The Breast Cancer Stem Cells Traits and Drug Resistance.

The Breast Cancer Stem Cells Traits and Drug Resistance.
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DOI:
10.3389/fphar.2020.599965
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发表时间:
2020
影响因子:
5.6
通讯作者:
Meng X
Meng X
中科院分区:
医学2区
文献类型:
--
作者:
Zheng Q;Zhang M;Zhou F;Zhang L;Meng X

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耐药性是目前乳腺癌治疗中的主要挑战。越来越多的研究表明,乳腺癌干细胞(BCSCs)是导致乳腺癌耐药、复发和转移的主要原因。因此,BCSC消除可以逆转耐药性并提高药物疗效,从而使BC患者受益。因此,掌握BCSC在BC治疗中的增殖、耐药机制和分离的知识对于BCSC靶向治疗策略是非常有帮助的。在此,我们总结了BCSC的主要表面标志物和信号通路,并列出了化疗(CT),内分泌治疗(ET)和靶向治疗(TT)中BCSC相关的耐药机制,并展示了靶向BCSC以逆转BC耐药的治疗策略。更重要的是,未来应重视BCSC靶向治疗策略的研究,以克服临床治疗的耐药困境。
Drug resistance is a major challenge in breast cancer (BC) treatment at present. Accumulating studies indicate that breast cancer stem cells (BCSCs) are responsible for the BC drugs resistance, causing relapse and metastasis in BC patients. Thus, BCSCs elimination could reverse drug resistance and improve drug efficacy to benefit BC patients. Consequently, mastering the knowledge on the proliferation, resistance mechanisms, and separation of BCSCs in BC therapy is extremely helpful for BCSCs-targeted therapeutic strategies. Herein, we summarize the principal BCSCs surface markers and signaling pathways, and list the BCSCs-related drug resistance mechanisms in chemotherapy (CT), endocrine therapy (ET), and targeted therapy (TT), and display therapeutic strategies for targeting BCSCs to reverse drug resistance in BC. Even more importantly, more attention should be paid to studies on BCSC-targeted strategies to overcome the drug resistant dilemma of clinical therapies in the future.
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