摘要
乳腺癌是一个严重的健康问题,也是生物医学研究中的主要关注点。主要信号传导的改变(即PI3K-AKT-mTOR,Ras-Raf-MEK-Erk,NF-kB,细胞周期蛋白D1,JAK-STAT,Wnt,Notch,Hedgehog信号传导和凋亡途径)促进了主要亚型的发展乳腺癌,例如HER2阳性,TNBC,管腔A和B和正常类乳腺癌。此外,参与细胞生长和发育的不同基因的突变和表达参数在不同类型的癌症的进展中起着重要作用,使基因治疗成为处理威胁生命的疾病(如癌症)的新兴治疗方法。遗传靶标(癌基因和抑癌基因)在肿瘤形成中起主要作用。 Brk / PTK6和mTOR是两个涉及许多与细胞生长,增殖,血管生成,存活,侵袭,转移,凋亡和自噬有关的信号传导调控的中心分子。由于这两种蛋白在乳癌的发生中高度上调,因此可以用作治疗乳腺癌的靶基因。但是,关于它们的工作还很少。这篇综述强调了Brk和mTOR及其相关信号在乳癌发生中的治疗意义,这可能为开发用于乳腺癌管理的基因治疗提供策略。
关键词: 乳腺癌,Brk / PTK6,mTOR,基因治疗,siRNA,miRNA。
图形摘要
[http://dx.doi.org/10.1038/35021093] [PMID: 10963602]
[http://dx.doi.org/10.5858/arpa.2013-0953-SA] [PMID: 24099077]
[http://dx.doi.org/10.1002/ijc.30399] [PMID: 27553713]
[http://dx.doi.org/10.1093/emboj/16.7.1647] [PMID: 9130710]
[http://dx.doi.org/10.1016/j.phrs.2013.11.002] [PMID: 24269963]
[http://dx.doi.org/10.1093/emboj/19.13.3159] [PMID: 10880430]
[http://dx.doi.org/10.1016/j.ccr.2004.07.012] [PMID: 15380516]
[http://dx.doi.org/10.1038/onc.2014.272] [PMID: 25174405]
[http://dx.doi.org/10.1016/S0014-4827(02)00101-5] [PMID: 12648465]
[http://dx.doi.org/10.1016/j.breast.2015.06.002] [PMID: 26187798]
[PMID: 25450580]
[http://dx.doi.org/10.1101/gad.183434.111] [PMID: 22302935]
[http://dx.doi.org/10.1002/jcp.20785] [PMID: 17001676]
[http://dx.doi.org/10.2174/0929867321666141106124315] [PMID: 25386819]
[http://dx.doi.org/10.1016/j.cellsig.2013.05.010] [PMID: 23707532]
[http://dx.doi.org/10.1093/jncimonographs/lgr038] [PMID: 22043054]
[http://dx.doi.org/10.1093/annonc/mds190] [PMID: 23012297]
[http://dx.doi.org/10.1186/bcr2574] [PMID: 21050424]
[PMID: 19927298]
[http://dx.doi.org/10.1158/0008-5472.CAN-07-5644] [PMID: 18451135]
[http://dx.doi.org/10.1172/JCI45014] [PMID: 21633166]
[http://dx.doi.org/10.1158/1078-0432.CCR-14-0432] [PMID: 25208879]
[http://dx.doi.org/10.1038/ncomms6899] [PMID: 25641231]
[http://dx.doi.org/10.18632/oncotarget.20274] [PMID: 29069872]
[http://dx.doi.org/10.1038/nm.2795] [PMID: 22683778]
[http://dx.doi.org/10.1073/pnas.0900780106] [PMID: 19251651]
[http://dx.doi.org/10.1038/sj.onc.1207226] [PMID: 14961075]
[http://dx.doi.org/10.1158/1535-7163.MCT-12-0781] [PMID: 23171949]
[http://dx.doi.org/10.1038/onc.2012.572] [PMID: 23246963]
[http://dx.doi.org/10.1111/bph.13211] [PMID: 26040571]
[http://dx.doi.org/10.1038/onc.2011.145] [PMID: 21532620]
[http://dx.doi.org/10.1158/1078-0432.CCR-08-0711] [PMID: 18927296]
[http://dx.doi.org/10.1371/journal.pone.0117097] [PMID: 25658419]
[PMID: 24969692]
[http://dx.doi.org/10.1186/bcr920] [PMID: 15535842]
[http://dx.doi.org/10.1016/j.ydbio.2004.07.044] [PMID: 15617686]
[http://dx.doi.org/10.18632/oncotarget.834] [PMID: 23593654]
[http://dx.doi.org/10.1023/B:JOMG.0000037160.24731.35] [PMID: 15300011]
[PMID: 8731199]
[PMID: 22866163]
[http://dx.doi.org/10.1158/0008-5472.CAN-06-0140] [PMID: 16912188]
[http://dx.doi.org/10.1038/nature03445] [PMID: 15829967]
[http://dx.doi.org/10.1158/2159-8290.CD-13-0286] [PMID: 24356096]
[http://dx.doi.org/10.1073/pnas.191367098] [PMID: 11553815]
[http://dx.doi.org/10.1200/JCO.2005.03.3845] [PMID: 16145060]
[http://dx.doi.org/10.3892/br.2013.187] [PMID: 24649067]
[http://dx.doi.org/10.1016/j.molonc.2010.11.003] [PMID: 21147047]
[http://dx.doi.org/10.1186/bcr2904] [PMID: 22217398]
[PMID: 19707334]
[http://dx.doi.org/10.4324/9780203503447]
[http://dx.doi.org/10.1023/B:JOMG.0000023586.69263.0b] [PMID: 15082916]
[http://dx.doi.org/10.1016/j.semcancer.2006.07.014] [PMID: 16904903]
[http://dx.doi.org/10.1677/erc.0.0070143] [PMID: 11021963]
[http://dx.doi.org/10.1515/BC.2005.025] [PMID: 15843165]
[http://dx.doi.org/10.1158/0008-5472.CAN-04-0396] [PMID: 15231670]
[http://dx.doi.org/10.1002/bies.10191] [PMID: 12447975]
[http://dx.doi.org/10.1146/annurev.cellbio.13.1.261] [PMID: 9442875]
[http://dx.doi.org/10.1007/978-3-540-69686-5_5]
[http://dx.doi.org/10.1634/theoncologist.7-1-73] [PMID: 11854549]
[http://dx.doi.org/10.1126/science.274.5293.1672] [PMID: 8939849]
[PMID: 10919634]
[http://dx.doi.org/10.1101/gad.13.12.1501] [PMID: 10385618]
[http://dx.doi.org/10.1002/jcb.20690] [PMID: 16267837]
[http://dx.doi.org/10.1210/en.2004-0959] [PMID: 15331580]
[http://dx.doi.org/10.1200/JCO.2005.05.064] [PMID: 15961768]
[http://dx.doi.org/10.1016/j.semcancer.2005.04.007] [PMID: 16043362]
[http://dx.doi.org/10.4161/cc.5.6.2569] [PMID: 16582601]
[http://dx.doi.org/10.1016/j.gde.2003.12.003] [PMID: 15108799]
[http://dx.doi.org/10.1371/journal.pone.0000082] [PMID: 17183714]
[http://dx.doi.org/10.1006/excr.2000.5129] [PMID: 11237519]
[http://dx.doi.org/10.1016/S0065-230X(01)82001-7] [PMID: 11447760]
[http://dx.doi.org/10.1172/JCI28803] [PMID: 17160137]
[http://dx.doi.org/10.1038/nrc2012] [PMID: 17128209]
[http://dx.doi.org/10.1093/carcin/bgi091] [PMID: 15817608]
[http://dx.doi.org/10.1038/358015a0] [PMID: 1614522]
[http://dx.doi.org/10.1186/bcr426] [PMID: 11879567]
[http://dx.doi.org/10.1677/erc.1.01172] [PMID: 16728565]
[PMID: 10582703]
[http://dx.doi.org/10.1126/science.275.5308.1943] [PMID: 9072974]
[http://dx.doi.org/10.1038/sj.bjc.6602994] [PMID: 16495927]
[http://dx.doi.org/10.1086/340026] [PMID: 11875759]
[http://dx.doi.org/10.2174/1568009053332681] [PMID: 15720189]
[http://dx.doi.org/10.1016/j.cell.2006.12.023] [PMID: 17218252]
[http://dx.doi.org/10.1186/bcr322] [PMID: 11737885]
[http://dx.doi.org/10.1038/modpathol.3800525] [PMID: 16341149]
[http://dx.doi.org/10.1001/jama.285.5.545] [PMID: 11176856]
[http://dx.doi.org/10.2325/jbcs.13.8] [PMID: 16518057]
[http://dx.doi.org/10.1634/theoncologist.9-4-361] [PMID: 15266090]
[PMID: 1394133]
[PMID: 10656456]
[http://dx.doi.org/10.1200/JCO.2001.19.14.3422] [PMID: 11454891]
[PMID: 11350889]
[PMID: 8640767]
[http://dx.doi.org/10.1089/hum.1996.7.11-1367] [PMID: 8818724]
[http://dx.doi.org/10.1007/BF03401847] [PMID: 11471572]
[http://dx.doi.org/10.1002/1097-0142(19900715)66:2<220:AID-CNCR2820660205>3.0.CO;2-6] [PMID: 2196108]
[http://dx.doi.org/10.1089/hum.1997.8.11-1403] [PMID: 9295135]
[http://dx.doi.org/10.1038/sj.gt.3300833] [PMID: 10435085]
[http://dx.doi.org/10.1089/104303401300057388] [PMID: 11426466]
[http://dx.doi.org/10.1089/hum.1992.3.1-57] [PMID: 1562641]
[http://dx.doi.org/10.1155/S111072430320704X] [PMID: 12975534]
[http://dx.doi.org/10.1200/JCO.1999.17.7.2180] [PMID: 10561274]
[http://dx.doi.org/10.1158/1078-0432.CCR-04-0155] [PMID: 15746054]
[PMID: 8247543]
[PMID: 8036022]
[http://dx.doi.org/10.1038/sj.onc.1207339] [PMID: 14676834]
[PMID: 25999240]
[http://dx.doi.org/10.1097/00001813-200402000-00002] [PMID: 15075665]
[http://dx.doi.org/10.1158/0008-5472.CAN-06-3409] [PMID: 17483331]
[http://dx.doi.org/10.1002/(SICI)1097-0215(19970611)71:6<1061:AID-IJC24>3.0.CO;2-F] [PMID: 9185712]
[PMID: 10430081]
[http://dx.doi.org/10.1016/j.coph.2010.08.007] [PMID: 20832360]
[http://dx.doi.org/10.20944/preprints201808.0044.v1]]
[http://dx.doi.org/10.1038/sj.onc.1206577] [PMID: 12902983]
[http://dx.doi.org/10.1038/sj.onc.1206465] [PMID: 12833144]
[http://dx.doi.org/10.1073/pnas.0805009105] [PMID: 18719096]
[http://dx.doi.org/10.1158/0008-5472.CAN-12-4047] [PMID: 23576557]
[http://dx.doi.org/10.1128/MCB.24.24.10558-10572.2004] [PMID: 15572663]
[http://dx.doi.org/10.1016/j.cellsig.2007.11.003] [PMID: 18077133]
[http://dx.doi.org/10.1186/bcr2622] [PMID: 20687930]
[http://dx.doi.org/10.2353/ajpath.2009.080811] [PMID: 19661439]
[http://dx.doi.org/10.4161/cbt.23295] [PMID: 23291984]
[http://dx.doi.org/10.1158/0008-5472.CAN-07-2126] [PMID: 18172307]
[http://dx.doi.org/10.1002/ijc.25263] [PMID: 20162673]
[http://dx.doi.org/10.1371/journal.pone.0011729] [PMID: 20668531]
[http://dx.doi.org/10.5306/wjco.v5.i3.299] [PMID: 25114846]
[http://dx.doi.org/10.1074/jbc.271.48.30956] [PMID: 8940083]
[http://dx.doi.org/10.1002/path.1720] [PMID: 15685689]
[http://dx.doi.org/10.1074/jbc.M412038200] [PMID: 15539407]
[http://dx.doi.org/10.1038/sj.onc.1208721] [PMID: 15870689]
[http://dx.doi.org/10.1038/sj.onc.1209501] [PMID: 16568091]
[http://dx.doi.org/10.1186/bcr1794] [PMID: 17997837]
[http://dx.doi.org/10.1158/0008-5472.CAN-08-0997] [PMID: 18829532]
[http://dx.doi.org/10.1517/14728222.2012.677439] [PMID: 22494490]
[http://dx.doi.org/10.1177/1010428317710825] [PMID: 28639903]
[http://dx.doi.org/10.1001/jamaoncol.2019.2525] [PMID: 31465107]
[http://dx.doi.org/10.1186/s13578-020-00396-1] [PMID: 32175074]
[http://dx.doi.org/10.2174/138920311795659407] [PMID: 21190521]
[http://dx.doi.org/10.3389/fnmol.2011.00051] [PMID: 22144946]
[http://dx.doi.org/10.3390/ijms13021886] [PMID: 22408430]
[http://dx.doi.org/10.1172/JCI41680] [PMID: 20530877]
[http://dx.doi.org/10.1007/s10549-010-0986-9] [PMID: 20945086]
[http://dx.doi.org/10.1080/15384047.2014.1002693] [PMID: 25692408]
[http://dx.doi.org/10.18632/oncotarget.7043] [PMID: 26824988]
[http://dx.doi.org/10.1007/978-1-4939-3299-3_1] [PMID: 27033066]
[http://dx.doi.org/10.1530/ERC-16-0218] [PMID: 27733416]
[http://dx.doi.org/10.1016/j.mam.2019.10.006] [PMID: 31676107]
[http://dx.doi.org/10.1038/onc.2015.179] [PMID: 26028026]
[http://dx.doi.org/10.1080/14712598.2017.1305351] [PMID: 28330383]
[http://dx.doi.org/10.1016/j.addr.2013.12.008] [PMID: 24384374]
[http://dx.doi.org/10.1111/j.1349-7006.2006.00234.x] [PMID: 16863503]
[http://dx.doi.org/10.4103/0019-509X.175598] [PMID: 26837960]
[http://dx.doi.org/10.1016/j.ajps.2014.08.011]
[http://dx.doi.org/10.3390/cancers11050632] [PMID: 31064156]
[http://dx.doi.org/10.1517/17425247.2011.554817] [PMID: 21314230]
[http://dx.doi.org/10.1007/s12551-017-0392-1] [PMID: 29327101]
[http://dx.doi.org/10.1021/nl402628n] [PMID: 23972158]
[http://dx.doi.org/10.3390/nano7040077] [PMID: 28379201]
[http://dx.doi.org/10.1002/adhm.201600677] [PMID: 27723260]
[http://dx.doi.org/10.1166/jbn.2016.2194] [PMID: 27280253]
[http://dx.doi.org/10.1016/j.nano.2016.07.016] [PMID: 27520723]
[http://dx.doi.org/10.1158/0008-5472.CAN-14-3485] [PMID: 25858145]
[http://dx.doi.org/10.1016/j.ejps.2016.06.020] [PMID: 27355138]
[http://dx.doi.org/10.18632/oncotarget.7076] [PMID: 26840082]
[http://dx.doi.org/10.1016/j.canlet.2015.01.011] [PMID: 25592040]
[http://dx.doi.org/10.3892/or.2013.2435] [PMID: 23624870]
[http://dx.doi.org/10.1016/j.actbio.2014.12.018] [PMID: 25545322]
[http://dx.doi.org/10.1186/s13058-014-0512-9] [PMID: 25583261]
[http://dx.doi.org/10.1158/1535-7163.MCT-14-0970] [PMID: 25695957]
[http://dx.doi.org/10.1016/j.biomaterials.2016.10.053] [PMID: 27829203]
[http://dx.doi.org/10.1016/j.biologicals.2016.09.005] [PMID: 27712979]
[PMID: 26170662]
[http://dx.doi.org/10.1021/acs.molpharmaceut.5b00692] [PMID: 26505213]
[PMID: 15705897]
[http://dx.doi.org/10.1038/sj.cgt.7700793] [PMID: 15578064]
[http://dx.doi.org/10.1021/nn3044066] [PMID: 23289892]
[http://dx.doi.org/10.1038/mt.2011.294] [PMID: 22252451]
[PMID: 26286636]