铁死亡和铜死亡在肝癌中的作用机制及研究进展
Iron Death and Copper Death in Hepatocellular Carcinoma: Mechanisms and Research Progress
投稿时间:2025-01-20  修订日期:2025-03-28
DOI:
中文关键词:  肝癌  铁死亡  铜死亡  谷胱甘肽  P53
英文关键词:Liver cancer  Ferroptosis  Cuproptosis  Glutathione  P53
基金项目:河南省高等学校重点科研项目(22A360014);河南省中医药拔尖人才培养项目(豫中医科教[2018]35号);河南省高等教育教学改革研究与实践项目(2023SJGLX230Y);河南省中医药科学研究专项课题(2024ZY2055)
作者单位邮编
张雨* 河南省中医院 450000
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中文摘要:
      肝癌是全球主要的癌症死亡原因之一,严重影响患者的生活质量和生存率。尽管现代医学在肝癌治疗中取得了一定进展,但仍面临诸多挑战和局限性,因此寻找新的治疗策略具有重要的临床意义。铁死亡和铜死亡近年来在肝癌研究中受到广泛关注。铁死亡由铁依赖性脂质过氧化驱动,通过多种途径调控肝癌,抑制其增殖和转移。铜死亡由细胞内铜积累触发,涉及线粒体脂酰化蛋白的聚集和铁硫簇蛋白的降解,过量铜离子干扰呼吸链复合体,引起蛋白质毒性应激反应,抑制肝癌细胞增殖。铁死亡和铜死亡在肝癌中存在串联机制,形成以 GSH 和 P53 为核心的相互作用网络,为多靶点调控肝癌提供潜力。本文综述了铁死亡和铜死亡在肝癌中的作用机制及串联机制,讨论了相关研究在肝癌治疗中的临床应用前景,为进一步的研究和临床实践提供有益的参考。
英文摘要:
      Liver cancer is one of the leading causes of cancer-related deaths globally, significantly affecting patients' quality of life and survival rates. Despite advancements in modern medicine, the treatment of liver cancer still faces numerous challenges and limitations, making the search for new therapeutic strategies of great clinical significance. Ferroptosis and cuproptosis have garnered considerable attention in liver cancer research in recent years. Ferroptosis, driven by iron-dependent lipid peroxidation, regulates liver cancer through multiple pathways, inhibiting its proliferation and metastasis. Cuproptosis is triggered by intracellular copper accumulation, involving the aggregation of mitochondrial lipoylated proteins and the degradation of iron-sulfur cluster proteins. Excess copper ions interfere with the respiratory chain complexes, causing protein toxicity stress responses and inhibiting the proliferation of liver cancer cells. Ferroptosis and cuproptosis are interconnected in liver cancer, forming an interactive network centered around GSH and P53, offering potential for multi-target regulation of liver cancer. This review summarizes the mechanisms and interconnections of ferroptosis and cuproptosis in liver cancer, discusses their clinical application prospects in liver cancer treatment, and provides valuable references for further research and clinical practice.
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