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Harnessing Cuproptosis resistance to advance cancer therapeutics
Zi-Zhan Li1, Tian-Fu Wu2, Zhi-Jun Sun3
1The State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Frontier Science Center for Immunology and Metabolism, Taikang Center for Life and Medical Sciences, Wuhan University, Wuhan, 430079, China.
Abstract:
Cancer treatment remains in need of novel therapeutic strategies to improve patient outcomes. Cuproptosis, a recently identified form of immunogenic cell death, is recognized for its significant anticancer potential. However, most cuproptosis-based strategies are still in the preclinical stage, and the limited clinical trials conducted thus far have yielded unsatisfactory results. Cancer cells develop resistance to cuproptosis through mechanisms such as metabolic reprogramming or altered signaling pathways. Investigating how to overcome this resistance is therefore crucial for advancing cuproptosis-based therapies. This review summarizes cellular copper homeostasis and its regulation, compares cuproptosis with other immunogenic cell death modalities, and discusses the factors governing cuproptosis sensitivity. From a translational perspective, this review highlights emerging nanomedicine strategies to enhance cuproptosis sensitivity through metabolic vulnerability targeting and pharmacological reversal of resistance mechanisms. Finally, this review envisions the broader therapeutic potential of cuproptosis modulation beyond oncology. These advances may ultimately redefine clinical paradigms, offering hope for meaningful survival extensions and improved quality of life for cancer patients.
Insights
Cuproptosis, a novel cancer cell death method, shows promise but faces resistance. Nanomedicine strategies are being developed to enhance cuproptosis sensitivity and overcome resistance for better cancer treatment outcomes.
Area of Science:
- Biochemistry
- Immunology
- Oncology
Background:
- Cuproptosis is a newly discovered form of programmed cell death with anticancer properties.
- Current cuproptosis-based cancer therapies are largely preclinical, with limited clinical success due to resistance.
- Understanding and overcoming cancer cell resistance to cuproptosis is critical for therapeutic advancement.
Purpose of the Study:
- To review cellular copper homeostasis and its regulation in cancer.
- To compare cuproptosis with other forms of immunogenic cell death.
- To discuss strategies for enhancing cuproptosis sensitivity and overcoming resistance.
Main Methods:
- Literature review of cellular copper metabolism and cuproptosis.
- Analysis of resistance mechanisms in cancer cells.
- Exploration of nanomedicine approaches for targeted therapy.
Main Results:
- Cuproptosis sensitivity is influenced by cellular copper levels and metabolic state.
- Cancer cells employ metabolic reprogramming and signaling pathway alterations to resist cuproptosis.
- Nanomedicine offers potential to target metabolic vulnerabilities and reverse resistance.
Conclusions:
- Cuproptosis holds significant anticancer potential, but overcoming resistance is key.
- Nanomedicine strategies targeting metabolic vulnerabilities show promise for enhancing cuproptosis.
- Modulating cuproptosis may offer broader therapeutic applications beyond oncology.
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