Wnt/ β-catenin signalling pathway in breast cancer cells and its effect on reversing tumour drug resistance by alkaloids extracted from traditional Chinese medicine

Expert Rev Mol Med. 2023 Jun 19:25:e21. doi: 10.1017/erm.2023.16.

Abstract

Breast cancer is a high-risk disease with a high mortality rate among women. Chemotherapy plays an important role in the treatment of breast cancer. However, chemotherapy eventually results in tumours that are resistant to drugs. In recent years, many studies have revealed that the activation of Wnt/β-catenin signalling is crucial for the emergence and growth of breast tumours as well as the development of drug resistance. Additionally, drugs that target this pathway can reverse drug resistance in breast cancer therapy. Traditional Chinese medicine has the properties of multi-target and tenderness. Therefore, integrating traditional Chinese medicine and modern medicine into chemotherapy provides a new strategy for reversing the drug resistance of breast tumours. This paper mainly reviews the possible mechanism of Wnt/β-catenin in promoting the process of breast tumour drug resistance, and the progress of alkaloids extracted from traditional Chinese medicine in the targeting of this pathway in order to reverse the drug resistance of breast cancer.

Keywords: Wnt/β-catenin; alkaloids; breast cancer; drug resistance; traditional Chinese medicine.

Publication types

  • Review

MeSH terms

  • Alkaloids* / pharmacology
  • Alkaloids* / therapeutic use
  • Breast Neoplasms* / drug therapy
  • Breast Neoplasms* / metabolism
  • Breast Neoplasms* / pathology
  • Cell Proliferation
  • Drug Resistance
  • Female
  • Humans
  • Medicine, Chinese Traditional
  • Wnt Signaling Pathway*
  • beta Catenin / metabolism
  • beta Catenin / therapeutic use

Substances

  • Alkaloids
  • beta Catenin