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葡萄皮质类药物促进乳腺癌转移
Milan M S Obradović1,2,3, Baptiste Hamelin1, Nenad Manevski4,5
1Department of Biomedicine, Department of Surgery, University Hospital Basel, University of Basel, Basel, Switzerland.
Nature
|March 15, 2019
概括
远程转移中的葡萄糖皮质体受体激活促使癌症异质化和扩散. 这表明在患有乳腺癌并发症的患者使用葡萄糖皮质激素时要谨慎,因为它们可能会恶化结果.
科学领域:
- 癌症学
- 分子生物学
- 癌症研究
背景情况:
- 患者内瘤异质性和转移是癌症治疗的主要障碍.
- 了解转移和瘤异质性的机制对于个性化癌症治疗至关重要.
研究的目的:
- 研究葡萄糖皮质体受体活性在驱动患者内瘤异质性和转移中的作用.
- 确定改善乳腺癌治疗结果的分子点.
主要方法:
- 在患者衍生异种移植模型中对瘤和匹配转移的转录分析.
- 蛋白质组和蛋白质组分析
- 评估ROR1切除对转移后生长和存活的影响.
主要成果:
- 在远程转移中观察到葡萄糖皮质体受体活性增加,与癌症部位特定的表型相关.
- 葡萄糖皮质体受体的激活与殖民性增加,异质性和生存率降低有关.
- 基因酶ROR1的表达增加与转移有关,与生存率差相关.
结论:
- 葡萄糖皮质体受体的激活促进了乳腺癌的瘤异质性和转移.
- 向ROR1可能是减少转移的治疗策略,并改善存活率.
- 由于对转移和存活的潜在不良影响,建议在患有乳腺癌的患者中给予葡萄糖皮质激素时谨慎使用.
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