The role of tumor stem cells and the immune microenvironment in the pathogenesis of lung cancer: mechanisms of interaction and research prospects
https://doi.org/10.37748/2686-9039-2024-5-4-7
EDN: JBCKSE
Abstract
Despite significant advances in the treatment of malignant neoplasms, the issue of therapy resistance mediated by cancer stem cells (CSCs) necessitates the development of new treatment strategies. Studying the role of CSCs and the immune microenvironment in the pathogenesis of cancer, particularly non-small cell lung cancer (NSCLC), is a pressing issue in modern oncology. This paper is based on an extensive analysis of recent research and aims to study the mechanisms underlying the development of NSCLC.
The origin of CSCs, their markers, and the main signaling pathways involved in regulating their activity are considered. Special attention is paid to the influence of CSCs on the progression of lung cancer and the mechanisms underlying their therapy-mediated resistance. Various approaches to treating lung cancer targeting CSCs, focusing on targeted therapy aimed at specific molecular targets, are highlighted.
The important role of the tumor immune microenvironment in the pathogenesis of lung cancer and its impact on CSCs is emphasized. Mechanisms of immune response regulation in tumors and the potential use of immunotherapy to improve lung cancer treatment outcomes are discussed. The article also reviews modern diagnostic and treatment methods, including molecular-genetic and immunohistochemical approaches.
This paper work represents a review of current knowledge on the mechanisms of lung cancer development and is significant for understanding tumor biology and developing new treatment methods. The need for an interdisciplinary approach and comprehensive use of modern diagnostic and therapeutic methods to improve the prognosis and survival rates of NSCLC patients is emphasized. Special attention is given to the prospects of using combined therapeutic approaches, including targeted drugs and immunotherapy, aimed at suppressing CSC activity and modifying the tumor microenvironment.
In conclusion, a deep understanding of the molecular mechanisms regulating CSC activity and their interaction with the tumor microenvironment opens new opportunities for developing effective treatment strategies. This review underscores the need for further research in this area to ensure more successful treatment and improved quality of life for lung cancer patients.
About the Authors
D. A. KharagezovRussian Federation
Dmitrii A. Kharagezov – Cand. Sci. (Med.), MD, Head of the Department of Thoracic Oncology, National Medical Research Centre for Oncology, Rostov-on-Don, Russian Federation
ORCID: https://orcid.org/0000-0003-0640-2994, SPIN: 5120-0561, AuthorID: 733789, ResearcherID: AAZ-3638-2021, Scopus Author ID: 56626499300
Competing Interests:
the authors declare that there are no obvious and potential conflicts of interest associated with the publication of this article
A. A. Antonyan
Russian Federation
Artur A. Antonyan – PhD student of the 1st year, National Medical Research Centre for Oncology, Rostov-on-Don, Russian Federation
ORCID: https://orcid.org/0000-0001-6449-7026, ResearcherID: JWQ-0734-2024
Competing Interests:
the authors declare that there are no obvious and potential conflicts of interest associated with the publication of this article
E. Yu. Zlatni
Russian Federation
Elena Yu. Zlatnik – Dr. Sci. (Med.), MD, Professor, Chief Researcher, Laboratory of Immunophenotyping of Tumors, National Medical Research Centre for Oncology, Rostov-on-Don, Russian Federation
ORCID: https://orcid.org/0000-0002-1410-122X, SPIN: 4137-7410, AuthorID: 327457, ResearcherID: AAI-1311-2020, Scopus Author ID: 6603160432
Competing Interests:
the authors declare that there are no obvious and potential conflicts of interest associated with the publication of this article
A. B. Sagakyants
Russian Federation
Alexander B. Sagakyants – Cand. Sci. (Biol.), head of the Laboratory of Immunophenotyping of Tumors, National Medical Research Centre for Oncology, Rostov-on-Don, Russian Federation
ORCID: https://orcid.org/0000-0003-0874-5261, SPIN: 7272-1408, AuthorID: 426904, ResearcherID: M-8378-2019, Scopus Author ID: 24329773900
Competing Interests:
the authors declare that there are no obvious and potential conflicts of interest associated with the publication of this article
E. A. Mirzoyan
Russian Federation
Ellada A. Mirzoyan – Cand. Sci. (Med.), MD, oncologist, researcher at the Department of Thoracic Oncology, National Medical Research Centre for Oncology, Rostov-on-Don, Russian Federation
ORCID: https://orcid.org/0000-0002-0328-9714, SPIN: 2506-8605, AuthorID: 1002948, ResearcherID: AAZ-2780-2021, Scopus Author ID: 57221118516
Competing Interests:
the authors declare that there are no obvious and potential conflicts of interest associated with the publication of this article
T. G. Ayrapetova
Russian Federation
Tamara G. Ayrapetova – Cand. Sci. (Med.), MD, oncologist at the Department of Thoracic Oncology, National Medical Research Centre for Oncology, Rostov-on-Don, Russian Federation
ORCID: https://orcid.org/0000-0001-5287-5800, SPIN: 8121-4039, AuthorID: 794672
Competing Interests:
the authors declare that there are no obvious and potential conflicts of interest associated with the publication of this article
I. A. Leyman
Russian Federation
Igor A. Leyman – Cand. Sci. (Med.), MD, oncologist at the Department of Thoracic Oncology, National Medical Research Centre for Oncology, Rostov-on-Don, Russian Federation
ORCID: https://orcid.org/0000-0003-2572-1624, SPIN: 2551-0999, AuthorID: 735699
Competing Interests:
the authors declare that there are no obvious and potential conflicts of interest associated with the publication of this article
A. G. Milakin
Russian Federation
Anton G. Milakin – MD, oncologist at the Department of Thoracic Oncology, National Medical Research Centre for Oncology, Rostov-on-Don, Russian Federation
ORCID: https://orcid.org/0000-0002-2589-7606, SPIN: 7737-4737, AuthorID: 794734, Scopus Author ID: 57192109933
Competing Interests:
the authors declare that there are no obvious and potential conflicts of interest associated with the publication of this article
O. N. Stateshny
Russian Federation
Oleg N. Stateshny – MD, oncologist at the Department of Thoracic Oncology, National Medical Research Centre for Oncology, Rostov-on-Don, Russian Federation
ORCID: https://orcid.org/0000-0003-4513-7548, SPIN: 9917-1975, AuthorID: 1067071
Competing Interests:
the authors declare that there are no obvious and potential conflicts of interest associated with the publication of this article
K. D. Iozefi
Russian Federation
Kristian D. Iozefi – MD, thoracic surgeon at the Department of Thoracic Oncology, National Medical Research Centre for Oncology, Rostov-on-Don, Russian Federation
ORCID: https://orcid.org/0000-0002-5351-3251, SPIN: 1232-3097, AuthorID: 1122592, ResearcherID: AAZ-3632-2021
Competing Interests:
the authors declare that there are no obvious and potential conflicts of interest associated with the publication of this article
M. A. Homidov
Russian Federation
Mekhrullokhodzha A. Homidov – PhD student, National Medical Research Centre for Oncology, Rostov-on-Don, Russian Federation
ORCID: https://orcid.org/0000-0003-0645-0937, SPIN: 1950-8737, AuthorID: 1067071, ResearcherID: JFK-3888-2023
Competing Interests:
the authors declare that there are no obvious and potential conflicts of interest associated with the publication of this article
E. A. Alekseev
Russian Federation
Eduard K. Alekseev – MD, resident doctor, National Medical Research Centre for Oncology, Rostov-on-Don, Russian Federation
ORCID: https://orcid.org/0009-0007-4982-5491, ResearcherID: JWP-6340-2024
Competing Interests:
the authors declare that there are no obvious and potential conflicts of interest associated with the publication of this article
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For citations:
Kharagezov D.A., Antonyan A.A., Zlatni E.Yu., Sagakyants A.B., Mirzoyan E.A., Ayrapetova T.G., Leyman I.A., Milakin A.G., Stateshny O.N., Iozefi K.D., Homidov M.A., Alekseev E.A. The role of tumor stem cells and the immune microenvironment in the pathogenesis of lung cancer: mechanisms of interaction and research prospects. South Russian Journal of Cancer. 2024;5(4):58-70. https://doi.org/10.37748/2686-9039-2024-5-4-7. EDN: JBCKSE