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The emerging regulatory roles of non-coding RNAs associated with glucose metabolism in breast cancer 乳腺癌中与糖代谢相关的非编码rna的新调控作用
IF 14.5 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-01 DOI: 10.1016/j.semcancer.2023.06.007
Samarth Kansara , Agrata Singh , Abhishesh Kumar Badal , Reshma Rani , Prakash Baligar , Manoj Garg , Amit Kumar Pandey

Altered energy metabolism is one of the hallmarks of tumorigenesis and essential for fulfilling the high demand for metabolic energy in a tumor through accelerating glycolysis and reprogramming the glycolysis metabolism through the Warburg effect. The dysregulated glucose metabolic pathways are coordinated not only by proteins coding genes but also by non-coding RNAs (ncRNAs) during the initiation and cancer progression. The ncRNAs are responsible for regulating numerous cellular processes under developmental and pathological conditions. Recent studies have shown that various ncRNAs such as microRNAs, circular RNAs, and long noncoding RNAs are extensively involved in rewriting glucose metabolism in human cancers. In this review, we demonstrated the role of ncRNAs in the progression of breast cancer with a focus on outlining the aberrant expression of glucose metabolic pathways. Moreover, we have discussed the existing and probable future applications of ncRNAs to regulate energy pathways along with their importance in the prognosis, diagnosis, and future therapeutics for human breast carcinoma.

能量代谢的改变是肿瘤发生的标志之一,对于通过加速糖酵解和通过Warburg效应重新编程糖酵解代谢来满足肿瘤对代谢能量的高需求至关重要。在癌症发生和发展过程中,失调的葡萄糖代谢途径不仅与编码基因的蛋白质协调,而且与非编码RNA(ncRNA)协调。ncRNA负责在发育和病理条件下调节许多细胞过程。最近的研究表明,各种ncRNA,如微小RNA、环状RNA和长非编码RNA,广泛参与了人类癌症中葡萄糖代谢的改写。在这篇综述中,我们证明了ncRNA在癌症进展中的作用,重点概述了葡萄糖代谢途径的异常表达。此外,我们还讨论了ncRNA在调节能量通路方面的现有和可能的未来应用,以及它们在人类乳腺癌预后、诊断和未来治疗中的重要性。
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引用次数: 1
Multifaceted effects of obesity on cancer immunotherapies: Bridging preclinical models and clinical data 肥胖对癌症免疫治疗的多方面影响:连接临床前模型和临床数据
IF 14.5 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-01 DOI: 10.1016/j.semcancer.2023.07.004
Logan V. Vick , Robert J. Canter , Arta M. Monjazeb , William J. Murphy

Obesity, defined by excessive body fat, is a highly complex condition affecting numerous physiological processes, such as metabolism, proliferation, and cellular homeostasis. These multifaceted effects impact cells and tissues throughout the host, including immune cells as well as cancer biology. Because of the multifaceted nature of obesity, common parameters used to define it (such as body mass index in humans) can be problematic, and more nuanced methods are needed to characterize the pleiotropic metabolic effects of obesity. Obesity is well-accepted as an overall negative prognostic factor for cancer incidence, progression, and outcome. This is in part due to the meta-inflammatory and immunosuppressive effects of obesity. Immunotherapy is increasingly used in cancer therapy, and there are many different types of immunotherapy approaches. The effects of obesity on immunotherapy have only recently been studied with the demonstration of an “obesity paradox”, in which some immune therapies have been demonstrated to result in greater efficacy in obese subjects despite the direct adverse effects of obesity and excess body fat acting on the cancer itself. The multifactorial characteristics that influence the effects of obesity (age, sex, lean muscle mass, underlying metabolic conditions and drugs) further confound interpretation of clinical data and necessitate the use of more relevant preclinical models mirroring these variables in the human scenario. Such models will allow for more nuanced mechanistic assessment of how obesity can impact, both positively and negatively, cancer biology, host metabolism, immune regulation, and how these intersecting processes impact the delivery and outcome of cancer immunotherapy.

肥胖是一种高度复杂的疾病,影响许多生理过程,如代谢、增殖和细胞稳态。这些多方面的影响影响整个宿主的细胞和组织,包括免疫细胞以及癌症生物学。由于肥胖的多方面性质,用于定义肥胖的常见参数(如人类的体重指数)可能存在问题,需要更细致的方法来描述肥胖的多效性代谢影响。肥胖被公认为癌症发病率、进展和结果的总体负面预后因素。这在一定程度上是由于肥胖的亚炎症和免疫抑制作用。免疫疗法在癌症治疗中的应用越来越多,有许多不同类型的免疫疗法。肥胖对免疫疗法的影响直到最近才被研究出来,并证明了“肥胖悖论”,其中一些免疫疗法已被证明在肥胖受试者中具有更大的疗效,尽管肥胖和过量的身体脂肪对癌症本身有直接的不良影响。影响肥胖影响的多因素特征(年龄、性别、瘦肌肉质量、潜在代谢状况和药物)进一步混淆了对临床数据的解释,并需要使用更相关的临床前模型来反映人类场景中的这些变量。这些模型将允许对肥胖如何对癌症生物学、宿主代谢、免疫调节产生积极和消极影响,以及这些交叉过程如何影响癌症免疫疗法的实施和结果进行更细致的机制评估。
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引用次数: 0
Enhancing head and neck tumor management with artificial intelligence: Integration and perspectives 应用人工智能加强头颈部肿瘤管理:整合与展望
IF 14.5 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-01 DOI: 10.1016/j.semcancer.2023.07.002
Nian-Nian Zhong , Han-Qi Wang , Xin-Yue Huang , Zi-Zhan Li , Lei-Ming Cao , Fang-Yi Huo , Bing Liu , Lin-Lin Bu

Head and neck tumors (HNTs) constitute a multifaceted ensemble of pathologies that primarily involve regions such as the oral cavity, pharynx, and nasal cavity. The intricate anatomical structure of these regions poses considerable challenges to efficacious treatment strategies. Despite the availability of myriad treatment modalities, the overall therapeutic efficacy for HNTs continues to remain subdued. In recent years, the deployment of artificial intelligence (AI) in healthcare practices has garnered noteworthy attention. AI modalities, inclusive of machine learning (ML), neural networks (NNs), and deep learning (DL), when amalgamated into the holistic management of HNTs, promise to augment the precision, safety, and efficacy of treatment regimens. The integration of AI within HNT management is intricately intertwined with domains such as medical imaging, bioinformatics, and medical robotics. This article intends to scrutinize the cutting-edge advancements and prospective applications of AI in the realm of HNTs, elucidating AI’s indispensable role in prevention, diagnosis, treatment, prognostication, research, and inter-sectoral integration. The overarching objective is to stimulate scholarly discourse and invigorate insights among medical practitioners and researchers to propel further exploration, thereby facilitating superior therapeutic alternatives for patients.

头颈部肿瘤(HNTs)是一组多方面的病理,主要涉及口腔、咽部和鼻腔等区域。这些区域复杂的解剖结构对有效的治疗策略提出了相当大的挑战。尽管有多种治疗方式,但HNT的总体治疗效果仍然很低。近年来,人工智能在医疗实践中的应用引起了人们的关注。人工智能模式,包括机器学习(ML)、神经网络(NNs)和深度学习(DL),当合并到HNT的整体管理中时,有望提高治疗方案的准确性、安全性和有效性。人工智能在HNT管理中的集成与医学成像、生物信息学和医学机器人等领域错综复杂。本文旨在审视人工智能在HNTs领域的前沿进展和前瞻性应用,阐明人工智能在预防、诊断、治疗、预测、研究和跨部门整合中不可或缺的作用。首要目标是激发学术讨论,激发医生和研究人员的洞察力,以推动进一步的探索,从而为患者提供卓越的治疗选择。
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引用次数: 2
Proactive and reactive roles of TGF-β in cancer 转化生长因子-β在癌症中的主动和反应作用。
IF 14.5 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-01 DOI: 10.1016/j.semcancer.2023.08.002
Nick A. Kuburich , Thiru Sabapathy , Breanna R. Demestichas , Joanna Joyce Maddela , Petra den Hollander , Sendurai A. Mani

Cancer cells adapt to varying stress conditions to survive through plasticity. Stem cells exhibit a high degree of plasticity, allowing them to generate more stem cells or differentiate them into specialized cell types to contribute to tissue development, growth, and repair. Cancer cells can also exhibit plasticity and acquire properties that enhance their survival. TGF-β is an unrivaled growth factor exploited by cancer cells to gain plasticity. TGF-β-mediated signaling enables carcinoma cells to alter their epithelial and mesenchymal properties through epithelial-mesenchymal plasticity (EMP). However, TGF-β is a multifunctional cytokine; thus, the signaling by TGF-β can be detrimental or beneficial to cancer cells depending on the cellular context. Those cells that overcome the anti-tumor effect of TGF-β can induce epithelial-mesenchymal transition (EMT) to gain EMP benefits. EMP allows cancer cells to alter their cell properties and the tumor immune microenvironment (TIME), facilitating their survival. Due to the significant roles of TGF-β and EMP in carcinoma progression, it is essential to understand how TGF-β enables EMP and how cancer cells exploit this plasticity. This understanding will guide the development of effective TGF-β-targeting therapies that eliminate cancer cell plasticity.

癌症细胞适应不同的压力条件,通过可塑性生存。干细胞表现出高度的可塑性,使它们能够产生更多的干细胞或将其分化为专门的细胞类型,从而有助于组织发育、生长和修复。癌症细胞也可以表现出可塑性,并获得提高其存活率的特性。TGF-β是一种无与伦比的生长因子,被癌症细胞用来获得可塑性。TGF-β介导的信号传导使癌细胞能够通过上皮-间充质可塑性(EMP)改变其上皮和间充质特性。然而,TGF-β是一种多功能细胞因子;因此,TGF-β的信号传导可能对癌症细胞有害或有益,这取决于细胞环境。那些克服TGF-β抗肿瘤作用的细胞可以诱导上皮-间质转化(EMT)以获得EMP益处。EMP允许癌症细胞改变其细胞特性和肿瘤免疫微环境(TIME),促进其生存。由于TGF-β和EMP在癌症进展中的重要作用,了解TGF-β如何使EMP发挥作用以及癌症细胞如何利用这种可塑性至关重要。这一认识将指导有效的转化生长因子-β靶向治疗的发展,消除癌症细胞的可塑性。
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引用次数: 3
Artificial intelligence-based radiomics in bone tumors: Technical advances and clinical application 基于人工智能的骨肿瘤放射组学:技术进展与临床应用
IF 14.5 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-01 DOI: 10.1016/j.semcancer.2023.07.003
Yichen Meng , Yue Yang , Miao Hu, Zheng Zhang, Xuhui Zhou

Radiomics is the extraction of predefined mathematic features from medical images for predicting variables of clinical interest. Recent research has demonstrated that radiomics can be processed by artificial intelligence algorithms to reveal complex patterns and trends for diagnosis, and prediction of prognosis and response to treatment modalities in various types of cancer. Artificial intelligence tools can utilize radiological images to solve next-generation issues in clinical decision making. Bone tumors can be classified as primary and secondary (metastatic) tumors. Osteosarcoma, Ewing sarcoma, and chondrosarcoma are the dominating primary tumors of bone. The development of bone tumor model systems and relevant research, and the assessment of novel treatment methods are ongoing to improve clinical outcomes, notably for patients with metastases. Artificial intelligence and radiomics have been utilized in almost full spectrum of clinical care of bone tumors. Radiomics models have achieved excellent performance in the diagnosis and grading of bone tumors. Furthermore, the models enable to predict overall survival, metastases, and recurrence. Radiomics features have exhibited promise in assisting therapeutic planning and evaluation, especially neoadjuvant chemotherapy. This review provides an overview of the evolution and opportunities for artificial intelligence in imaging, with a focus on hand-crafted features and deep learning-based radiomics approaches. We summarize the current application of artificial intelligence-based radiomics both in primary and metastatic bone tumors, and discuss the limitations and future opportunities of artificial intelligence-based radiomics in this field. In the era of personalized medicine, our in-depth understanding of emerging artificial intelligence-based radiomics approaches will bring innovative solutions to bone tumors and achieve clinical application.

放射组学是从医学图像中提取预定义的数学特征,用于预测临床感兴趣的变量。最近的研究表明,放射组学可以通过人工智能算法进行处理,以揭示各种类型癌症的诊断、预后预测和治疗模式反应的复杂模式和趋势。人工智能工具可以利用放射学图像来解决临床决策中的下一代问题。骨肿瘤可分为原发性和继发性(转移性)肿瘤。骨肉瘤、尤因肉瘤和软骨肉瘤是骨的主要原发肿瘤。骨肿瘤模型系统的开发和相关研究以及新治疗方法的评估正在进行中,以改善临床结果,尤其是对转移患者。人工智能和放射组学已被用于骨肿瘤的几乎全谱临床护理。放射组学模型在骨肿瘤的诊断和分级方面取得了优异的性能。此外,这些模型能够预测总生存率、转移和复发。放射组学特征在辅助治疗计划和评估,特别是新辅助化疗方面显示出了前景。这篇综述概述了人工智能在成像中的发展和机遇,重点介绍了手工制作的特征和基于深度学习的放射组学方法。我们总结了目前基于人工智能的放射组学在原发性和转移性骨肿瘤中的应用,并讨论了基于人工智能放射组学在此领域的局限性和未来机遇。在个性化医学时代,我们对新兴的基于人工智能的放射组学方法的深入理解将为骨肿瘤带来创新的解决方案并实现临床应用。
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引用次数: 0
Accelerating antibody discovery and design with artificial intelligence: Recent advances and prospects 用人工智能加速抗体的发现和设计:最新进展和前景
IF 14.5 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-01 DOI: 10.1016/j.semcancer.2023.06.005
Ganggang Bai , Chuance Sun , Ziang Guo , Yangjing Wang , Xincheng Zeng , Yuhong Su , Qi Zhao , Buyong Ma

Therapeutic antibodies are the largest class of biotherapeutics and have been successful in treating human diseases. However, the design and discovery of antibody drugs remains challenging and time-consuming. Recently, artificial intelligence technology has had an incredible impact on antibody design and discovery, resulting in significant advances in antibody discovery, optimization, and developability. This review summarizes major machine learning (ML) methods and their applications for computational predictors of antibody structure and antigen interface/interaction, as well as the evaluation of antibody developability. Additionally, this review addresses the current status of ML-based therapeutic antibodies under preclinical and clinical phases. While many challenges remain, ML may offer a new therapeutic option for the future direction of fully computational antibody design.

治疗性抗体是最大的一类生物治疗药物,已成功治疗人类疾病。然而,抗体药物的设计和发现仍然具有挑战性和耗时。最近,人工智能技术对抗体的设计和发现产生了令人难以置信的影响,在抗体的发现、优化和可开发性方面取得了重大进展。本文综述了主要的机器学习(ML)方法及其在抗体结构和抗原界面/相互作用的计算预测方面的应用,以及抗体可开发性的评估。此外,这篇综述阐述了基于ML的治疗性抗体在临床前和临床阶段的现状。尽管仍有许多挑战,但ML可能为未来全计算抗体设计的方向提供一种新的治疗选择。
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引用次数: 2
The promising application of cell-cell interaction analysis in cancer from single-cell and spatial transcriptomics 单细胞和空间转录组学在癌症细胞-细胞相互作用分析中的应用前景。
IF 14.5 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-01 DOI: 10.1016/j.semcancer.2023.07.001
Xinyi Wang , Axel A. Almet , Qing Nie

Cell-cell interactions instruct cell fate and function. These interactions are hijacked to promote cancer development. Single-cell transcriptomics and spatial transcriptomics have become powerful new tools for researchers to profile the transcriptional landscape of cancer at unparalleled genetic depth. In this review, we discuss the rapidly growing array of computational tools to infer cell-cell interactions from non-spatial single-cell RNA-sequencing and the limited but growing number of methods for spatial transcriptomics data. Downstream analyses of these computational tools and applications to cancer studies are highlighted. We finish by suggesting several directions for further extensions that anticipate the increasing availability of multi-omics cancer data.

细胞与细胞的相互作用指导细胞的命运和功能。这些相互作用被劫持以促进癌症的发展。单细胞转录组学和空间转录组学已成为研究人员在无与伦比的遗传深度上描述癌症转录景观的强大新工具。在这篇综述中,我们讨论了从非空间单细胞RNA测序推断细胞-细胞相互作用的快速增长的计算工具阵列,以及空间转录组学数据的有限但不断增长的方法。重点介绍了这些计算工具的下游分析及其在癌症研究中的应用。最后,我们提出了进一步扩展的几个方向,预计多组学癌症数据的可用性会增加。
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引用次数: 2
Harnessing computational spatial omics to explore the spatial biology intricacies 利用计算空间组学探索空间生物学的复杂性
IF 14.5 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-01 DOI: 10.1016/j.semcancer.2023.06.006
Zhiyuan Yuan , Jianhua Yao

Spatially resolved transcriptomics (SRT) has unlocked new dimensions in our understanding of intricate tissue architectures. However, this rapidly expanding field produces a wealth of diverse and voluminous data, necessitating the evolution of sophisticated computational strategies to unravel inherent patterns. Two distinct methodologies, gene spatial pattern recognition (GSPR) and tissue spatial pattern recognition (TSPR), have emerged as vital tools in this process. GSPR methodologies are designed to identify and classify genes exhibiting noteworthy spatial patterns, while TSPR strategies aim to understand intercellular interactions and recognize tissue domains with molecular and spatial coherence. In this review, we provide a comprehensive exploration of SRT, highlighting crucial data modalities and resources that are instrumental for the development of methods and biological insights. We address the complexities and challenges posed by the use of heterogeneous data in developing GSPR and TSPR methodologies and propose an optimal workflow for both. We delve into the latest advancements in GSPR and TSPR, examining their interrelationships. Lastly, we peer into the future, envisaging the potential directions and perspectives in this dynamic field.

空间分辨转录组学(SRT)为我们理解复杂的组织结构开辟了新的维度。然而,这个快速扩展的领域产生了丰富多样的海量数据,这就需要进化复杂的计算策略来解开固有的模式。基因空间模式识别和组织空间模式识别是这一过程中的重要工具。GSPR方法旨在识别和分类表现出显著空间模式的基因,而TSPR策略旨在了解细胞间相互作用并识别具有分子和空间一致性的组织结构域。在这篇综述中,我们对SRT进行了全面的探索,强调了有助于开发方法和生物学见解的关键数据模式和资源。我们解决了在开发GSPR和TSPR方法时使用异构数据带来的复杂性和挑战,并提出了两者的最佳工作流程。我们深入研究了GSPR和TSPR的最新进展,研究了它们的相互关系。最后,我们展望未来,展望这一动态领域的潜在方向和前景。
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引用次数: 2
Mediterranean diet and olive oil, microbiota, and obesity-related cancers. From mechanisms to prevention 地中海饮食和橄榄油,微生物群,和肥胖相关的癌症。从机制到预防
IF 14.5 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-01 DOI: 10.1016/j.semcancer.2023.08.001
Enrique Almanza-Aguilera , Ainara Cano , Mercedes Gil-Lespinard , Nerea Burguera , Raul Zamora-Ros , Antonio Agudo , Marta Farràs

Olive oil (OO) is the main source of added fat in the Mediterranean diet (MD). It is a mix of bioactive compounds, including monounsaturated fatty acids, phytosterols, simple phenols, secoiridoids, flavonoids, and terpenoids. There is a growing body of evidence that MD and OO improve obesity-related factors. In addition, obesity has been associated with an increased risk for several cancers: endometrial, oesophageal adenocarcinoma, renal, pancreatic, hepatocellular, gastric cardia, meningioma, multiple myeloma, colorectal, postmenopausal breast, ovarian, gallbladder, and thyroid cancer. However, the epidemiological evidence linking MD and OO with these obesity-related cancers, and their potential mechanisms of action, especially those involving the gut microbiota, are not clearly described or understood. The goals of this review are 1) to update the current epidemiological knowledge on the associations between MD and OO consumption and obesity-related cancers, 2) to identify the gut microbiota mechanisms involved in obesity-related cancers, and 3) to report the effects of MD and OO on these mechanisms.

橄榄油(OO)是地中海饮食中添加脂肪的主要来源。它是一种生物活性化合物的混合物,包括单不饱和脂肪酸、植物甾醇、简单酚类、醚类、黄酮类和萜类。越来越多的证据表明MD和OO可以改善肥胖相关因素。此外,肥胖与多种癌症的风险增加有关:子宫内膜癌、食管腺癌、肾脏癌、胰腺癌、肝细胞癌、贲门癌、脑膜瘤、多发性骨髓瘤、结直肠癌、绝经后乳腺癌、卵巢癌、胆囊癌和甲状腺癌症。然而,将MD和OO与这些与肥胖相关的癌症联系起来的流行病学证据,以及它们的潜在作用机制,特别是涉及肠道微生物群的作用机制,并没有得到明确的描述或理解。本综述的目的是:1)更新目前关于MD和OO消费与肥胖相关癌症之间关系的流行病学知识,2)确定肥胖相关癌症中涉及的肠道微生物群机制,3)报告MD和OO对这些机制的影响。
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引用次数: 3
Dynamical hallmarks of cancer: Phenotypic switching in melanoma and epithelial-mesenchymal plasticity 癌症的动力学特征:黑色素瘤表型转换和上皮-间充质可塑性。
IF 14.5 1区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2023-10-01 DOI: 10.1016/j.semcancer.2023.09.007
Paras Jain , Maalavika Pillai , Atchuta Srinivas Duddu , Jason A. Somarelli , Yogesh Goyal , Mohit Kumar Jolly

Phenotypic plasticity was recently incorporated as a hallmark of cancer. This plasticity can manifest along many interconnected axes, such as stemness and differentiation, drug-sensitive and drug-resistant states, and between epithelial and mesenchymal cell-states. Despite growing acceptance for phenotypic plasticity as a hallmark of cancer, the dynamics of this process remains poorly understood. In particular, the knowledge necessary for a predictive understanding of how individual cancer cells and populations of cells dynamically switch their phenotypes in response to the intensity and/or duration of their current and past environmental stimuli remains far from complete. Here, we present recent investigations of phenotypic plasticity from a systems-level perspective using two exemplars: epithelial-mesenchymal plasticity in carcinomas and phenotypic switching in melanoma. We highlight how an integrated computational-experimental approach has helped unravel insights into specific dynamical hallmarks of phenotypic plasticity in different cancers to address the following questions: a) how many distinct cell-states or phenotypes exist?; b) how reversible are transitions among these cell-states, and what factors control the extent of reversibility?; and c) how might cell-cell communication be able to alter rates of cell-state switching and enable diverse patterns of phenotypic heterogeneity? Understanding these dynamic features of phenotypic plasticity may be a key component in shifting the paradigm of cancer treatment from reactionary to a more predictive, proactive approach.

表型可塑性最近被纳入癌症的标志。这种可塑性可以沿着许多相互关联的轴表现出来,如干性和分化、药物敏感性和耐药性状态,以及上皮细胞和间充质细胞状态之间。尽管人们越来越接受表型可塑性是癌症的标志,但对这一过程的动力学仍知之甚少。特别是,预测理解个体癌症细胞和细胞群体如何响应其当前和过去环境刺激的强度和/或持续时间动态地改变其表型所需的知识还远未完成。在这里,我们从系统水平的角度介绍了最近对表型可塑性的研究,使用了两个例子:癌症中的上皮-间充质可塑性和黑色素瘤中的表型转换。我们强调了综合计算实验方法如何帮助揭示不同癌症表型可塑性的特定动力学特征,以解决以下问题:a)存在多少不同的细胞状态或表型?;b) 这些细胞状态之间的转变是如何可逆的,是什么因素控制了可逆性的程度?;以及c)细胞-细胞通信如何能够改变细胞状态转换的速率并实现表型异质性的不同模式?了解表型可塑性的这些动态特征可能是将癌症治疗模式从反应性转变为更具预测性和主动性的关键组成部分。
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引用次数: 0
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Seminars in cancer biology
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