在骨髓中唤醒休眠的乳腺癌细胞
1Rutgers New Jersey Medical School and the Cancer Institute of New Jersey, 185 South Orange Avenue, MSB F671, Newark, NJ 07103, USA.
Cancers
|June 10, 2023
概括
骨髓中休眠的乳腺癌 (BC) 细胞可以在治疗后存活下来,并在几年后复发. 本综述探讨了维持BC细胞休眠和复发的机制,以及消除或控制这些微转移的策略.
科学领域:
- 在瘤学瘤学.
- 细胞生物学 细胞生物学
- 癌症转移 癌症转移
背景情况:
- 骨髓 (BM) 中的转移细胞在诊断时被发现在乳腺癌 (BC) 患者中高达40%.
- 这些休眠的BC细胞可以在辅助治疗中存活下来,并导致晚期复发,通常是无法治愈的.
- 了解休眠机制对于预防致命的巨型转移至关重要.
研究的目的:
- 审查在乳腺癌微环境中维持乳腺癌细胞休眠的拟议机制.
- 讨论特定复发机制的支持数据.
- 探索消除或管理休眠微转移的策略.
主要方法:
- 对BC细胞休眠和复发的拟议机制的文献综述.
- 分析支持特定机制的数据.
- 讨论潜在的治疗方法.
主要成果:
- 确定了许多导致BC细胞休眠和复发的机制,包括分泌衰老,炎症,衰老,BM脂肪转化,自,创伤/手术效应,交感信号,血管突发,高凝血状态,骨质细胞激活和表观遗传修饰.
- 突出了关于复发发病开始的确切预测数据的缺乏.
- 考虑了消除微转移或维持休眠状态的方法.
结论:
- 骨髓中的乳腺癌细胞休眠状态是由复杂的因素相互作用维持的.
- 需要进一步的研究来验证预测数据,并制定有效的策略来对抗休眠细胞.
- 针对休眠机制提供了改善患者长期结果的潜力.
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