乳酸作为前列腺癌进展中的关键代谢物:临床影响是什么?
Paolo Chetta1, Renuka Sriram2, Giorgia Zadra3
1Department of Pathology, Massachusetts General Hospital, Boston, MA 02114, USA.
Cancers
|July 14, 2023
概括
乳酸,一种代谢副产品,通过推动免疫逃避和转移,在晚期前列腺癌的进展中起着关键作用. 向乳酸代谢为患者分层和治疗提供了新的临床机会.
科学领域:
- 在瘤学瘤学.
- 代谢研究研究 代谢研究
- 癌症生物学 癌症生物学
背景情况:
- 先进的前列腺癌是男性癌症死亡的主要原因.
- 雄激素受体信号驱动疾病,但代谢变化对于进展至关重要.
- "脂原体表型"描述了新陈代谢的重新连接,但乳酸的作用越来越被认可.
研究的目的:
- 讨论乳酸在前列腺癌进展中的多方面的作用.
- 探索乳酸如何影响免疫逃避和转移.
- 突出成像和向乳酸代谢的临床机会.
主要方法:
- 关于前列腺癌中代谢变化的文献综述.
- 分析乳酸在有氧糖解和瘤微环境中的作用.
- 考虑系统代谢和肠道微生物群的影响.
主要成果:
- 乳酸积累,由有氧糖解驱动,促进免疫逃避和前列腺癌的转移.
- 在代谢上异质的细胞可以通过乳酸穿来相互作用,以维持疾病的进展.
- 乳酸代谢受到瘤基因,瘤抑制剂,雄激素信号传递,缺氧和瘤微环境的影响.
结论:
- 乳酸是晚期前列腺癌进展的重要因素.
- 向乳酸代谢为患者分层和治疗提供了潜在的临床策略.
- 对乳酸的全身和微生物影响的进一步研究是有必要的.
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