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Tumour tissue: heterogeneous, but not disordered 肿瘤组织:异质性,但不杂乱
IF 66.8 1区 医学 Q1 ONCOLOGY Pub Date : 2025-07-14 DOI: 10.1038/s41568-025-00852-5
Barbara T. Grünwald, Rama Khokha
Recent multidimensional molecular profiling advances have begun to match the complexity of cancer, revolutionizing our appreciation of tumours as complex ecosystems. In this Comment, Grünwald and Khokha call for a shift in comprehension of tumour tissue organization; while tumour tissues are heterogeneous, they are not disordered, and, like all multicellular entities, they propagate their functions via a considerable level of self-organization. Multidimensional molecular profiling advances have begun to match the complexity of cancer, and tumours are now seen as complex ecosystems. We postulate that a shift in comprehension is needed to synthesize actionable insights — tumour tissues are heterogeneous but not disordered and propagate their functions by a considerable level of self-organization.
最近多维分子图谱的进展已经开始与癌症的复杂性相匹配,彻底改变了我们对肿瘤作为复杂生态系统的认识。在这篇评论中,gr nwald和Khokha呼吁转变对肿瘤组织组织的理解;虽然肿瘤组织是异质的,但它们并不是无序的,而且,像所有多细胞实体一样,它们通过相当水平的自组织来传播其功能。多维分子图谱的进步已经开始与癌症的复杂性相匹配,肿瘤现在被视为复杂的生态系统。我们假设需要在理解上的转变来合成可操作的见解-肿瘤组织是异质的,但不是无序的,并且通过相当程度的自组织来传播其功能。
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引用次数: 0
Cancer progression through the lens of age-induced metabolic reprogramming 通过年龄诱导的代谢重编程来观察癌症的进展
IF 66.8 1区 医学 Q1 ONCOLOGY Pub Date : 2025-07-11 DOI: 10.1038/s41568-025-00845-4
Felicia Lazure, Ana P. Gomes
Ageing is an important risk factor for cancer incidence and augments cancer progression. A shared hallmark of ageing and cancer is metabolic reprogramming, which has been suggested to be not only a cause but also a consequence of ageing. Strikingly, many age-regulated pathways are known to also drive tumour progression, suggesting that metabolic reprogramming connects ageing and tumorigenic processes and shapes whether malignant phenotypes manifest, thrive and evolve. With the rising average age of the world population, understanding how age-related changes in the body influence cancer progression is of paramount importance. In this Perspective, we discuss the metabolic changes that occur with ageing and their potential links with tumour initiation and progression and the development of metastatic disease. Finally, we discuss age-induced metabolic divergences that cause racial disparities and their consequences for the tumorigenic process. In this Perspective, Lazure and Gomes argue that metabolic changes that occur as a result of ageing may shape tumour initiation and progression and the development of metastatic disease.
衰老是癌症发病率的一个重要危险因素,并会加速癌症的发展。衰老和癌症的一个共同特征是代谢重编程,这不仅是衰老的原因,也是衰老的结果。引人注目的是,许多已知的年龄调节途径也驱动肿瘤进展,这表明代谢重编程将衰老和致瘤过程联系起来,并决定恶性表型是否显现、生长和进化。随着世界人口平均年龄的上升,了解与年龄相关的身体变化如何影响癌症的进展是至关重要的。在这一观点中,我们讨论了随着年龄增长而发生的代谢变化及其与肿瘤发生、进展和转移性疾病发展的潜在联系。最后,我们讨论了导致种族差异的年龄诱导的代谢差异及其对肿瘤发生过程的影响。
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引用次数: 0
Modelling the ageing dependence of cancer evolutionary trajectories 癌症进化轨迹的衰老依赖性建模
IF 66.8 1区 医学 Q1 ONCOLOGY Pub Date : 2025-07-10 DOI: 10.1038/s41568-025-00838-3
Curtis J. Henry, James DeGregori
Ageing is the single most important prognostic factor for cancer development. Despite this knowledge, experimental models of cancer have historically omitted incorporating the impact of age on cancer initiation, progression and treatment outcomes. Ageing interacts with other lifestyle factors, including cigarette smoking, obesity and physical activity, but these intersections are rarely studied in experimental models. Given that cancer-related mortality rates increase with age, there is a growing emphasis on modelling ageing-associated mutational and microenvironmental changes in cancer research. In this Review, we provide guidance on the technological advancements and experimental strategies that have increased our ability to model how ageing impacts various stages of cancer evolution, from mutation-driven clonal expansions, to pre-malignant lesions, and then to progression to more malignant phenotypes and metastasis, and responses to therapies. We discuss the benefits and limitations of methods and models used. The wider adoption of age-appropriate models of cancer will enable the development of improved approaches for the detection, prevention and therapeutic intervention of human cancers. In this Review, Henry and DeGregori discuss the contributions of the various models and methods used to study the connection between ageing and cancer, highlighting the strengths and limitations of those models and technologies, as well as advocating for the wider adoption of age-appropriate models of cancer to improve our clinical translation of approaches to prevent and treat human cancers.
衰老是癌症发展的唯一最重要的预后因素。尽管有这些知识,癌症的实验模型在历史上忽略了年龄对癌症发生、进展和治疗结果的影响。衰老与其他生活方式因素相互作用,包括吸烟、肥胖和体育锻炼,但这些相互作用很少在实验模型中得到研究。鉴于与癌症相关的死亡率随着年龄的增长而增加,在癌症研究中越来越强调对与年龄相关的突变和微环境变化进行建模。在这篇综述中,我们提供了技术进步和实验策略的指导,这些技术进步和实验策略提高了我们模拟衰老如何影响癌症进化的各个阶段的能力,从突变驱动的克隆扩增,到恶性病变,然后发展到更恶性的表型和转移,以及对治疗的反应。我们讨论了所使用的方法和模型的优点和局限性。更广泛地采用与年龄相适应的癌症模型,将能够发展出更好的方法来检测、预防和治疗人类癌症。
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引用次数: 0
Deviant by environment 环境偏差
IF 66.8 1区 医学 Q1 ONCOLOGY Pub Date : 2025-07-10 DOI: 10.1038/s41568-025-00853-4
Gabrielle Brewer
The presence of tertiary lymphoid structures (TLSs) in tumours is often linked with response to immunotherapy, however, the maturation status of the TLS can influence its immunological function. Now, Tang et al. uncover tryptophan metabolism as a factor determining TLS maturation status
肿瘤中三级淋巴结构(TLSs)的存在通常与免疫治疗应答有关,然而,TLSs的成熟状态会影响其免疫功能。现在,Tang等人发现色氨酸代谢是决定TLS成熟状态的一个因素
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引用次数: 0
Application of digital twins for personalized oncology 数字双胞胎在个体化肿瘤学中的应用
IF 66.8 1区 医学 Q1 ONCOLOGY Pub Date : 2025-07-09 DOI: 10.1038/s41568-025-00850-7
Uzma Saddia Asghar, Caroline Chung
Digital twins are virtual representations that evolve over time with new data inputs. Cancer applications of digital twins include the integration of molecular information and individual drug responses of patients. They can inform individualized treatment, accelerate drug development through clinical trial simulation and enable the exploration of multiscale relationships in the entire human body to drive new therapeutic discoveries. Digital twins are virtual representations that evolve over time with new data inputs. In this Comment, Asghar and Chung describe cancer applications of digital twins that include the integration of molecular information and individual drug responses of patients, and explain how they can inform individualized treatment, accelerate drug development through clinical trial simulation and enable the exploration of multiscale relationships in the entire human body to drive new therapeutic discoveries.
数字孪生是随着新数据输入而随时间演变的虚拟表示。数字双胞胎的癌症应用包括整合分子信息和患者的个体药物反应。它们可以为个体化治疗提供信息,通过临床试验模拟加速药物开发,并使探索整个人体的多尺度关系成为可能,从而推动新的治疗发现。数字孪生是随着新数据输入而随时间演变的虚拟表示。在这篇评论中,Asghar和Chung描述了数字双胞胎的癌症应用,包括分子信息和患者个体药物反应的整合,并解释了它们如何为个性化治疗提供信息,通过临床试验模拟加速药物开发,并使探索整个人体的多尺度关系能够推动新的治疗发现。
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引用次数: 0
Combining spatial transcriptomics and AI to enhance brain tumour diagnosis 结合空间转录组学和人工智能增强脑肿瘤诊断。
IF 66.8 1区 医学 Q1 ONCOLOGY Pub Date : 2025-07-04 DOI: 10.1038/s41568-025-00851-6
Yahaya A. Yabo
In this Tools of the Trade article, Yahaya A. Yabo describes the development of neuropathology spatial transcriptomic analysis (NePSTA), an artificial intelligence (AI)-based tool to identify and map unique spatial patterns within tissues.
在这篇贸易工具文章中,Yahaya A. Yabo描述了神经病理学空间转录组分析(NePSTA)的发展,这是一种基于人工智能(AI)的工具,用于识别和绘制组织内独特的空间模式。
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引用次数: 0
Exhausting bonding 累人的结合
IF 66.8 1区 医学 Q1 ONCOLOGY Pub Date : 2025-07-02 DOI: 10.1038/s41568-025-00849-0
Daniela Senft
Although disulfide stress in cancer cells under glucose starvation is known to trigger disulfidptosis, its role in the tumour microenvironment has remained unclear. A recent study in Nature Cell Biology reveals that in intratumoural CD8+ T cells, disulfidptosis promotes T cell exhaustion and thereby limits antitumour imunity.
虽然已知葡萄糖饥饿下癌细胞中的二硫应激可引发二硫下垂,但其在肿瘤微环境中的作用仍不清楚。《自然细胞生物学》杂志最近的一项研究表明,在肿瘤内的CD8+ T细胞中,二硫细胞下垂促进T细胞衰竭,从而限制抗肿瘤免疫。
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引用次数: 0
Advancing cancer research via comparative oncology 通过比较肿瘤学推进癌症研究
IF 66.8 1区 医学 Q1 ONCOLOGY Pub Date : 2025-06-27 DOI: 10.1038/s41568-025-00841-8
Orsolya Vincze, Benjamin Spada, David Bilder, Alex Cagan, James DeGregori, Vera Gorbunova, Carlo C. Maley, Joshua D. Schiffman, Andrei Seluanov, Mathieu Giraudeau, Thomas Pradeu
In the ongoing battle against cancer, the natural world provides promising inspiration for designing novel therapeutic strategies. The field of comparative oncology offers a valuable source of such inspiration. By combining evolutionary biology, ecology, veterinary medicine and clinical oncology, comparative oncology aims to better understand cancer, especially by highlighting taxa that are strongly resistant or susceptible to cancer and to identify the molecular and cellular mechanisms underlying the remarkable cancer resistance of some taxa. Such studies hold profound implications for human cancer research and treatment, and increase the probability of detecting therapeutic avenues that are non-toxic to healthy cells and tissues. This Perspective underscores the importance of comparative oncology, emphasizes its relevance, and showcases recent breakthroughs in identifying natural cancer resistance mechanisms and opportunities for clinical translation. We advocate for a better integration of cancer research on non-conventional model species into oncology and we urge enhanced cooperation between clinicians and comparative oncologists to advance cancer prevention or treatment strategies. Comparative oncology combines evolutionary biology, ecology, veterinary medicine and clinical oncology to better understand cancer, for example, by identifying the molecular and cellular mechanisms underlying the remarkable cancer resistance of some taxa. Therefore, this Perspective by Vincze et al. calls for the increased use of non-conventional model organisms in cancer research to advance cancer prevention and treatment strategies.
在与癌症的持续斗争中,自然界为设计新的治疗策略提供了有希望的灵感。比较肿瘤学领域提供了这种灵感的宝贵来源。通过结合进化生物学、生态学、兽医学和临床肿瘤学,比较肿瘤学旨在更好地了解癌症,特别是通过突出对癌症具有强抗性或易感的分类群,并确定某些分类群具有显著抗癌性的分子和细胞机制。这些研究对人类癌症的研究和治疗具有深远的意义,并增加了发现对健康细胞和组织无毒的治疗途径的可能性。本展望强调了比较肿瘤学的重要性,强调了其相关性,并展示了在确定自然癌症耐药机制和临床转化机会方面的最新突破。我们提倡将非传统模型物种的癌症研究更好地整合到肿瘤学中,我们敦促临床医生和比较肿瘤学家之间加强合作,以推进癌症预防或治疗策略。
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引用次数: 0
Endoplasmic reticulum stress responses in anticancer immunity 内质网应激在抗癌免疫中的作用
IF 66.8 1区 医学 Q1 ONCOLOGY Pub Date : 2025-06-24 DOI: 10.1038/s41568-025-00836-5
Sung-Min Hwang, Shiun Chang, Paulo C. Rodriguez, Juan R. Cubillos-Ruiz
The endoplasmic reticulum (ER) has a central role in processes essential for mounting effective and durable antitumour immunity; this includes regulating protein synthesis, folding, modification and trafficking in immune cells. However, the tumour microenvironment imposes hostile conditions that disrupt ER homeostasis in both malignant and infiltrating immune cells, leading to chronic activation of the unfolded protein response (UPR). Dysregulated ER stress responses have emerged as critical modulators of cancer progression and immune escape, influencing the initiation, development and maintenance of antitumour immunity. In this Review, we examine how tumour-induced ER stress reshapes the functional landscape of immune cells within the tumour microenvironment. We highlight recent discoveries demonstrating how ER stress curtails endogenous antitumour immunity and reduces the efficacy of immunotherapies. Furthermore, we underscore novel therapeutic strategies targeting ER stress sensors or UPR components to restore immune function and enhance cancer immunotherapy outcomes. Together, this provides a comprehensive overview of the interplay between ER stress responses and antitumour immunity, emphasizing the potential of UPR-targeted interventions to improve immune control of cancer. The endoplasmic reticulum (ER) has a central role in mounting effective and durable antitumour immunity. In this Review, Hwang et al. outline how tumour-induced ER stress responses alter the function of intratumoural immune cells and the efficacy of immunotherapy, highlighting the potential of unfolded protein response-targeted interventions to improve cancer outcomes.
内质网(ER)在建立有效和持久的抗肿瘤免疫必不可少的过程中起核心作用;这包括调节免疫细胞中的蛋白质合成、折叠、修饰和运输。然而,肿瘤微环境施加不利条件,破坏恶性和浸润性免疫细胞的内质网稳态,导致未折叠蛋白反应(UPR)的慢性激活。失调的内质网应激反应已成为癌症进展和免疫逃逸的关键调节剂,影响抗肿瘤免疫的启动、发展和维持。在这篇综述中,我们研究了肿瘤诱导的内质网应激如何重塑肿瘤微环境中免疫细胞的功能景观。我们强调最近的发现表明内质网应激如何抑制内源性抗肿瘤免疫并降低免疫疗法的疗效。此外,我们强调了针对内质网应激传感器或UPR成分的新治疗策略,以恢复免疫功能并提高癌症免疫治疗效果。总之,这提供了内质网应激反应与抗肿瘤免疫之间相互作用的全面概述,强调了以uprr为目标的干预措施改善癌症免疫控制的潜力。
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引用次数: 0
Expanding the utility of precision oncology knowledge bases 扩大精准肿瘤学知识库的应用
IF 66.8 1区 医学 Q1 ONCOLOGY Pub Date : 2025-06-23 DOI: 10.1038/s41568-025-00846-3
Sarah Suehnholz, Debyani Chakravarty
Precision oncology knowledge bases currently provide cancer clinicians with a point-of-care interpretation of the therapeutic actionability of somatic genomic sequencing results. Here, we discuss key deficiencies in these knowledge bases that present as opportunities for the next generation of data annotation. Precision oncology knowledge bases provide cancer clinicians with a point-of-care interpretation of the therapeutic actionability of clinical genomic sequencing results. These knowledge bases are now positioned to expand beyond the annotation of individual somatic molecular alterations, however, important gaps remain. Here, Suehnholz and Chakravarty discuss key deficiencies in current precision oncology knowledge bases that present opportunities for the next generation of data annotation.
精确肿瘤学知识库目前为癌症临床医生提供了对身体基因组测序结果的治疗可操作性的即时解释。在这里,我们讨论了这些知识库的主要缺陷,这些缺陷为下一代数据注释提供了机会。精确的肿瘤学知识库为癌症临床医生提供了临床基因组测序结果的治疗可操作性的即时解释。这些知识基础现在被定位为扩展到个体体细胞分子改变的注释之外,然而,重要的差距仍然存在。在这里,Suehnholz和Chakravarty讨论了当前精确肿瘤学知识库的主要缺陷,这些缺陷为下一代数据注释提供了机会。
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引用次数: 0
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Nature Reviews Cancer
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