4.5 Review

Self-Renewal Signalling Pathway Inhibitors: Perspectives on Therapeutic Approaches for Cancer Stem Cells

期刊

ONCOTARGETS AND THERAPY
卷 13, 期 -, 页码 525-540

出版社

DOVE MEDICAL PRESS LTD
DOI: 10.2147/OTT.S224465

关键词

cancer stem cells; signalling pathway inhibitors; targeted therapy; small-molecule chemicals; tumour microenvironment

资金

  1. National Natural Science Foundation of China [81972487, 81873651, 81502276]
  2. Major Projects of Science and Technology of Health and Family Planning Commission of Hunan Province [A2017013]
  3. Natural Science Foundation of Hunan Province [2019JJ50552, 2019JJ80100]
  4. Education Department of Hunan Province [18A255, 18C0473]
  5. Hunan Provincial Innovation Foundation For Postgraduate [CX2018B639]

向作者/读者索取更多资源

The poor survival and prognosis of individuals with cancer are often attributed to tumour relapse and metastasis, which may be due to the presence of cancer stem cells (CSCs). CSCs have the characteristics of self-renewal, differentiation potential, high carcinogenicity, and drug resistance. In addition, CSCs exhibit many characteristics similar to those of embryonic or tissue stem cells while displaying persistent abnormal activation of self-renewal pathways associated with development and tissue homeostasis, including the Wnt, Notch, Hedgehog (Hh), TGF-beta, JAK/STAT3, and NF-kappa B pathways. Therefore, we can eliminate CSCs by targeting these self-renewal pathways to constrain stem cell replication, survival and differentiation. At the same time, we cannot neglect the ping-pong effect of the tumour microenvironment, which releases cytokines and promotes self-renewal pathways in CSCs. Recently, meaningful progress has been made in the study of inhibitors of self-renewal pathways in tumours. This review primarily summarizes several representative and novel agents targeting these self-renewal signalling pathways and the tumour microenvironment and that represent a promising strategy for treating refractory and recurrent cancer.

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