ATF4在肿瘤中的研究进展
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  • 英文篇名:Role of ATF4 in cancer progression and treatment resistance
  • 作者:林浩 ; 章杰 ; 郭君宾 ; 刘泰然 ; 苏美云 ; 山顺林
  • 英文作者:LIN Hao;ZHANG Jie;GUO Jun-bin;Department of Hematology and Oncology,the First People's Hospital of Wenling;
  • 关键词:ATF4 ; 肿瘤 ; 肿瘤微环境
  • 英文关键词:ATF4;;Tumor;;Tumor microenvironment
  • 中文刊名:SYQY
  • 英文刊名:Chinese Journal of General Practice
  • 机构:温岭市第一人民医院血液肿瘤内科;解放军第八十二医院肿瘤中心;
  • 出版日期:2018-01-08
  • 出版单位:中华全科医学
  • 年:2018
  • 期:v.16
  • 基金:国家高技术研究发展计划(863计划)(2014AA020-901);; 浙江省温岭市科技项目(2015C31BA0004)
  • 语种:中文;
  • 页:SYQY201801037
  • 页数:5
  • CN:01
  • ISSN:11-5710/R
  • 分类号:123-126+164
摘要
肿瘤的发生和发展是一个多因素、多步骤和多基因参与的过程,其中不仅仅涉及肿瘤本身,低氧、低葡萄糖、低氨基酸、低p H值的肿瘤微环境与肿瘤相互作用,导致应激反应如:缺氧诱导因子(HIFs)、未折叠蛋白反应(UPR)和腺苷酸活化蛋白激酶反应途径(AMPK)以维持肿瘤代谢平衡,参与肿瘤进展的血管生成、浸润、转移及治疗抵抗发生。ATF4是活化转录因子(ATF)家族代指一大组的基本区域亮氨酸拉链(b ZIP)转录因子成员之一,是调控促生存基因的转录因子,在正常组织的生长发育中起重要作用,能够调控多种相关基因的合成,参与自噬,氧化还原反应和细胞凋亡,近年来研究发现与正常组织相比,ATF4在多种肿瘤组织中表达升高,特别是在肿瘤组织乏营养区域即肿瘤微环境,提示在肿瘤微环境中ATF4参与维持肿瘤代谢平衡,使肿瘤细胞在乏营养下存活,和肿瘤的进展、多种抗肿瘤药物治疗耐药的发生相关,本文主要从ATF4的来源,在生长和发育中的作用,在肿瘤生物学中的作用,在肿瘤进展和药物耐药方面的作用机制作一综述,并对目前有一些以ATF4为相关靶点的抗肿瘤治疗研究方向及正在开发的药物作一探讨,为以ATF4为靶点的相关抗肿瘤研究提供研究思路。
        The occurrence and development of carcinoma depend on a number of factors and multiple genetic changes and is a multi-step process. Besides cancer tissue itself,the hypoxia,low glucose,low amino acids and low PH value of the cancer microenvironments were also interacted with cancer,these cancer microenvironments resulted in stress response,including stabilization of hypoxia-inducible factors( HIFs),induction of the unfolded protein response( UPR) and activation of the AMP-activated protein kinase( AMPK) pathway,which was also involved in cancer progression,angiogenesis,invasion,metastasis and therapeutic resistance. Activating transcription factor 4( ATF4) belongs to the activator of transcription family( ATF) with the basic region leucine zipper( b ZIP) that is involved in protein-protein interactions.ATF4 plays important role in regulating the survival,growth and development of normal tissue,and involved in autophagy,redox and apoptosis. The recent study shows that the expression of ATF4 increase in various cancer tissues,especially in cancer microenvironment( region lacking of nutrients),suggesting that ATF4 in cancer microenvironment is involved in the maintenance of cancer metabolism,the survival of cancer cell in the lack of nutrition,and is related with cancer progression and drugs resistance. This paper mainly summarizes about the sources and role of ATF4 in cancer cell growth and development and in cancer biology,and its mechanism in cancer progression and drug resistance,the paper also prospects the role of ATF4 related cancer treatment,and provide ideas for anti-cancer research targeting the ATF4 pathway.
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