeting mesenchymal phenotypes.
- Evaluation of novel immunological approaches against mesenchymalized tumor cells.
Main Results:
- Phenotypic plasticity is a central mechanism in cancer progression and metastasis.
- Pharmacological agents can selectively target or revert mesenchymal tumor cells.
- Immunological strategies are being developed to eliminate mesenchymalized tumor cells.
Conclusions:
- Targeting tumor cell phenotypic plasticity offers promising therapeutic avenues.
- Pharmacological and immunological interventions show potential in controlling metastatic disease.
- Further research into phenotypic plasticity is crucial for developing more effective cancer treatments.
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