创新链/学科链/研发链/产业链

新药研发前沿动态 / 医药领域趋势进展

肝癌干细胞生态位的调控机制及干预路径研究进展

Research Progress on the Regulatory Mechanisms of the Liver Cancer Stem Cell Niche and Related Intervention Approaches

  • 摘要: 肝癌是全球范围内发病率和死亡率均较高的恶性肿瘤,其治疗后的高复发率和高转移率是临床面临的主要挑战。肝癌干细胞(liver cancer stem cell,LCSC)被认为是驱动肝癌发生、发展、耐药、复发及转移的关键细胞亚群。肝癌干细胞并非独立存在,其干性维持、自我更新及耐药特性高度依赖于其所在的特殊微环境——LCSC生态位。该生态位由肿瘤相关成纤维细胞、肿瘤相关巨噬细胞、调节性T细胞、内皮细胞等多种基质细胞,以及复杂的细胞外基质和丰富的信号分子共同构成。系统综述了LCSC生态位的细胞组成、关键分子调控网络,并深入探讨了靶向生态位组成细胞、靶向分子调控网络,以及诱导肝癌干细胞分化这3种肿瘤治疗策略。此外,总结了当前研究面临的技术与转化挑战,并对未来研究方向进行展望,旨在为开发根除LCSC、改善肝癌患者预后的新型联合治疗模式提供理论依据和思路。

     

    Abstract: Liver cancer is a malignant tumor with relatively high incidence and mortality worldwide, and its high rates of recurrence and metastasis after treatment remain major challenges in clinical practice. Liver cancer stem cells(LCSCs) are considered to be a key cellular subpopulation driving the inititation, progression, drug resistance, recurrence, and metastasis of liver cancer. LCSCs do not exist independently; their stemness maintenance, self-renewal, and drug resistance properties are highly dependent on the specialized microenvironment in which they reside, namely the LCSC niche. This niche is composed of various stromal cells, including cancerassociated fibroblasts(CAFs), tumor-associated macrophages(TAMs), regulatory T cells(Tregs), and endothelial cells, as well as a complex extracellular matrix and abundant signaling molecules. This review systematically outlines the cellular composition of the LCSC niche and its key molecular regulatory networks, and further explores three tumor therapeutic strategies: targeting niche component cells, targeting molecular regulatory networks, and inducing differentiation of LCSCs. In addition, the review summarizes current technical and translational challenges faced by the field and provides an outlook on future research directions, aiming to offer a theoretical basis and insights for developing novel combination therapeutic strategies to eradicate LCSCs and improve the prognosis of patients with liver cancer.

     

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