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Targeting invasive properties of melanoma cells

机译:靶向黑素瘤细胞的侵袭性

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Melanoma is a skin cancer notorious for its metastatic potential. As an initial step of the metastatic cascade, melanoma cells part from the primary tumour and invade the surrounding tissue, which is crucial for their dissemination and the formation of distant secondary tumours. Over the last two decades, our understanding of both, general and melanoma specific mechanisms of invasion has significantly improved, but to date no efficient therapeutic strategy tackling the invasive properties of melanoma cells has reached the clinic. In this review, we assess the major contributions towards the understanding of the molecular biology of melanoma cell invasion with a focus on melanoma specific traits. These traits are based on the neural crest origin of melanoma cells and explain their intrinsic invasive nature. A particular emphasis is given not only to lineage specific signalling mediated by TGF beta, and noncanonical and canonical WNT signalling, but also to the role of PDE5A and RHO-GTPases in modulating modes of melanoma cell invasion. We discuss existing caveats in the current understanding of the metastatic properties of melanoma cells, as well as the relevance of the 'phenotype switch' model and 'co-operativity' between different phenotypes in heterogeneous tumours. At the centre of these phenotypes is the lineage commitment factor microphthalmia-associated transcription factor, one of the most crucial regulators of the balance between de-differentiation (neural crest specific gene expression) and differentiation (melanocyte specific gene expression) that defines invasive and noninvasive melanoma cell phenotypes. Finally, we provide insight into the current evidence linking resistance to targeted therapies to invasive properties of melanoma cells.
机译:黑色素瘤是皮肤癌臭名昭著的转移潜能。如从原发肿瘤转移级联的初始步骤,黑色素瘤细胞部分并侵入周围组织,这是其传播和遥远继发性肿瘤的形成是至关重要的。在过去的二十年里,我们都理解,入侵一般和黑色素瘤的具体机制已显著改善,但目前为止还没有有效的治疗策略对付黑色素瘤细胞的侵袭性能已经达到了诊所。在这次审查中,我们评估对黑色素瘤细胞侵袭的重点是黑色素瘤的特定性状的分子生物学的理解作出了重大贡献。这些特征是基于黑色素细胞的神经嵴起源,并解释其内在的侵入性。甲特别强调的是,不仅由TGFβ和非规范和经典Wnt信号,也给PDE5A和RHO-GTP酶在调节黑色素瘤细胞侵袭的模式的作用介导的谱系特异性信令。我们将讨论在黑色素瘤细胞的转移性属性的当前理解,以及作为“表型开关”模型和异质性肿瘤不同表型之间“协同性”的相关现有警告。在这些表型的中心是谱系定型因子小眼相关转录因子,去分化之间的平衡的最关键的调节器中的一个(神经嵴特异性基因表达)和分化(黑素细胞特异性基因表达),它定义侵袭性和非侵袭性黑色素瘤细胞的表型。最后,我们提供洞察到当前的证据表明抗靶向治疗黑色素瘤细胞的侵袭特性。

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