Luo Ji, Solimini Nicole L, Elledge Stephen J
Howard Hughes Medical Institute, Department of Genetics, Harvard Medical School, Brigham and Women's Hospital, Boston, MA 02115, USA.
Cell. 2009 Mar 6;136(5):823-37. doi: 10.1016/j.cell.2009.02.024.
Cancer is a complex collection of distinct genetic diseases united by common hallmarks. Here, we expand upon the classic hallmarks to include the stress phenotypes of tumorigenesis. We describe a conceptual framework of how oncogene and non-oncogene addictions contribute to these hallmarks and how they can be exploited through stress sensitization and stress overload to selectively kill cancer cells. In particular, we present evidence for a large class of non-oncogenes that are essential for cancer cell survival and present attractive drug targets. Finally, we discuss the path ahead to therapeutic discovery and provide theoretical considerations for combining orthogonal cancer therapies.
癌症是一组复杂的、具有共同特征的独特遗传疾病。在此,我们对经典特征进行扩展,将肿瘤发生的应激表型纳入其中。我们描述了一个概念框架,即癌基因和非癌基因成瘾如何促成这些特征,以及如何通过应激敏化和应激过载来利用它们选择性地杀死癌细胞。特别是,我们提供了证据,证明一大类对癌细胞存活至关重要的非癌基因是有吸引力的药物靶点。最后,我们讨论了治疗发现的未来道路,并为联合使用正交癌症疗法提供理论思考。