The systemic factors of mitigating the contribution of the reversible phenotypic transitions of malignant cells to therapeutic resistance
pdf (Русский)

Keywords

therapeutic resistance of cancer
phenotypic plasticity
metabolism
aging
anti-diabetic biguanides

How to Cite

Golubev , A., & Anisimov, A. (2022). The systemic factors of mitigating the contribution of the reversible phenotypic transitions of malignant cells to therapeutic resistance. Voprosy Onkologii, 68(6), 708–716. https://doi.org/10.37469/0507-3758-2022-68-6-708-716

Abstract

The development of cancer resistance to radio- chemo- and immunotherapy seriously compromises treatment outcomes. The present review of publications related to the phenotypic plasticity of malignant cells leads, with account of the principal characteristics of the stem-cell, epithelial, mesenchymal and senescent phenotypes, to the conclusion that the key factor of the therapeutic resistance of cancer is the reversibility of malignant cell transitions between these phenotypes. Such transitions depend on cells environment including host age and metabolic and endocrine conditions. Modulating the metabolic parameters of tumor host may significantly influence the efficacy of anticancer therapy without affecting the viability and/or proliferation of cancer cells in any of their particular phenotypic states. This stance is illustrated with data on the anticancer effects of antidiabetic biguanides. Analyzing in terms of reversibility of phenotypic states the effects of interventions having nonobvious cytostatic and/or cytotoxic consequences may help to understand the mechanisms of such interventions and to expand the scope of criteria useful in searching for novel anticancer therapies.

https://doi.org/10.37469/0507-3758-2022-68-6-708-716
pdf (Русский)

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