Molecular mechanisms of ROS-modulated cancer chemoresistance and therapeutic strategies
Xiaoting Zhou1, Biao An1, Yi Lin1
1Department of Gynecology and Obstetrics, Development and Related Disease of Women and Children Key Laboratory of Sichuan Province, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second Hospital, Sichuan University, Chengdu 610041, PR China.
Abstract:
Drug resistance is the main obstacle to achieving a cure in many cancer patients. Reactive oxygen species (ROS) are master regulators of cancer development that act through complex mechanisms. Remarkably, ROS levels and antioxidant content are typically higher in drug-resistant cancer cells than in non-resistant and normal cells, and have been shown to play a central role in modulating drug resistance. Therefore, determining the underlying functions of ROS in the modulation of drug resistance will contribute to develop therapies that sensitize cancer resistant cells by leveraging ROS modulation. In this review, we summarize the notable literature on the sources and regulation of ROS production and highlight the complex roles of ROS in cancer chemoresistance, encompassing transcription factor-mediated chemoresistance, maintenance of cancer stem cells, and their impact on the tumor microenvironment. We also discuss the potential of ROS-targeted therapies in overcoming tumor therapeutic resistance.
Insights
Reactive oxygen species (ROS) are crucial in cancer drug resistance. Understanding ROS functions can help develop therapies to overcome chemoresistance by targeting ROS modulation in resistant cancer cells.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Drug resistance is a major challenge in cancer therapy.
- Reactive oxygen species (ROS) play a complex role in cancer development and progression.
- Elevated ROS levels and antioxidant content are observed in drug-resistant cancer cells.
Purpose of the Study:
- To review the literature on ROS production and regulation in cancer.
- To elucidate the multifaceted roles of ROS in modulating cancer chemoresistance.
- To explore the potential of ROS-targeted therapies for overcoming drug resistance.
Main Methods:
- Literature review of scientific publications.
- Analysis of ROS sources, regulation, and functions in cancer.
- Synthesis of data on ROS involvement in chemoresistance mechanisms.
Main Results:
- ROS are central regulators of cancer development and drug resistance.
- ROS influence chemoresistance through transcription factors, cancer stem cells, and the tumor microenvironment.
- Higher ROS and antioxidant levels are characteristic of drug-resistant cells.
Conclusions:
- Targeting ROS modulation offers a promising strategy to sensitize resistant cancer cells.
- Understanding ROS functions is key to developing novel therapeutic approaches for overcoming cancer drug resistance.
- ROS-targeted therapies hold potential for improving treatment outcomes in resistant cancers.
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