在多克索鲁比耐药性的自:基本概念,治疗前景和临床翻译
Yantao Zhang1, Yanqin Ji2,3, Yanyang Tu3,4,5
1Department of Clinical Medicine, The Fifth Clinical Institute, Zunyi Medical University, Zhuhai, Guangdong, China.
Frontiers in immunology
|October 16, 2025
概括
自是一种细胞循环过程,通过帮助癌细胞存活来促进对多克索鲁比 (DOX) 化疗的耐药性. 准自可以提高DOX的有效性,并减少癌症治疗的毒性.
科学领域:
- 在瘤学瘤学.
- 分子生物学分子生物学
- 细胞生物学 细胞生物学
背景情况:
- 多克索鲁比 (DOX) 是一种关键的化疗剂,但其疗效受到获得药物耐药性的限制.
- 自,细胞降解过程,在癌症中起着双重作用,经常促进生存和化学抵抗.
研究的目的:
- 审查自和DOX耐药性之间的复杂关系.
- 阐明了自在DOX耐药性中的作用背后的分子机制.
- 探索针对自的治疗策略,以克服DOX耐药性.
主要方法:
- 临床前和临床研究的文献综述.
- 通过DOX.参与自诱导的分子途径的分析.
- 检查影响自的遗传,微环境和非编码RNA因素.
主要成果:
- 自通常起到促生存机制的作用,通过回收细胞组件并抑制细胞亡来增强化学抵抗力.
- 通过ROS生成,DNA损伤反应和AMPK/mTOR通路,DOX可以诱导自.
- 环境特定的适应,如线粒细胞衰变和溶酶体重塑,有助于DOX耐药性.
结论:
- 自是DOX耐药性的关键决定因素,同时作为生物标志物和治疗标.
- 通过抑制剂,天然化合物或组合疗法调节自,有望改善DOX敏感性.
- 临床翻译需要开发有效的自性向药物,用于组合疗法,以提高癌症治疗结果.
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