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Effects of ketogenic diet on oxidative stress and cancer: A literature review 生酮饮食对氧化应激和癌症的影响:文献综述
Q3 ONCOLOGY Pub Date : 2023-07-01 DOI: 10.1016/j.adcanc.2023.100093
Salman A. Alhamzah , Othman M. Gatar , Nawaf W. Alruwaili

The ketogenic diet (KD) is a low-carbohydrate, high-fat diet that is primarily used to treat childhood epilepsy. The processes through which the ketogenic diet works, on the other hand, have been proposed as a preventative method for oxidative stress and as adjuvant therapy for various disorders, including cancer. The current review aim is to assess the effect of the ketogenic diet on oxidative stress and cancer. A review of the scientific literature on the effects of the ketogenic diet on oxidative stress, cancer, and the mitochondrial metabolism is provided. Furthermore, the review depicts the human research that evaluated the anti-tumour benefits of ketogenic diets on patients with cancer, with a total of 154 subjects. Although preclinical research indicates that KD has anticancer benefits, prolongs longevity, and inhibits cancer growth, human clinical trials are inconclusive. The effects of KD on cancer and as an adjuvant treatment are mostly unclear due to a paucity of high-quality clinical research. We suggest a series of research recommendations for clinical trials exploring the impact of KD on cancer growth and progression.

生酮饮食(KD)是一种低碳水化合物、高脂肪的饮食,主要用于治疗儿童癫痫。另一方面,生酮饮食的作用过程被认为是一种预防氧化应激的方法,也是包括癌症在内的各种疾病的辅助治疗方法。目前的综述目的是评估生酮饮食对氧化应激和癌症的影响。综述了有关生酮饮食对氧化应激、癌症和线粒体代谢影响的科学文献。此外,这篇综述还描述了对154名癌症患者进行的人类研究,这些研究评估了生酮饮食对抗肿瘤的益处。虽然临床前研究表明,KD具有抗癌、延长寿命和抑制癌症生长的功效,但人体临床试验尚无定论。由于缺乏高质量的临床研究,KD对癌症的影响以及作为辅助治疗的作用大多不清楚。我们提出了一系列临床试验的研究建议,以探索KD对癌症生长和进展的影响。
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引用次数: 3
Heterogeneity in hormone-dependent breast cancer and therapy: Steroid hormones, HER2, melanoma antigens, and cannabinoid receptors 激素依赖性乳腺癌症的异质性和治疗:类固醇激素、HER2、黑色素瘤抗原和大麻素受体
Q3 ONCOLOGY Pub Date : 2023-07-01 DOI: 10.1016/j.adcanc.2022.100086
Tajda Tavčar Kunstič , Nataša Debeljak , Klementina Fon Tacer

Breast cancer is the most frequently diagnosed cancer and the leading cause of death by cancer among women worldwide. The prognosis of the disease and patients’ response to different types of therapies varies in different subgroups of this heterogeneous disease. The subgroups are based on histological and molecular characteristics of the tumor, especially the expression of estrogen (ER) and progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER2). Hormone-dependent breast cancer, determined predominantly by the presence of ER, is the most common type of breast cancer. Patients with hormone-dependent breast cancer have an available targeted therapy, however, tumor cells can develop resistance to the therapy, which is a major obstacle limiting the success of treatment and enabling relapse to metastatic disease. The complicated crosstalk of both tumor-intrinsic and exogenous factors may contribute to endocrine resistance, although the underlying molecular details are still enigmatic. For example, the expression of the melanoma antigen genes (MAGE) correlates with a worse clinical prognosis and therapy resistance in many types of cancers, including breast cancer. Recent studies suggested that cancers co-opt MAGEs’ physiological functions to promote therapy resistance and potentially metastasis development. The response to the therapy can be also affected by the concurrent use of alternative therapy, e.g., cannabinoid use is popular among breast cancer patients. Cannabinoids interact with endogenous estrogen function, however, how they interfere with breast cancer therapy is still poorly understood. In this review, we summarize the role of ER, PR, and HER2 in hormone-dependent breast cancer; provide current knowledge of MAGEs and cannabinoid receptors in breast cancer; ultimately discuss the potential interlacement of their signaling paths which may underlay diverse responses to therapies in breast cancer patients simultaneously using cannabinoids. These interactions are poorly understood but critical for the advancement of conventional and complementary treatment options for patients, particularly the ones with metastatic disease.

乳腺癌是最常被诊断的癌症,也是全世界妇女因癌症死亡的主要原因。在这种异质性疾病的不同亚群中,疾病的预后和患者对不同类型治疗的反应不同。亚群是根据肿瘤的组织学和分子特征,特别是雌激素(ER)和孕激素受体(PR)以及人表皮生长因子受体2 (HER2)的表达来划分的。激素依赖性乳腺癌,主要由雌激素受体的存在决定,是最常见的乳腺癌类型。激素依赖型乳腺癌患者有一种可用的靶向治疗方法,然而,肿瘤细胞可能对治疗产生耐药性,这是限制治疗成功和使转移性疾病复发的主要障碍。肿瘤内部和外源因素的复杂串扰可能导致内分泌抵抗,尽管潜在的分子细节仍然是谜。例如,在包括乳腺癌在内的许多类型的癌症中,黑色素瘤抗原基因(MAGE)的表达与较差的临床预后和治疗耐药性相关。最近的研究表明,癌症利用mage的生理功能来促进治疗抵抗和潜在的转移发展。对治疗的反应也可能受到同时使用替代疗法的影响,例如,大麻素的使用在乳腺癌患者中很流行。然而,大麻素与内源性雌激素功能相互作用,它们如何干扰乳腺癌治疗仍然知之甚少。在这篇综述中,我们总结了ER, PR和HER2在激素依赖性乳腺癌中的作用;提供乳腺癌中mage和大麻素受体的最新知识;最终讨论其信号通路的潜在交错,这可能是同时使用大麻素的乳腺癌患者对治疗的不同反应的基础。人们对这些相互作用了解甚少,但对患者,特别是转移性疾病患者的常规和补充治疗方案的发展至关重要。
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引用次数: 3
A comprehensive analysis of notch signaling genes in breast cancer: Expression pattern and prognostic significance 乳腺癌症notch信号基因表达模式及预后意义的综合分析
Q3 ONCOLOGY Pub Date : 2023-07-01 DOI: 10.1016/j.adcanc.2023.100104
Shazia Sofi , Hina Qayoom , Nusrat Jan , Nighat Khaliq , Mohd Zahoor ul Haq Shah , Abdullah Almilaibary , Manzoor Ahmad Mir

The most recurrent type of cancer among women is breast cancer which is an intricate disease with high intertumoral and intratumoral heterogeneity. Such variability is a key factor in the failure of current treatments and the emergence of resistance. It is crucial to develop novel therapeutic options to enhance the prognosis for breast cancer patients due to the limitations of current therapy and the unavoidable formation of acquired drug resistance (chemo and endocrine) as well as radio resistance. Poor clinical results in the treatment of breast cancer, that is resistance are associated with deregulated Notch signalling within the breast tumor and its tumor microenvironment (TME). In this research, a bioinformatics approach was used to check the expression pattern, the role, as well as the prognostic and diagnostic significance of the deregulated Notch-related genes in BC patients. The various bioinformatic tools include; UCSC XENA, GEPIA 2, UALCAN, bc Genexminer, KM Plotter, ENRICHR, STRING and Cytoscape. The study demonstrates that highly dysregulated genes (NOTCH4, CCND1, JAG1, DLL1, MAML2, and EGFR) can be used as biomarkers to identify breast cancer patients with poor prognosis and as potential targets for therapeutic intervention. The study found that 6 genes—NOTCH4, CCND1, JAG1, DLL1, MAML2, and EGFR—out of 22 tested genes showed a significant log2 fold change. Our study revealed that Luminal Breast Cancer patients display a high expression of the CCND1 gene in comparison to its expression in normal. The results of our study also depicted that the patients with elevated levels of NOTCH-related gene expression displayed better relapse-free survival with p < 0.05. Moreover, we analysed the deregulated notch genes that play an important role in various cellular and molecular processes. The study shows that these highly deregulated screened genes could be utilized as the Biomarkers that help to reveal poor prognosis and could act as targets for treating BC. However, the identification of these dysregulated genes involved in notch signallibng through insilico approach is not sufficient.

女性中最常复发的癌症是癌症,这是一种复杂的疾病,具有高度的肿瘤间和肿瘤内异质性。这种变异性是当前治疗失败和耐药性出现的关键因素。由于目前治疗的局限性以及不可避免的获得性耐药性(化疗和内分泌)和放射性耐药性的形成,开发新的治疗方案以提高癌症患者的预后至关重要。癌症治疗的不良临床结果,即耐药性与乳腺肿瘤及其肿瘤微环境(TME)中Notch信号的失调有关。在这项研究中,使用生物信息学方法来检查BC患者中失调的Notch相关基因的表达模式、作用以及预后和诊断意义。各种生物信息学工具包括:;UCSC XENA、GEPIA 2、UALCAN、bc Genexminer、KM Plotter、ENRICHR、STRING和Cytoscape。该研究表明,高度失调的基因(NOTCH4、CCND1、JAG1、DLL1、MAML2和EGFR)可作为生物标志物来识别预后不良的癌症患者,并作为治疗干预的潜在靶点。研究发现,在22个测试基因中,有6个基因——NOTCH4、CCND1、JAG1、DLL1、MAML2和EGFR——显示出显著的log2倍变化。我们的研究表明,与正常人相比,癌症患者的CCND1基因表达较高。我们的研究结果还表明,NOTCH相关基因表达水平升高的患者表现出更好的无复发生存率;0.05。此外,我们分析了在各种细胞和分子过程中发挥重要作用的失调notch基因。研究表明,这些高度失调的筛选基因可以作为有助于揭示不良预后的生物标志物,并可以作为治疗BC的靶点。然而,通过原位杂交方法鉴定这些参与notch信号传导的失调基因是不够的。
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引用次数: 2
Metastasis in renal cell carcinoma: Biology and treatment 肾细胞癌的转移:生物学和治疗
Q3 ONCOLOGY Pub Date : 2023-07-01 DOI: 10.1016/j.adcanc.2023.100094
Rafiah Kanwal

Renal cell carcinoma (RCC) is a heterogeneous group of cancer that reacts inappropriately to recent therapeutic methods and is frequently linked with an uncertain clinical channel. The biology of renal cell carcinoma (RCC) depends on histology, tumor diversity, and the biological mechanism of metastasis. Malignant renal cell carcinoma (RCC) tumors can spread to bones, brain, pancreas, gallbladder, and adrenal gland resulting in metastasis. Medical treatment for renal cell carcinoma (RCC) has transformed from cytokine-based methods to targeted agent therapy against vascular endothelial growth factor (VEGF), and most recently to immunotherapy drugs. This review aims to summarize the biology of renal cell carcinoma and to understand the present and future directions in the treatment of metastasis.

肾细胞癌(RCC)是一种异质性的癌症,对最近的治疗方法反应不恰当,并且经常与不确定的临床渠道有关。肾细胞癌(RCC)的生物学取决于组织学、肿瘤多样性和转移的生物学机制。恶性肾细胞癌(RCC)肿瘤可以扩散到骨骼、大脑、胰腺、胆囊和肾上腺,导致转移。肾细胞癌(RCC)的医学治疗已经从基于细胞因子的方法转变为针对血管内皮生长因子(VEGF)的靶向药物治疗,最近又转变为免疫治疗药物。本文就肾细胞癌的生物学研究进展进行综述,探讨肾细胞癌转移治疗的现状及未来发展方向。
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引用次数: 0
Helicobacter pylori infected gastric epithelial cells bypass cell death pathway through the oncoprotein Gankyrin 幽门螺杆菌感染的胃上皮细胞通过癌蛋白甘肽绕过细胞死亡途径
Q3 ONCOLOGY Pub Date : 2023-07-01 DOI: 10.1016/j.adcanc.2023.100087
Dharmendra Kashyap , Nidhi Varshney , Budhadev Baral , Meenakshi Kandpal , Omkar Indari , Ajay Kumar Jain , Debi Chatterji , Sachin Kumar , Hamendra Singh Parmar , Avinash Sonawane , Hem Chandra Jha

H. pylori infection can lead to gastric diseases by modulating the various cellular processes such as cellular stress, apoptosis, autophagy, and metabolic changes. H. pylori exposed gastric epithelial cells bypass the cell death pathways. However, the underlying molecular mechanisms remain in infancy. Herein, we determined that H. pylori infection on gastric epithelial cells bypass the cell death pathway via the modulation of autophagy-related signaling molecules (LC3B and ATG7) through the host-associated oncoprotein Gankyrin. Upregulated expression of Gankyrin further enhanced the various antioxidant (gclm, gclc, sod2, cat, keap1, ant, and hsf1) and autophagy-associated genes’ transcripts (atg5, atg7, lc3b, beclin, and sqstm1). Elevated expression of Gankyrin also modulates the various downstream signaling proteins such as Akt, Beta-catenin, and NFkB. We also observed altered cancerous properties of gastric epithelial cells viz; apoptosis, wound healing, chemoresistance, biomass and membrane potential of mitochondria. Concisely, the study revealed that H. pylori infection promotes GC via autophagy through the modulation of oncoprotein Gankyrin and cellular reactive oxygen species (ROS). Overall, our study demonstrated the antiapoptotic property of H pylori-infected gastric epithelial cells might govern through Gankyrin-directed autophagy.

幽门螺旋杆菌感染可通过调节各种细胞过程,如细胞应激、细胞凋亡、自噬和代谢变化而导致胃部疾病。幽门螺杆菌暴露的胃上皮细胞绕过细胞死亡途径。然而,潜在的分子机制仍处于初级阶段。本研究中,我们确定幽门螺杆菌感染胃上皮细胞通过宿主相关癌蛋白Gankyrin调节自噬相关信号分子(LC3B和ATG7)绕过细胞死亡途径。Gankyrin的上调表达进一步增强了各种抗氧化基因(gclm、gclc、sod2、cat、keap1、ant和hsf1)和自噬相关基因(atg5、atg7、lc3b、beclin和sqstm1)的转录本。Gankyrin的表达升高还可以调节各种下游信号蛋白,如Akt、β -catenin和NFkB。我们还观察到胃上皮细胞癌变特性的改变,即;细胞凋亡,伤口愈合,化疗耐药,生物量和线粒体膜电位。简而言之,该研究揭示了幽门螺杆菌感染通过调节癌蛋白甘肽和细胞活性氧(ROS),通过自噬促进胃癌。总之,我们的研究表明,幽门螺杆菌感染的胃上皮细胞的抗凋亡特性可能是通过甘肽导向的自噬来控制的。
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引用次数: 2
Alpha mangostin inhibits proliferation, migration, and invasion of human breast cancer cells via STAT3 inhibition α-芒果苷通过抑制STAT3抑制人乳腺癌症细胞的增殖、迁移和侵袭
Q3 ONCOLOGY Pub Date : 2023-07-01 DOI: 10.1016/j.adcanc.2023.100089
Lakshmi Vineela Nalla , Anil Dharavath , Santosh Kumar Behera , Amit Khairnar

Background

Signal Transducer and Activator of Transcription 3 (STAT3) is an identified critical protein associated with the progression of cancer. Alpha mangostin (α-M), a powerful dietary xanthone found to have anti-cancer properties against various cancers. However, the precise mechanism of its anti-cancer activity is not fully understood. Therefore, the current work hypothesized that targeting STAT3 with α-M inhibits the migration, invasion, and proliferation of breast cancer cells. Firstly, we evaluated the binding affinity of α-M/STAT3 complex using molecular dynamic simulations (MDS) and further we determined the likely underlying mechanism of STAT3 through in-vitro experiments. α-M treatment affected the levels of STAT3 phosphorylation, hnRNP-A1, PKM2, and EMT markers. α-M stimulation in breast cancer cells also resulted in suppressed migratory and invasive behaviour. More importantly, the treatment also affected the Ki67 and BrdU positive cells. In summary, we found the anti-migratory and anti-proliferative actions of α-M in breast cancer cells via STAT3 inhibition. Also, the study significantly adds a new nutraceutical for therapeutic intervention of invasive breast cancer.

信号转导和转录激活因子3 (STAT3)是一种与癌症进展相关的关键蛋白。α山竹素(α-M),一种强大的膳食山酮,被发现对各种癌症具有抗癌特性。然而,其抗癌活性的确切机制尚不完全清楚。因此,目前的研究假设用α-M靶向STAT3可以抑制乳腺癌细胞的迁移、侵袭和增殖。首先,我们通过分子动力学模拟(MDS)评估α-M/STAT3复合物的结合亲和力,并进一步通过体外实验确定STAT3可能的潜在机制。α-M处理影响STAT3磷酸化、hnRNP-A1、PKM2和EMT标志物水平。α-M对乳腺癌细胞的刺激也抑制了癌细胞的迁移和侵袭行为。更重要的是,治疗也影响了Ki67和BrdU阳性细胞。综上所述,我们发现α-M通过抑制STAT3在乳腺癌细胞中的抗迁移和抗增殖作用。同时,本研究为浸润性乳腺癌的治疗干预增加了一种新的营养品。
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引用次数: 2
Partial EMT and associated changes in cellular plasticity in oncovirus-positive samples 肿瘤病毒阳性样本的部分EMT及其细胞可塑性的相关变化
Q3 ONCOLOGY Pub Date : 2023-07-01 DOI: 10.1016/j.adcanc.2023.100091
Manas Sehgal , Ritoja Ray , Joel Markus Vaz , Shrihar Kanikar , Jason A. Somarelli , Mohit Kumar Jolly

Oncoviruses exploit diverse host mechanisms to survive and proliferate. These adaptive strategies overlap with mechanisms employed by malignant cells during their adaptation to dynamic micro-environments and for evasion of immune attack. While the role of individual oncoviruses in mediating cancer progression has been extensively characterized, little is known about the common gene regulatory features of oncovirus-induced cancers. Here, we focus on defining the interplay between several cancer hallmarks, including Epithelial-Mesenchymal Transition (EMT), metabolic alterations, and immune evasion across major oncoviruses by examining publicly available transcriptomics datasets containing both oncovirus-positive and oncovirus-negative samples. We observe that oncovirus-positive samples display varying degrees of EMT and metabolic reprogramming. While the progression of EMT generally associated with an enriched glycolytic metabolic program and suppressed fatty acid oxidation (FAO) and oxidative phosphorylation (OXPHOS), partial EMT correlated well with glycolysis. Furthermore, oncovirus-positive samples had higher activity and/or expression levels of immune checkpoint molecules, such as PD-L1, which was associated with a partial EMT program. These analyses thus decode common pathways in oncovirus-positive samples that may be used in pinpointing new therapeutic vulnerabilities for cancer cell plasticity.

肿瘤病毒利用不同的宿主机制来生存和增殖。这些适应策略与恶性细胞在适应动态微环境和逃避免疫攻击过程中所采用的机制重叠。虽然单个肿瘤病毒在介导癌症进展中的作用已被广泛表征,但对肿瘤病毒诱导的癌症的常见基因调控特征知之甚少。在这里,我们通过检查包含肿瘤病毒阳性和阴性样本的公开转录组学数据集,重点定义了几种癌症特征之间的相互作用,包括主要肿瘤病毒的上皮-间充质转移(EMT)、代谢改变和免疫逃避。我们观察到肿瘤病毒阳性样本显示出不同程度的EMT和代谢重编程。虽然EMT的进展通常与丰富的糖酵解代谢程序和抑制的脂肪酸氧化(FAO)和氧化磷酸化(OXPHOS)有关,但部分EMT与糖酵解密切相关。此外,肿瘤病毒阳性样本具有较高的免疫检查点分子活性和/或表达水平,如PD-L1,这与部分EMT程序有关。因此,这些分析解码了癌病毒阳性样本中的常见途径,这些途径可用于确定癌症细胞可塑性的新治疗脆弱性。
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引用次数: 0
Decoding the role of S100 proteins in mammary gland regulation and their role in breast cancer metastasis S100蛋白在乳腺调节中的作用及其在乳腺癌症转移中的作用
Q3 ONCOLOGY Pub Date : 2023-07-01 DOI: 10.1016/j.adcanc.2023.100106
Parul Singh, Syed Azmal Ali
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引用次数: 0
Pancreatic adenocarcinoma in the elderly – recurrence and survival: A physician's challenge 老年人胰腺癌的复发与生存:医生的挑战
Q3 ONCOLOGY Pub Date : 2023-07-01 DOI: 10.1016/j.adcanc.2023.100092
Mashood Iqbal , Uzzam Ahmed Khawaja , Umar Soomro , Syed A.A. Rizvi , Zoya H. Rizvi

Pancreatic Ductal Adenocarcinomas (PDAC) is one of the most lethal cancer, shifting it from the fourth highest to the third-highest cause of cancer-related deaths in the United States recently. The majority of the cases are diagnosed when the disease has metastasized and is associated with poor 5-year survival. A long-term survival data of PDAC has not been well reported in the literature. Pancreatic Cancer requires the imminent need of a multidisciplinary approach. The key to an improved long-term outcome involves early diagnosis and curative resection along with chemotherapeutic agents. Gemcitabine has played a positive role as an adjuvant after surgical resection. Regular follow-ups post-resection are mandatory for the detection of neoplastic recurrence. To add to what is already a challenging task, isolated recurrence of PDAC poses greater challenges for the physicians treating the patients because there is no general consensus on how to manage these specific groups of patients. To effectively handle this challenging task, a definite strategy must be adopted. Long-term survival if accomplished must therefore be accompanied by regular follow-up visits including Spiral CT scans and keeping an eye on the serum tumor marker CA19-9, a prognostic survival predictor.

胰腺导管腺癌(PDAC)是最致命的癌症之一,最近在美国癌症相关死亡的原因中,它从第四位上升到第三位。大多数病例在疾病转移时被诊断出来,并伴有较差的5年生存率。PDAC的长期生存数据在文献中尚未得到很好的报道。胰腺癌迫切需要多学科的治疗方法。改善长期预后的关键是早期诊断和治疗性切除以及化疗药物。吉西他滨作为手术切除后的辅助药物发挥了积极的作用。术后定期随访是发现肿瘤复发的必要条件。对于已经具有挑战性的任务来说,孤立的PDAC复发给治疗患者的医生带来了更大的挑战,因为对于如何管理这些特定的患者群体没有普遍的共识。为了有效地处理这一具有挑战性的任务,必须采取明确的策略。因此,如果实现长期生存,必须伴随着定期随访,包括螺旋CT扫描和密切关注血清肿瘤标志物CA19-9(预后生存预测因子)。
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引用次数: 0
In vitro Characterization of a novel murine model of cancerous progression 一种新型小鼠癌症进展模型的体外表征
Q3 ONCOLOGY Pub Date : 2023-07-01 DOI: 10.1016/j.adcanc.2023.100101
Steven D. Scahill , Kelly Jean Sherman , Jessie J. Guidry , Whitney Walkowski , Theresa Nguyen , Durwood B. Ray , David H. Jones , Harry J. Gould III , Dennis Paul

To evaluate a potentially valuable tool to study cancer progression and metastasis, we characterized a novel murine model composed of a parental oncogene-transformed embryonic fibroblast line and five cell lines isolated from progressively advanced tumors. Lines derived from distant metastases displayed significantly greater rates of motility, invasiveness, and extracellular acidification than lines derived from a primary tumor or local metastases. A comprehensive proteomic analysis of these cells showed numerous oncogenes to be upregulated and tumor suppressors to be downregulated in the advanced lines, and provided novel targets for future examination. The first cell line capable of extravasation displayed particularly high proteomic variation, which could provide insight into its epithelial to mesenchymal transition. The proteomic variation was less than that of an established human breast cancer model, indicating that the observed differences are more likely contributive to tumorigenesis. In total, we validated a novel cell model for the study of tumorigenesis, while providing a robust proteomic data set to guide future research.

为了评估研究癌症进展和转移的潜在有价值的工具,我们表征了一种新的小鼠模型,该模型由亲代癌转化的胚胎成纤维细胞系和从进行性晚期肿瘤中分离的五种细胞系组成。来源于远处转移的细胞系显示出比来源于原发性肿瘤或局部转移的细胞株显著更高的运动性、侵袭性和细胞外酸化率。对这些细胞的全面蛋白质组学分析显示,在晚期细胞系中,许多致癌基因被上调,肿瘤抑制剂被下调,并为未来的检查提供了新的靶点。第一个能够外渗的细胞系显示出特别高的蛋白质组学变异,这可以深入了解其上皮到间充质的转变。蛋白质组学变异小于已建立的人类癌症模型,表明观察到的差异更有可能促进肿瘤的发生。总之,我们验证了一种用于肿瘤发生研究的新细胞模型,同时提供了一个强大的蛋白质组学数据集来指导未来的研究。
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引用次数: 0
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Advances in cancer biology - metastasis
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