目前对于肿瘤的药物治疗已经取得了一定的进展,然而,治疗后残存肿瘤细胞的复发仍然是导致肿瘤治疗失败的主要原因.肿瘤细胞休眠在肿瘤复发及耐药中发挥着重要的作用.近年来,研究发现上皮间质转化(epithelial-mesenchymal transition,EMT)的肿瘤细胞,肿瘤干细胞(cancer stem cells,CSCs)以及循环肿瘤细胞(circulating tumor cells,CTCs)都显示出细胞周期阻滞的状态.因此,对于休眠阶段肿瘤细胞的研究将可能促进肿瘤的治疗及预防肿瘤的复发.本文总结了药物治疗诱导肿瘤细胞发生休眠的具体过程,同时认为休眠是肿瘤细胞面对药物治疗所采取的主动防御措施,而非被动逃避过程.探究药物诱导性肿瘤细胞的休眠机制对于靶向休眠肿瘤细胞治疗及提高临床治疗效果都具有非常重要的意义.
Despite progresses achieved in the therapy of tumors,the prognosis of patients is still limited by reccurence of residual tumor cells.Cancer cell dormancy plays a pivotal role in cancer relapse and drug resistance.In recent years,tumor cells undergoing EMT(epithelial-mesenchymal transition),CSCs(cancer stem cells)and CTCs(circulating tumor cells)are proved to share some common characteristics and show a cell cycle arrest phenotype.Thus,understanding the dormant stage of tumor cells could facilitate us in discovering ways to accelerate the development of tumor therapy and prevent its reccurence.In this review,we summarize the specific process of tumor cell dormancy induced by pharmacotherapy,and consider that dormancy is an initiative response rather than a passive defense to cytotoxicity.Besides,we probe into the mechanisms of tumor cell dormancy-mediated drug resistance,anticipating paving a way to target dormant tumor cells and result in better clinical outcomes.