Genes & Diseases,
Journal Year:
2023,
Volume and Issue:
11(1), P. 189 - 204
Published: Jan. 14, 2023
Intra-tumor
heterogeneity
is
now
arguably
one
of
the
most-studied
topics
in
tumor
biology,
as
it
represents
a
major
obstacle
to
effective
cancer
treatment.
Since
cells
are
highly
diverse
at
genetic,
epigenetic,
and
phenotypic
levels,
intra-tumor
can
be
assumed
an
important
contributing
factor
nullification
chemotherapeutic
effects,
recurrence
tumor.
Based
on
role
heterogeneous
subpopulations
with
varying
cell-cycle
dynamics
behavior
during
progression
treatment;
herein,
we
aim
establish
comprehensive
definition
for
adaptation
neoplastic
against
therapy.
We
discuss
two
parallel
yet
distinct
that
play
pivotal
roles
reducing
effects
chemotherapy:
"resistant"
"tolerant"
populations.
Furthermore,
this
review
also
highlights
impact
quiescent
phase
cell
cycle
survival
mechanism
cells.
Beyond
understanding
mechanisms
underlying
quiescence,
provides
insightful
perspective
stem
(CSCs)
their
dual
intertwined
functions
based
state
response
Moreover,
CSCs,
epithelial–mesenchymal
transformed
cells,
circulating
(CTCs),
disseminated
(DTCs),
which
mostly
proved
have
multiple
biological
links
implicated
our
viewpoint
tumors.
Overall,
increasing
knowledge
key
identifying
new
therapeutic
solutions,
emerging
concept
may
provide
us
opportunities
prevent
dreadful
recurrence.
Molecular Oncology,
Journal Year:
2020,
Volume and Issue:
14(3), P. 539 - 555
Published: Jan. 4, 2020
Malignant
tumors,
including
colorectal
cancer
(CRC),
usually
rely
on
ATP
generation
through
aerobic
glycolysis
for
both
rapid
growth
and
chemotherapy
resistance.
The
M2
isoform
of
pyruvate
kinase
(PKM2)
has
a
key
role
in
catalyzing
glycolysis,
PKM2
expression
varies
even
within
single
tumor.
In
this
study,
we
confirmed
that
is
heterogeneous
CRC
cells,
namely
high
oxaliplatin-resistant
cells
but
relatively
low
sensitive
found
chemoresistant
had
enhanced
production.
addition,
report
PKM2-dependent
mechanism
which
chemosensitive
may
gradually
transform
into
cells.
circular
RNA
hsa_circ_0005963
(termed
ciRS-122
study),
was
determined
to
be
sponge
the
PKM2-targeting
miR-122,
positively
correlated
with
chemoresistance.
vitro
vivo
studies
showed
exosomes
from
delivered
thereby
promoting
drug
resistance
miR-122
sponging
upregulation.
Moreover,
si-ciRS-122
transported
by
could
suppress
reverse
oxaliplatin
regulating
ciRS-122-miR-122-PKM2
pathway
vivo.
Exosomes
derived
transfer
across
promote
reduce
susceptibility
This
intercellular
signal
delivery
suggests
potential
novel
therapeutic
target
establishes
foundation
future
clinical
applications
drug-resistant
CRC.
Molecular Cancer,
Journal Year:
2020,
Volume and Issue:
19(1)
Published: Nov. 24, 2020
Abstract
Wnt
signaling
is
a
highly
conserved
pathway
that
plays
critical
role
in
controlling
embryonic
and
organ
development,
as
well
cancer
progression.
Genome-wide
sequencing
gene
expression
profile
analyses
have
demonstrated
involved
mainly
the
processes
of
breast
proliferation
metastasis.
The
most
recent
studies
indicated
also
crucial
immune
microenvironment
regulation,
stemness
maintenance,
therapeutic
resistance,
phenotype
shaping,
etc.
Wnt/β-Catenin,
Wnt–planar
cell
polarity
(PCP),
Wnt–Ca
2+
are
three
well-established
pathways
share
overlapping
components
play
different
roles
In
this
review,
we
summarize
main
findings
concerning
relationship
between
provide
an
overview
existing
mechanisms,
challenges,
potential
opportunities
for
advancing
therapy
diagnosis
cancer.
Frontiers in Immunology,
Journal Year:
2019,
Volume and Issue:
10
Published: Dec. 20, 2019
WNT/beta-catenin
signaling
is
involved
in
many
physiological
processes.
Its
implication
embryonic
development,
cell
migration
and
polarization
has
been
shown.
Nevertheless,
alterations
this
have
also
related
with
pathological
events
such
as
sustaining
proliferating
the
cancer
stem
cells
(CSCs)
subset
present
tumor
bulk.
Related
this,
WNT
associated
maintenance,
expansion
epithelial-mesenchymal
transition
of
cells,
furthermore
two
distinctive
features
population:
therapeutic
resistance
(MDR,
multidrug
resistance)
immune
escape.
These
mechanisms
are
developed
maintained
by
activation
through
transcriptional
control
genes
This
review
focuses
on
description
best
known
pathways
molecules
them.
Special
attention
given
to
cascade
proteins
deregulated
tumors
which
a
decisive
role
survival.
Some
these
function
extrusion
pumps
that,
course
chemotherapy,
expel
drugs
outside
cells;
others
help
tumoral
hide
from
effector
mechanisms.
Among
targets
drug
resistance,
pump
MDR-1
(P-GP,
ABCB1)
adhesion
CD44
family
highlighted.
The
chemokine
CCL4
checkpoint
CD47
PD-L1
included
list
target
immunity
pathway
should
be
main
therapy
since
essential
for
progression
survival,
even
presence
anti-tumoral
response
and/or
antineoplastic
drugs.
appropriate
design
combination
strategies
based
modulation
mediators
protein
could
negatively
affect
growth
improving
efficacy
type
therapies.
Biochemical Journal,
Journal Year:
2018,
Volume and Issue:
475(9), P. 1611 - 1634
Published: May 9, 2018
Phenotypic
and
functional
heterogeneity
is
one
of
the
most
relevant
features
cancer
cells
within
different
tumor
types
responsible
for
treatment
failure.
Cancer
stem
(CSCs)
are
a
population
with
cell-like
properties
that
considered
to
be
root
cause
heterogeneity,
because
their
ability
generate
full
repertoire
cell
types.
Moreover,
CSCs
have
been
invoked
as
main
drivers
metastatic
dissemination
therapeutic
resistance.
As
such,
targeting
may
useful
strategy
improve
effectiveness
classical
anticancer
therapies.
Recently,
metabolism
has
player
in
CSC
biology,
indeed,
oncogenic
alterations
trigger
metabolite-driven
CSCs.
More
interestingly,
action
metabolic
pathways
maintenance
might
not
merely
consequence
genomic
alterations.
Indeed,
certain
metabotypic
phenotypes
play
causative
role
maintaining
traits,
acting
an
orchestrator
stemness.
Here,
we
review
current
studies
on
CSCs,
focusing
biochemical
energy
involved
propagation.
We
provide
detailed
overview
plastic
behavior
response
microenvironment
changes,
genetic
aberrations,
pharmacological
stressors.
In
addition,
describe
potential
comprehensive
approaches
identify
selectively
eradicate
together
possibility
‘force’
dependences,
order
effectively
target
such
inflexibilities.
Finally,
focus
mitochondria
halt
cancer.
Signal Transduction and Targeted Therapy,
Journal Year:
2020,
Volume and Issue:
5(1)
Published: Oct. 7, 2020
Abstract
Resistance
to
cancer
therapy
is
a
major
barrier
management.
Conventional
views
have
proposed
that
acquisition
of
resistance
may
result
from
genetic
mutations.
However,
accumulating
evidence
implicates
key
role
non-mutational
mechanisms
underlying
drug
tolerance,
the
latter
which
focus
will
be
discussed
here.
Such
processes
are
largely
driven
by
tumor
cell
plasticity,
renders
cells
insusceptible
drug-targeted
pathway,
thereby
facilitating
survival
and
growth.
The
concept
plasticity
highlights
significance
re-activation
developmental
programs
closely
correlated
with
epithelial–mesenchymal
transition,
properties
stem
cells,
trans-differentiation
potential
during
exposure.
From
observations
in
various
cancers,
this
provides
an
opportunity
for
investigating
nature
anticancer
resistance.
Over
years,
our
understanding
emerging
phenotype
switching
modifying
therapeutic
response
has
considerably
increased.
This
expanded
knowledge
contributes
developing
novel
strategies
or
combination
regimens
using
available
drugs,
likely
improve
patient
outcomes
clinical
practice.
Frontiers in Oncology,
Journal Year:
2018,
Volume and Issue:
8
Published: July 24, 2018
Drug
resistance
is
a
major
cause
for
therapeutic
failure
in
non-small
cell
lung
cancer
(NSCLC)
leading
to
tumor
recurrence,
and
disease
progression.
Cell
intrinsic
mechanisms
of
include
changes
the
expression
drug
transporters,
activation
pro-survival
anti-apoptotic
pathways,
as
well
non-intrinsic
influences
microenvironment.
It
has
become
evident
that
tumors
are
composed
heterogeneous
population
cells
with
different
genetic,
epigenetic,
phenotypic
characteristics
results
diverse
responses
therapy
underlies
emergence
resistant
clones.
This
heterogeneity
driven
by
subpopulations
termed
stem
(CSCs)
have
initiating
capabilities,
highly
self-renewing,
retain
ability
multi-lineage
differentiation.
CSCs
been
identified
NSCLC
associated
chemo-
radiotherapy
resistance.
Stem
pathways
frequently
deregulated
implicated
recurrence
after
treatment.
Here
we
focus
on
Notch
signaling
pathway,
which
role
maintenance,
non-squamous
cancer,
critically
assess
potential
targeting
pathway
overcome
chemotherapeutic
targeted
agents
using
both
preclinical
clinical
evidence.
Frontiers in Oncology,
Journal Year:
2020,
Volume and Issue:
10
Published: Feb. 20, 2020
Cancer
stem
cells
(CSC)
are
a
distinct
subpopulation
within
tumor.
They
able
to
self-renew
and
differentiate
possess
high
capability
repair
DNA
damage,
exhibit
low
levels
of
reactive
oxygen
species
(ROS),
proliferate
slowly.
These
features
render
CSC
resistant
various
therapies,
including
radiation
therapy
(RT).
Eradication
as
many
possible
is
requirement
for
an
effective
antineoplastic
treatment
therefore
utmost
importance
the
patient.
This
makes
prime
targets
any
therapeutic
approach.
Albeit
clinical
data
still
scarce,
experimental
first
trials
give
hope
that
CSC-based
has
potential
improve
treatment,
especially
tumors
known
be
resistant,
such
glioblastoma.
In
this
review,
we
will
discuss
in
context
RT,
describe
mechanisms
resistance,
examine
possibilities
biomarkers,
new
approaches.
Oncogene,
Journal Year:
2021,
Volume and Issue:
40(9), P. 1609 - 1627
Published: Jan. 19, 2021
Abstract
The
hostile
hypoxic
microenvironment
takes
primary
responsibility
for
the
rapid
expansion
of
breast
cancer
tumors.
However,
underlying
mechanism
is
not
fully
understood.
Here,
using
RNA
sequencing
(RNA-seq)
analysis,
we
identified
a
hypoxia-induced
long
noncoding
(lncRNA)
KB-1980E6.3,
which
aberrantly
upregulated
in
clinical
tissues
and
closely
correlated
with
poor
prognosis
patients.
enhanced
lncRNA
KB-1980E6.3
facilitates
stem
cells
(BCSCs)
self-renewal
tumorigenesis
under
both
vitro
vivo.
Mechanistically,
recruited
insulin-like
growth
factor
2
mRNA-binding
protein
1
(IGF2BP1)
to
form
KB-1980E6.3/IGF2BP1/c-Myc
signaling
axis
that
retained
stability
c-Myc
mRNA
through
increasing
binding
IGF2BP1
m6A-modified
coding
region
instability
determinant
(CRD)
mRNA.
In
conclusion,
confirm
maintains
stemness
BCSCs
suggest
disrupting
this
might
provide
new
therapeutic
target
refractory
Endocrine Related Cancer,
Journal Year:
2018,
Volume and Issue:
25(5), P. R303 - R318
Published: Feb. 28, 2018
Ovarian
cancer
has
poor
survival
rates
due
to
a
combination
of
diagnosis
at
advanced
disease
stages
and
recurrence
as
result
platinum
chemotherapy
resistance.
High-grade
serous
ovarian
(HGSOC),
the
most
common
subtype,
is
conventionally
treated
with
surgery
paclitaxel/carboplatin
chemotherapy.
Initial
response
are
60–80%,
but
eventually
majority
patients
become
platinum-resistant
subsequent
relapses.
Extensive
research
on
individual
biomarkers
resistance
revealed
many
potential
targets
for
development
new
treatments.
While
this
ongoing,
there
also
epigenetic,
DNA
repair,
genome
immune
changes
characterised
in
HGSOC
that
can
be
targeted
current
therapies.
This
review
discusses
focus
targetable
alternative
treatment
combinations
those
currently
used.
After
decades
focused
elucidating
biological
cause
resistance,
future
needs
using
knowledge
overcome
cancer.