结直肠癌的分子马赛克:为什么一个分类系统不再足够?
Sunita Ahlawat1, Sumanta Das1,2
1Department of Pathology, Agilus Diagnostics Ltd, Fortis Memorial Research Institute, Gurugram 122002, Haryana, India.
World journal of gastrointestinal oncology
|January 29, 2026
概括
结肠直肠癌 (CRC) 的分类需要多个分子系统,因为它的复杂性. 多样化的方法,而不是单一的系统,对于CRC患者的精密瘤学至关重要.
科学领域:
- 在瘤学瘤学.
- 基因组学就是基因组学.
- 生物信息学是一种生物信息学.
背景情况:
- 结肠直肠癌 (CRC) 是高度分子异质的,挑战传统的分类.
- 共识分子亚型 (CMS) 分类推进了CRC分类学,但有局限性,有13%的未分类病例和无法捕捉空间异质性.
研究的目的:
- 突出目前结直肠癌分类系统的局限性.
- 倡导转向多种互补的分子分类学,以全面的CRC表征.
主要方法:
- 审查当前CRC分类系统 (包括CMS) 的局限性.
- 讨论新兴技术,如空间转录组学和单细胞RNA测序.
- 探索新分子亚型的临床转化中的挑战.
主要成果:
- 目前的分类系统,包括CMS,未能捕捉CRC生物学和空间异质性的全谱.
- 新的分子亚型揭示了生物连续性,而不是离散的类别.
- CMS 4和CMS 1显示出预后影响,但对治疗的预测价值有限.
结论:
- 对于CRC的复杂性,单一的分类系统是不够的.
- 对于精确的临床应用 (预后,治疗选择) 需要多种互补的分子分类学.
- 整合人工智能,液体活检和实时监测将使CRC中精确瘤学的动态瘤特征成为可能.
相关概念视频
The Fluid Mosaic Model
177.8K
The fluid mosaic model was first proposed as a visual representation of research observations. The model comprises the composition and dynamics of membranes and serves as a foundation for future membrane-related studies. The model depicts the structure of the plasma membrane with a variety of components, which include phospholipids, proteins, and carbohydrates. These integral molecules are loosely bound, defining the cell’s border and providing fluidity for optimal function.
177.8K
Fluid Mosaic Model
16.0K
Scientists identified the plasma membrane in the 1890s and its principal chemical components (lipids and proteins) by 1915. The model for plasma membrane structure, proposed in 1935 by Hugh Davson and James Danielli, was the first model to be widely accepted in the scientific community. The model was based on the plasma membrane's "railroad track" appearance in early electron micrographs. Davson and Danielli theorized that the plasma membrane's structure resembled a sandwich...
16.0K
Classification of Elements and Compounds
73.1K
Pure substances consist of only one type of matter. A pure substance can be an element or a compound. An element consists of only one type of atom, while a compound consists of two or more types of atoms held together by a chemical bond. Elements are classified as atomic or molecular based on the nature of their basic units.
Compounds are pure substances composed of two or more elements in fixed, definite proportions. Compounds are classified as ionic or molecular (covalent) based on the bonds...
Compounds are pure substances composed of two or more elements in fixed, definite proportions. Compounds are classified as ionic or molecular (covalent) based on the bonds...
73.1K
Force Classification
2.4K
Forces play a crucial role in the study of physics and engineering. They are essential in describing the motion, behavior, and equilibrium of objects in the physical world. Forces can be classified based on their origin, type, and direction of action.
Contact and non-contact forces are two of the most widely used categories of forces. As the name suggests, contact forces require physical contact between two objects to act upon each other. Examples of contact forces include frictional,...
Contact and non-contact forces are two of the most widely used categories of forces. As the name suggests, contact forces require physical contact between two objects to act upon each other. Examples of contact forces include frictional,...
2.4K
Classification of Neurotransmitters
5.3K
Neurotransmitters play a crucial role in the communication between neurons in the autonomic nervous system. Neurons in the autonomic nervous system can be cholinergic or adrenergic depending on the neurotransmitters synthesized. Cholinergic neurons use acetylcholine as their primary neurotransmitter. This includes all the preganglionic fibers of the sympathetic and pre- and postganglionic fibers of the parasympathetic nervous systems. In addition, neurons of the somatic nervous system also use...
5.3K
Classification of Leukocytes
5.7K
Leukocytes are classified into two groups based on the presence or absence of cytoplasmic granules. Granular leukocytes, which contain granules, belong to the myeloid lineage and are divided into three subtypes: neutrophils, eosinophils, and basophils. These cells are roughly spherical and characterized by the granules in their cytoplasm.
Neutrophils are the most abundant type of granular leukocytes, comprising 50-70% of all leukocytes. They feature small, evenly distributed granules and a...
Neutrophils are the most abundant type of granular leukocytes, comprising 50-70% of all leukocytes. They feature small, evenly distributed granules and a...
5.7K


