瘤微环境异质性对治疗反应的影响
Melissa R Junttila1, Frederic J de Sauvage
1Department of Molecular Biology, Genentech, 1 DNA Way, South San Francisco, California 94080, USA.
Nature
|September 20, 2013
概括
瘤生长是一个复杂的过程,涉及多种细胞类型和瘤微环境. 了解瘤是整个器官,而不仅仅是癌细胞,对于有效的治疗策略至关重要.
科学领域:
- 在瘤学瘤学.
- 癌症生物学 癌症生物学
- 瘤微环境研究 研究
背景情况:
- 瘤生成涉及瘤细胞与细胞外基质,血管和免疫细胞的共同进化.
- 瘤生长和转移取决于基因变异以及特定环境环境中的突变所赋予的健康优势.
- 瘤是动态的,异质的器官,而不仅仅是转变的上皮细胞的质量.
研究的目的:
- 强调评估瘤作为完整器官的重要性.
- 突出瘤微环境在癌症进展和治疗反应中的作用.
- 为了强调癌细胞适应性的上下文依赖性.
主要方法:
- 概念分析整合了来自瘤生物学和微环境研究的数据.
- 关于瘤异质性和演变的现有文献的综述.
- 对瘤生长模型的比较分析.
主要成果:
- 瘤生成是一个多元组件的过程,需要考虑所有细胞和矩阵元素.
- 癌细胞的适应性是由环境决定的,它会影响癌细胞的外生长和转移.
- 瘤地形非常可变,即使在单个病变内.
- 瘤内的不同细胞类型之间的相互作用显著影响治疗结果和耐药性.
结论:
- 将瘤视为复杂的器官,包括所有细胞和细胞外组成部分,对于理解癌症至关重要.
- 瘤微环境和细胞与细胞的相互作用是瘤行为,治疗反应和耐药性的关键决定因素.
- 未来的研究应该专注于瘤的整体,器官层面的动态,以开发更有效的癌症疗法.
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