HDAC1在肺癌中的潜在作用机制及研究进展OA
Potential Mechanisms and Research Advances of HDAC1 in Lung Cancer
肺癌是全球发病率与死亡率最高的恶性肿瘤.当前治疗手段疗效有限,患者预后不佳,亟需探索新的治疗靶点与策略.表观遗传修饰失调与肿瘤发生发展密切相关,其中组蛋白去乙酰化酶1(histone deacetylase 1,HDAC1)作为关键的表观遗传调控分子,参与调控细胞增殖、分化、凋亡等生物学过程.HDAC1在肺癌中呈高表达,且其表达水平与肺癌恶性程度、临床分期及不良预后密切关联.HDAC1异常激活也是肺癌化疗、靶向治疗及免疫治疗耐药的核心因素之一.HDAC1抑制剂的研发为肺癌治疗提供了新方向,且与化疗、靶向治疗及免疫治疗联用能够显著增强协同抗肿瘤效果.本文系统综述了HDAC1的结构特征与生理功能,深入探讨其在肺癌中的调控机制,阐述其与肺癌耐药的关联,并总结HDAC1抑制剂的研发进展、临床试验现状及面临的挑战,以期为肺癌的精准治疗提供新思路.
Lung cancer is the malignant tumor with the highest incidence and mortality rate worldwide.The current treatment methods have limited efficacy,and the prognosis of patients is poor.There is an urgent need to explore new therapeutic targets and strategies.Epigenetic modification disorders are closely related to the occurrence and development of tumors.Among them,histone deacetylase 1(HDAC1),as a key epigenetic regulatory molecule,participates in the regulation of biological pro-cesses such as cell proliferation,differentiation,and apoptosis.HDAC1 is highly expressed in lung cancer,and its expression level is closely related to the malignancy degree,clinical stage,and poor prognosis of lung cancer.Abnormal activation of HDAC1 is also one of the core factors for the resistance of lung cancer to chemotherapy,targeted therapy,and immunotherapy.The development of HDAC1 inhibitors provides a new direction for the treatment of lung cancer,and the combination with chemotherapy,targeted therapy,and immunotherapy can significantly enhance the synergistic anti-tumor effect.This article systematically reviews the structural characteristics and physiological functions of HDAC1,deeply explores its regulatory mechanism in lung cancer,elabo-rates on its association with lung cancer resistance,and summarizes the research and development progress,clinical trial status,and challenges of HDAC1 inhibitors,with the aim of providing new ideas for the precise treatment of lung cancer.
刘明珠;王传林;胡瑾;赵光强;黄云超;周岚
650504 昆明,昆明医科大学第三附属医院,云南省肿瘤医院,北京大学肿瘤医院云南医院临床营养科650504 昆明,昆明医科大学第三附属医院,云南省肿瘤医院,北京大学肿瘤医院云南医院胸外科650504 昆明,昆明医科大学第三附属医院,云南省肿瘤医院,北京大学肿瘤医院云南医院临床营养科650504 昆明,昆明医科大学第三附属医院,云南省肿瘤医院,北京大学肿瘤医院云南医院胸外科650504 昆明,昆明医科大学第三附属医院,云南省肿瘤医院,北京大学肿瘤医院云南医院胸外科650504 昆明,昆明医科大学第三附属医院,云南省肿瘤医院,北京大学肿瘤医院云南医院临床营养科
肺肿瘤HDAC1表观遗传修饰HDAC1抑制剂
Lung neoplasmsHDAC1Epigenetic modificationsHDAC1 inhibitors
《中国肺癌杂志》 2026 (4)
302-309,8
This paper was supported by the grants from National Natural Science Foundation of China(No.82360562,to Yunchao HUANG),Postgraduate Innovation Fund of Kunming Medical University(No.2025S113,to Mingzhu LIU),Medical Quality(Evidence-Based)Management Research Project of the National Institute of Hospital Administration,National Health Commission of the People's Republic of China(No.YLZLXZ24K007,to Lan ZHOU),Yunnan Provincial Innovation Team for Thoracic Tumor Prevention and Treatment Research(No.202405AS350015,to Guangqiang ZHAO)and Yunnan Provincial Department of Education Science Research Fund(No.2026Y0406,to Chuanlin WANG). 本文受国家自然科学基金项目(No.82360562)、昆明医科大学研究生创新基金项目(No.2025S113)、国家卫生健康委医院管理研究所医疗质量(循证)管理研究项目(No.YLZLXZ24K007)、云南省胸部肿瘤防治研究创新团队项目(No.202405AS350015)和云南省教育厅科学研究基金项目(No.2026Y0406)资助
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