Departments of Medical Physics and Radiology, Faculty of Paramedical Sciences, Kashan University of Medical Sciences, Kashan, Iran.
Radiology and Nuclear Medicine Department, School of Paramedical Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran.
J Cell Biochem. 2019 Jan;120(1):71-76. doi: 10.1002/jcb.27594. Epub 2018 Sep 11.
Oxidative stress acts as a double-edged sword by being both a promoter and a suppressor of cancer. Moderate oxidative stress is beneficial for cancer cell proliferative and invasiveness features, while overexposure of the cells to oxidative insults could induce cancer cell apoptosis and reduce hypoxia along with modulating the immune system for regression of tumor. Cancer cells and cancer stem cells have highly efficient redox systems that make them resistant to oxidative insults. The redox disruptive approach is an area of current research and key for oxidative targeted cancer therapies. This disruption is applicable by using either oxidative or anti-oxidative overloading strategies, specifically on cancer cells without influencing normal cells or tissues around tumor. The activity of tumor suppressor cells within tumor microenvironment is needed to be maintained in patients receiving such approaches.
氧化应激是把双刃剑,既能促进也能抑制癌症。适度的氧化应激有利于癌细胞的增殖和侵袭特性,而细胞过度暴露于氧化应激会诱导癌细胞凋亡,减少缺氧,并调节免疫系统使肿瘤消退。癌细胞和癌症干细胞具有高效的氧化还原系统,使它们能够抵抗氧化应激。氧化还原破坏方法是当前研究的一个领域,也是氧化靶向癌症治疗的关键。这种破坏可以通过使用氧化或抗氧化超负荷策略来实现,特别是在不影响肿瘤周围正常细胞或组织的情况下针对癌细胞。接受此类治疗的患者需要维持肿瘤微环境中肿瘤抑制细胞的活性。