幹細胞の分裂,体内変異,がんの病因,がん予防
Cristian Tomasetti1,2, Lu Li2, Bert Vogelstein3
1Division of Biostatistics and Bioinformatics, Department of Oncology, Sidney Kimmel Cancer Center, Johns Hopkins University School of Medicine, 550 North Broadway, Baltimore, MD 21205, USA. ctomasetti@jhu.edu vogelbe@jhmi.edu.
まとめ
癌のリスクは正常な幹細胞分裂と強く関連しており,複製エラー (R) がほとんどの変異の原因である. 早期発見は避けられないR変異による癌に不可欠です.
科学分野:
- 腫瘍学
- 遺伝学
- 流行病学について
背景:
- がんは遺伝性,環境的誘発性,またはDNA複製の誤りから生じる突然変異によって発生する (R).
- 癌変異の起源を理解することは 予防と治療の戦略に不可欠です
研究 の 目的:
- 正常な幹細胞分裂率と 17種類の癌の発生率の関連性を調査する.
- 複製エラー (R) ががんの病因に与える影響を,ゲノムと疫学データを用いて評価する.
主な方法:
- 普通の幹細胞分裂率に関連して69カ国の癌発生率データを分析した.
- R に起因する変異の割合を推定するために,がんゲノム配列と疫学データを活用する.
主要な成果:
- 環境要因に関係なく,がん発生率と正常な幹細胞分裂の間の有意な全体的な相関関係 (中位=0. 80) が観察されました.
- R変異はヒトの癌の変異の約3分の2を占めている.
- 発見は環境変化による予防可能な癌の 疫学的推定値と一致する.
結論:
- 普通の幹細胞の分裂は 環境要因や遺伝的傾向と共に 癌のリスクに大きな役割を果たします
- 複製エラー (R) は,ヒトの癌における突然変異の主な要因である.
- 特に避けられないR変異による癌の早期発見と介入の重要性を強調する.
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