Cancer-associated
fibroblasts
(CAFs)
are
a
diverse
stromal
cell
population
within
the
tumour
microenvironment,
where
they
play
fundamental
roles
in
cancer
progression
and
patient
prognosis.
Multiple
lines
of
evidence
have
identified
that
CAFs
critically
involved
shaping
structure
function
microenvironment
with
numerous
functions
regulating
behaviours,
such
as
metastasis,
invasion,
epithelial-mesenchymal
transition
(EMT).
can
interact
extensively
cells
by
producing
extracellular
vesicles
(EVs),
multiple
secreted
factors,
metabolites.
Notably,
CAF-derived
EVs
been
critical
mediators
therapy
resistance,
constitute
novel
targets
biomarkers
management.
This
review
aimed
to
summarize
biological
detailed
molecular
mechanisms
mediating
resistance
chemotherapy,
targeted
agents,
radiotherapy,
immunotherapy.
We
also
discussed
therapeutic
potential
clinical
management,
thereby
providing
strategy
for
enhancing
efficacy
improving
Cancer Letters,
Год журнала:
2024,
Номер
588, С. 216744 - 216744
Опубликована: Март 1, 2024
Hepatocellular
carcinoma
(HCC)
stands
as
a
formidable
global
health
challenge
due
to
its
prevalence,
marked
by
high
mortality
and
morbidity
rates.
This
cancer
type
exhibits
multifaceted
etiology,
prominently
linked
viral
infections,
non-alcoholic
fatty
liver
disease,
genomic
mutations.
The
inherent
heterogeneity
of
HCC,
coupled
with
proclivity
for
developing
drug
resistance,
presents
obstacles
effective
therapeutic
interventions.
Autophagy,
fundamental
catabolic
process,
plays
pivotal
role
in
maintaining
cellular
homeostasis,
responding
stressors
such
nutrient
deprivation.
In
the
context
tumor
cells
exploit
autophagy,
either
augmenting
or
impeding
activity,
thereby
influencing
tumorigenesis.
comprehensive
review
underscores
dualistic
autophagy
acting
both
pro-survival
pro-death
mechanism,
impacting
trajectory
anti-carcinogenic
potential
is
evident
ability
enhance
apoptosis
ferroptosis
HCC
cells.
Pertinently,
dysregulated
fosters
resistance
carcinogenic
context.
Both
epigenetic
factors
can
regulate
progression.
Recognizing
paramount
importance
progression,
this
introduces
pharmacological
compounds
capable
modulating
autophagy—either
inducing
inhibiting
it,
promising
avenues
therapy.
Translational Oncology,
Год журнала:
2024,
Номер
45, С. 101975 - 101975
Опубликована: Апрель 30, 2024
Hepatocellular
carcinoma
(HCC)
is
the
most
prevalent
type
of
liver
cancer,
mainly
occurring
in
Asian
countries
with
an
increased
incidence
rate
globally.
Currently,
several
kinds
therapies
have
been
deployed
for
HCC
therapy
including
surgical
resection,
chemotherapy,
radiotherapy
and
immunotherapy.
However,
this
tumor
still
incurable,
requiring
novel
strategies
its
treatment.
The
nanomedicine
has
provided
new
insights
regarding
treatment
cancer
that
liposomes
as
lipid-based
nanoparticles,
widely
applied
due
to
their
biocompaitiblity,
high
drug
loading
ease
synthesis
modification.
current
review
evaluates
application
therapy.
drugs
genes
lack
targeting
ability
into
tissues
cells.
Therefore,
or
on
can
increase
accumulation
site
suppression.
Moreover,
stimuli-responsive
pH-,
redox-
light-sensitive
are
able
deliver
microenvironment
improve
therapeutic
index.
Since
a
number
receptors
upregulate
cells,
functionalization
lactoferrin
peptides
promote
towards
phototherapy
be
induced
by
through
phtoosensitizers
stimulate
photothermal-
photodynamic-driven
ablation
Overall,
findings
line
fact
promising
nanocarriers
HCC.
Applied Sciences,
Год журнала:
2025,
Номер
15(3), С. 1125 - 1125
Опубликована: Янв. 23, 2025
Multidrug
resistance
(MDR)
development
against
cytotoxic
drugs
by
tumor
cells
is
one
of
the
main
causes
treatment
failure
in
gastrointestinal
cancers,
a
group
cancers
great
relevance
due
to
their
prevalence
and/or
mortality.
This
phenomenon
mediated
diverse
mechanisms,
including
overexpression
members
superfamily
membrane
transporters
ATP-binding
cassette
(ABC).
Most
these
molecules,
P-glycoprotein
(P-gp
or
MDR1/ABCB),
MDR-associated
protein
1
(MRP1/ABCC1),
MRP2,
and
breast
cancer
(BCRP/ABCG2),
are
integrated
cell
membrane,
acting
as
drug
efflux
pumps.
Despite
use
various
MDR
modulators
adjuvants
improve
chemotherapy
response,
results
have
not
been
satisfactory.
Natural
products
from
plants,
such
flavonoids,
alkaloids,
terpenoids,
coumarins,
capable
modifying
resistance,
suggesting
an
improvement
antitumoral
effect
current
treatments
without
generating
side
effects.
review
aims
provide
overview
most
recent
studies
relation
plant-derived
molecules
extracts
that
modulate
antitumor
could
be
applied
future
clinical
practice
patients
with
cancer.
Bufalin
is
a
promising
active
ingredient
in
traditional
Chinese
medicine
but
has
shown
limited
anticancer
applications
due
to
its
toxicity.
Here,
we
report
BCNPs@gel,
bufalin-containing
CaCO