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论文摘要

直接或间接靶向YAP/TAZ治疗头颈部肿瘤的策略选择

Targeting-YAP/TAZ therapies for head and neck cancer, directly or indirectly?

作者:冯晓东

Author:Feng Xiaodong.

收稿日期:2020-11-24          年卷(期)页码:2021,39(5):493-493-500

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:YAP,TAZ,Hippo,头颈部肿瘤,靶向治疗,

Key words:YAP,TAZ,Hippo,head and neck cancer,targeting therapies,

基金项目:国家自然科学基金面上项目(81672677);中央高校基本科研业务费专项资金(YJ201987);四川大学华西口腔医院引进人才科研启动经费(QDJF2019-3)

中文摘要

YAP/ TAZ在头颈肿瘤中普遍异常激活,且对肿瘤生长调控意义重大,故直接靶向YAP/TAZ在头颈部肿瘤治疗中具有极高的潜能。但是随着研究的深入,该策略的局限性也逐步体现,主要表现为两点:1)受限于当前技术水平,暂时还没有发展出安全特异的YAP/TAZ转录辅助激活抑制剂;2)YAP/TAZ调控正常细胞增殖和生存、维持组织成体干细胞的自我更新、参与器官发育、组织大小调节、组织再生等重要生理进程,直接靶向YAP/TAZ可能对这些重要的正常生理活动造成不良影响,存在较大的策略风险。值得注意的是,YAP/TAZ在头颈肿瘤中的异常分子变化比例有限,其异常激活主要源于上游异常分子事件。因此通过研究YAP/TAZ在头颈肿瘤中激活的上游异常分子事件及调控机制,或可为间接靶向YAP/TAZ治疗头颈部肿瘤提供广阔前景。

英文摘要

YAP/TAZ are wild over-activated in head and neck squamous cell carcinoma (HNSCC) with high potential as a direct therapy target for HNSCC treatments. However, the efforts on the directly targeting-YAP/TAZ therapies over the past decade, have very limited impacts, mainly caused by: 1. There is still none effective and specific YAP/TAZ inhibitor with clinical potential; 2. YAP/TAZ might not be directly targeted, because of their multiple important biological functions, such as: regulation of cell proliferation and survival, stem cell maintain, regulation of organ development, organ size control, and tissue regeneration. Interestingly, the over-activation of YAP/TAZ in HNSCC mainly be regulated by upstream abnormal molecular or biological events, instead of genes alteration of YAP/TAZ. Therefore, exploring the alternative molecular events regulating YAP/TAZ activation and molecular mechanism in HNSCC might help to uncover novel indirect targets of YAP/TAZ therapies for HNSCC prevention and treatment.

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