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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. Kharagezov
National Medical Research Centre for Oncology
Russian 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
National Medical Research Centre for Oncology
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
National Medical Research Centre for Oncology
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
National Medical Research Centre for Oncology
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
National Medical Research Centre for Oncology
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
National Medical Research Centre for Oncology
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
National Medical Research Centre for Oncology
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
National Medical Research Centre for Oncology
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
National Medical Research Centre for Oncology
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
National Medical Research Centre for Oncology
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
National Medical Research Centre for Oncology
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
National Medical Research Centre for Oncology
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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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

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