巴雷特患有甲基形成症
J A Jankowski1, R F Harrison, I Perry
1Division of Medical Sciences, University of Birmingham, UK. J.jankowski@bham.ac.uk
Lancet (London, England)
|January 6, 2001
概括
全球食道腺癌的发病率正在上升. 了解驱动巴雷特食道进展的遗传和环境因素是开发早期干预策略的关键,用于这种癌前病变.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 分子生物学分子生物学
背景情况:
- 在西方国家,食道腺癌的发病率正在上升.
- 晚期呈现导致患者预后不佳.
- 目前的早期干预措施不具有成本效益.
研究的目的:
- 调查预防巴雷特食道病的策略,这是一个前体病变.
- 阐明转基因病变进展中的遗传和环境相互作用.
- 了解驱动食道癌症发展的机制.
主要方法:
- 关于食道腺癌和巴雷特食道的当前文献的综述.
- 对癌症进展中的遗传,环境和表观遗传因素的分析.
- 检查微环境在金属塑料转化中的作用.
主要成果:
- 确定了促进癌症进展的三个关键机制:生殖系突变/多态,零星突变和表观遗传变化.
- 突出了当地产生的细胞因子和胆酸在逆流症中的作用.
- 证明了微环境对元塑性干细胞的直接影响.
结论:
- 对预防巴雷特食道的重新兴趣至关重要.
- 了解转化成形的分子驱动因素对于早期癌症预防至关重要.
- 针对微环境可能提供新的治疗策略.
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