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Insights into the Role of PAX-3 in the Development of Melanocytes and Melanoma. PAX-3在黑色素细胞和黑色素瘤发展中的作用。
Pub Date : 2011-01-01 DOI: 10.2174/1874079001104010001
Jessica Diann Hathaway, Azizul Haque

Melanoma is the deadliest form of skin cancer in the United States with an increasing prevalence. However, the development of melanoma from a melanocyte precursor is still poorly defined. Understanding the molecules responsible for melanoma progression may lead to improved targeted therapy. One potential molecule is the paired box-3 (PAX-3) protein, which has been implicated in the development of melanocytes and malignant melanoma. In melanoma, the expression of PAX-3 is believed to be differentially regulated, and has been linked with malignancies and staging of the disease. The loss of PAX-3 regulation has also been associated with the loss of transforming growth factor-beta (TGF-β) activity, but its effect on PAX-3 in differentiated melanocytes as well as metastatic melanoma remains unclear. Understanding PAX-3 regulation could potentially shift melanoma to a less aggressive and less metastatic disease. This review summarizes our current knowledge on PAX-3 during melanocyte development, its regulation, and its implications in the development of novel chemo-immunotherapeutics against metastatic melanoma.

黑色素瘤是美国最致命的皮肤癌,发病率越来越高。然而,黑素细胞前体的黑色素瘤的发展仍然不明确。了解导致黑色素瘤进展的分子可能会改善靶向治疗。一个潜在的分子是配对盒3 (PAX-3)蛋白,它与黑色素细胞和恶性黑色素瘤的发展有关。在黑色素瘤中,PAX-3的表达被认为是受差异调控的,并且与恶性肿瘤和疾病分期有关。PAX-3调控的缺失也与转化生长因子-β (TGF-β)活性的缺失有关,但其在分化黑色素细胞和转移性黑色素瘤中对PAX-3的影响尚不清楚。了解PAX-3调控可能潜在地将黑色素瘤转变为一种侵袭性和转移性较低的疾病。本文综述了目前关于PAX-3在黑色素细胞发育过程中的作用、其调控作用及其在开发新的化学免疫疗法治疗转移性黑色素瘤中的意义。
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引用次数: 6
ETS Transcription Factors in the Tumor Microenvironment 肿瘤微环境中的ETS转录因子
Pub Date : 2010-09-23 DOI: 10.2174/1874079001003010049
Fu Li, J. Wallace, Michael C. Ostrowski
ETS factors are involved in cancer progression through transcriptional regulation of factors mediating cell cycle, cell growth, apoptosis, cell adhesion and migration. The biological processes regulated by ETS factors are important not only in tumor cells, but also in the surrounding cells comprising the tumor microenvironment. Additionally, ETS factors can serve as transcriptional activators and repressors to regulate gene expression in a cell context-specific fashion. Here we discuss recent advances in which the regulatory roles of ETS factors in stromal cells are critical during both development and cancer. These new findings uncover the importance of ETS signaling in the stromal compartment of tumors and shed light on new potential mechanisms of ETS factors.
ETS因子通过转录调控介导细胞周期、细胞生长、细胞凋亡、细胞粘附和迁移的因子参与癌症进展。ETS因子调控的生物过程不仅在肿瘤细胞中起重要作用,而且在构成肿瘤微环境的周围细胞中也起重要作用。此外,ETS因子可以作为转录激活因子和抑制因子,以细胞环境特异性的方式调节基因表达。在这里,我们讨论了最近的进展,其中ETS因子在基质细胞的发育和癌症过程中的调节作用是至关重要的。这些新发现揭示了ETS信号在肿瘤间质室中的重要性,并揭示了ETS因子的新的潜在机制。
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引用次数: 2
The Role of ETS Transcriptional Regulation in Hormone Sensitive and Refractory Prostate Cancer ETS转录调控在激素敏感和难治性前列腺癌中的作用
Pub Date : 2010-09-23 DOI: 10.2174/1874079001003010040
David P Turner
Most advanced prostate tumors are dependent upon hormonal regulation of the transcriptional activity of the androgen receptor (AR). Current ASCO recommendations for initial treatment of advanced disease target the hormonal mediated regulation of AR activation through androgen deprivation therapy. Despite early treatment efficacy, most prostate tumors progress and re-activate AR transcriptional regulation through alternative biological mechanisms that allow them to circumvent the requirement for androgen. It is the temporal and spatial recruitment of specific AR transcriptional complexes to the promoters of cancer associated target genes that promotes the tumorigenic phenotype in prostate cancer. Increasing published data associates the E Twenty Six (ETS) family of transcription factors with prostate cancer progression and with the transcriptional activity of the AR. Evidence suggests that ETS factors act in concert to both positively and negatively regulate the pathways that control progression to metastatic cancer in prostate tissues. Given the critical roles both ETS factors and the AR play in the development of prostate cancer, mechanistic insight into their transcriptional co-regulation during the hormone sensitive and hormone refractory phases of progression will be provided by determining the contribution of ETS, AR and ETS-AR mediated regulatory control. This review examines the current depth of understanding of the role of the ETS family of transcription factors as transcriptional elements that confer the carcinogenic response to aberrant hormonal activity during prostate cancer progression.
大多数晚期前列腺肿瘤依赖于激素对雄激素受体(AR)转录活性的调节。目前ASCO推荐的晚期疾病初始治疗的目标是通过雄激素剥夺治疗激素介导的AR激活调节。尽管早期治疗有效,但大多数前列腺肿瘤进展并通过替代的生物学机制重新激活AR转录调节,使其能够规避对雄激素的需求。特异性AR转录复合物在时间和空间上募集到癌症相关靶基因的启动子,从而促进前列腺癌的致瘤表型。越来越多的已发表的数据表明,E 26 (ETS)转录因子家族与前列腺癌的进展和AR的转录活性有关。有证据表明,ETS因子在控制前列腺组织转移性癌进展的途径中起着积极和消极的作用。考虑到ETS因子和AR在前列腺癌发展中的关键作用,通过确定ETS、AR和ETS-AR介导的调控控制的作用,可以深入了解它们在激素敏感期和激素难治期的转录协同调控机制。本文综述了ETS转录因子家族在前列腺癌进展过程中作为转录因子赋予异常激素活性致癌反应的作用。
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引用次数: 1
ETS Transcription Factor Expression and Conversion During Prostate and Breast Cancer Progression ETS转录因子在前列腺癌和乳腺癌进展中的表达和转化
Pub Date : 2010-09-23 DOI: 10.2174/1874079001003010024
D. Watson, David P Turner, Melissa N. Scheiber, V. Findlay, P. Watson
ETS factors are known to act as positive or negative regulators of the expression of genes including those that control response to various signaling cascades, cellular proliferation, differentiation, hematopoiesis, apoptosis, adhesion, migration, invasion and metastasis, tissue remodeling, ECM composition and angiogenesis. During cancer progression, altered ETS gene expression disrupts the regulated control of many of these biological processes. Although it was originally observed that specific ETS factors function either as positive or negative regulators of transcription, it is now evident that the same ETS factor may function in reciprocal fashions, reflecting promoter and cell context specificities. This report will present a discussion of ETS factor expression during prostate and breast cancer progression and its functional roles in epithelial cell phenotypes. The ETS genes encode transcription factors that have independent activities but are likely to be part of an integrated network. While previous studies have focused on single ETS factors in the context of specific promoters, future studies should consider the functional impact of multiple ETS present within a specific cell type. The pattern of ETS expression within a single tissue is, not surprisingly, quite complex. Multiple ETS factors may be able to regulate the same genes, albeit at different magnitude or in different directions. Furthermore, the precise balance between cancer promotion and inhibition by ETS factors, which may differentially regulate specific target genes, can thus control its progression. These concepts form the basis of the hypothesis that "Ets conversion" plays a critical role during tumor progression. Examples supporting this hypothesis will be described.
已知ETS因子作为基因表达的正调控或负调控因子,包括那些控制各种信号级联反应、细胞增殖、分化、造血、凋亡、粘附、迁移、侵袭和转移、组织重塑、ECM组成和血管生成的基因。在癌症进展过程中,ETS基因表达的改变破坏了许多这些生物过程的调控。虽然最初观察到特定的ETS因子作为转录的正或负调节因子起作用,但现在很明显,相同的ETS因子可能以互惠的方式起作用,反映启动子和细胞背景特异性。本报告将讨论ETS因子在前列腺癌和乳腺癌进展过程中的表达及其在上皮细胞表型中的功能作用。ETS基因编码的转录因子具有独立的活性,但可能是一个综合网络的一部分。虽然以前的研究集中在特定启动子背景下的单个ETS因素,但未来的研究应考虑特定细胞类型中存在的多个ETS的功能影响。ETS在单个组织中的表达模式是非常复杂的,这并不奇怪。多个ETS因素可能能够调节相同的基因,尽管程度或方向不同。此外,ETS因子在癌症促进和抑制之间的精确平衡,可能对特定靶基因进行差异调节,从而控制其进展。这些概念构成了“Ets转化”在肿瘤进展过程中起关键作用的假设的基础。支持这一假设的例子将被描述。
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引用次数: 19
Editorial-Transcriptional and Post-Transcriptional Regulation in Hormone-Dependent Cancer 激素依赖性癌症的转录和转录后调控
Pub Date : 2010-09-23 DOI: 10.2174/1874079001003010022
D. Watson
The special issue provides a compilation of five review articles and five research articles on ETS transcriptional control, microRNA regulation of mRNA degradation and translation, post-transcriptional control of pre-RNA processing, protein stability and degradation. Thus, this issue highlights the areas that represent the main control mechanisms of gene expression from primary transcription to protein expression.
本期特刊收录了5篇综述文章和5篇研究文章,内容涉及ETS转录调控、microRNA调控mRNA降解和翻译、pre-RNA加工的转录后调控、蛋白质稳定性和降解。因此,本期重点介绍了基因表达从初代转录到蛋白表达的主要控制机制。
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引用次数: 0
Protective Effect of Green Tea Against Dimethylnitrosamine Induced Genotoxicity in Mice Bone Marrow Cells 绿茶对二甲基亚硝胺致小鼠骨髓细胞遗传毒性的保护作用
Pub Date : 2010-08-27 DOI: 10.2174/1874079001003010016
Zarrag Isa Al-Fify, M. Aly
Cancer is a major cause of death in the world; thus, the prevention of this disease would have a significant impact on public health. Chemoprevention is defined as natural and synthetic pharmacological (chemical) agent to disrupt the process of carcinogenesis. Green tea is a potent chemopreventive agent in many test systems and has been shown to inhibit tumor promotion and induce apoptosis. It is one of the most frequently consumed beverages in the world. Green tea polyphenolics have demonstrated antimutagenic, anticarcinogenic, antioxidant and antipromotional effects. The aim of this work is to study the protective effect of green tea extract against genotoxic damage of dimethylnitros- amine (DMN) in mice bone marrow cells. Our results demonstrated that the administration of green tea extract 24 hr before the DMN injection significantly suppressed DMN-induced chromosomal aberrations and sister chromatid exchanges. The suppression was observed 18 hr, 24 hr and 48 hr after the DMN treatment but no suppressive effect was observed at the early period (6 hr and 12 hr) after the DMN treatment. Furthermore, the suppression was observed in all doses of DMN (4, 5 and 6 mg/kg) investigated. Mice were given green tea 2 hr before the DMN injection displayed no suppressive effect. Mice were given 2% green tea extract as the sole source of drinking water for four days before sacrifice displayed significantly suppressed DMN-induced chromosomal aberrations and sister chromatid exchanges. We conclude that green tea presents significant antigenotoxic concern under the anticipated conditions of use. These results are consistent with other antigenotoxicity studies of green tea.
癌症是世界上导致死亡的一个主要原因;因此,预防这种疾病将对公众健康产生重大影响。化学预防被定义为破坏癌变过程的天然和合成药理学(化学)剂。在许多测试系统中,绿茶是一种有效的化学预防剂,并已被证明可以抑制肿瘤的促进和诱导细胞凋亡。它是世界上消费最频繁的饮料之一。绿茶多酚类物质具有抗诱变、抗癌、抗氧化和抗促生作用。研究绿茶提取物对二甲硝基胺(DMN)基因毒性损伤小鼠骨髓细胞的保护作用。我们的研究结果表明,在DMN注射前24小时给予绿茶提取物可显著抑制DMN诱导的染色体畸变和姐妹染色单体交换。DMN治疗后18小时、24小时和48小时均有抑制作用,但在DMN治疗后早期(6小时和12小时)无抑制作用。此外,在所研究的所有剂量DMN(4,5和6 mg/kg)中均观察到抑制作用。小鼠在DMN注射前2小时给予绿茶,没有抑制作用。给小鼠2%绿茶提取物作为唯一的饮用水来源,在献祭前4天,小鼠显示dmn诱导的染色体畸变和姐妹染色单体交换明显受到抑制。我们得出结论,在预期的使用条件下,绿茶具有显著的抗原性毒性。这些结果与绿茶的其他抗原性毒性研究一致。
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引用次数: 6
Arginine: Appropriate Dose and Delivery Environment Makes It an Anticancer Molecule 精氨酸:合适的剂量和递送环境使其成为抗癌分子
Pub Date : 2010-05-05 DOI: 10.2174/1874079001003010001
J. Shukla, V. S. Thakur, T. Poduval
The electrostatic attraction between the negatively charged components of cancer cells and the positively charged anticancer peptides (ACPs) is believed to play a role in selective disruption of cancer cell membrane. Since arginine (Arg), a cationic amino acid is the most prevalent in these ACPs; we hypothesized that Arg when delivered in saline environment at the pharmacological concentration could become an anticancer molecule. The effects of L-Arg and D-Arg on tumor cell lines were studied. The therapeutic ability of pharmacological doses of Arg in saving the mice from experimental tumors was also evaluated. Both the enantiomers of Arg and not the cationic amino acid L-lysine (L-Lys) or agmatine-sulphate, at 10 mM concentration caused tumor cell clumping when treated in PBS. Arg delivered in PBS (Arg- P) and not in medium (Arg-M) up to 50 mM caused extensive tumor cell membrane damage leading to its death. Arg at 150 mM and above irrespective of chirality and incubation vehicle became an effective antitumor molecule against all the four cell lines tested. L-Arg was not toxic to normal cells like erythrocytes, lymphocytes, NIH 3T3 cells when presented in PBS. Arg cured mice bearing solid tumor fibrosarcoma (FS) when delivered into the tumor either in PBS or medium and lymphosarcoma-ascitic (LSA) tumor when delivered intraperitoneally in PBS. Our studies indicate that Arg can be used for loco-regional tumor therapy with minimal damage to normal cells and the mechanism of anticancer action of Arg is not metabolically driven but through its chemical structure, dose and delivery environment.
癌细胞中带负电荷的成分与带正电荷的抗癌肽(ACPs)之间的静电吸引被认为在选择性破坏癌细胞细胞膜中起作用。由于精氨酸(Arg),一种阳离子氨基酸是这些acp中最普遍的;我们假设Arg在生理盐水环境中以药理学浓度传递可能成为一种抗癌分子。研究了l -精氨酸和d -精氨酸对肿瘤细胞系的影响。并对药理学剂量的精氨酸对小鼠实验性肿瘤的治疗作用进行了评价。在PBS中处理时,Arg的对映体和阳离子氨基酸l -赖氨酸(L-Lys)或agmatine- sulfate在10 mM浓度下均引起肿瘤细胞结块。在50 mM以下的PBS (Arg- P)中而不是在培养基(Arg- m)中递送的Arg引起广泛的肿瘤细胞膜损伤,导致其死亡。Arg在150 mM及以上,无论手性和孵育载体如何,对所有四种细胞系都是有效的抗肿瘤分子。l -精氨酸在PBS中对红细胞、淋巴细胞、NIH 3T3细胞等正常细胞无毒性。Arg在PBS或培养基中注入实体瘤纤维肉瘤(FS)小鼠,在PBS腹腔注入淋巴肉瘤-腹水(LSA)肿瘤时治愈。我们的研究表明,精氨酸可用于局部区域肿瘤治疗,对正常细胞的损伤最小,其抗癌作用的机制不是代谢驱动的,而是通过其化学结构、剂量和递送环境。
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引用次数: 4
Role of the BCA2 ubiquitin E3 ligase in hormone responsive breast cancer. BCA2泛素E3连接酶在激素反应性乳腺癌中的作用。
Pub Date : 2010-01-01 DOI: 10.2174/1874079001003010116
Angelika M Burger, Fathima Kona, Yutaka Amemiya, Yuguang Gao, Stephanie Bacopulos, Arun K Seth

The BCA2 protein contains a RING H2 finger and a Zn finger near the N-terminus and has E3 ligase activity. RING finger proteins play critical roles in mediating the transfer of ubiquitin and ubiquitin like modifiers to heterologous substrates as well as to the RING finger proteins themselves. Protein modification by ubiquitin and small ubiquitin-related modifier (SUMO) plays a pivotal role in protein homeostasis and is critical to regulating basic cellular processes such as proliferation, differentiation, apoptosis, intracellular signaling, and gene-transcriptional regulation. The addition of ubiquitin or SUMO can modulate the ability of proteins to interact with their partners, alter their patterns of sub-cellular localization and control their stability. It is clear that SUMO influences many different biological processes however recent data suggest that it is specifically important in the regulation of transcription. BCA2 is an E3 ligase that interacts with the SUMO conjugating enzyme Ubc9. It could therefore function as an E3 in the sumoylation of various transcription factors. We have found that the BCA2 is co-expressed with the estrogen receptor in 74% of ER-positive invasive ductal carcinomas from a 635 member breast cancer cohort (p = 0.004). At the cellular level, BCA2 co-localizes with ER and it appears that at the transcriptional level BCA2 mRNA expression is regulated by estrogen. Bioinformatic analysis of the BCA2 promoter region revealed ER and PR binding sites as well as that of other more general transcription factors. The data presented here provides an overview of the potential involvement of the BCA2 in hormone responsive breast cancer and opens up avenues that should be exploited to better understand the regulation of ER expression, growth of breast cancer cells, and the importance of BCA2.

BCA2蛋白在n端附近含有一个RING H2指和一个Zn指,并具有E3连接酶活性。环指蛋白在介导泛素和泛素样修饰物向外源底物以及环指蛋白本身的转移中起着关键作用。泛素和小泛素相关修饰物(SUMO)对蛋白质的修饰在蛋白质稳态中起着关键作用,对细胞增殖、分化、凋亡、细胞内信号传导和基因转录调控等基本细胞过程的调节至关重要。泛素或SUMO的加入可以调节蛋白质与其伴侣相互作用的能力,改变它们的亚细胞定位模式并控制它们的稳定性。很明显,SUMO影响许多不同的生物过程,但最近的数据表明,它在转录调节中特别重要。BCA2是一种E3连接酶,与SUMO偶联酶Ubc9相互作用。因此,它可以作为E3在各种转录因子的聚合中起作用。我们发现,在635名乳腺癌患者中,74%的er阳性浸润性导管癌患者中,BCA2与雌激素受体共表达(p = 0.004)。在细胞水平上,BCA2与ER共定位,在转录水平上,BCA2 mRNA的表达似乎受雌激素的调节。BCA2启动子区域的生物信息学分析揭示了ER和PR结合位点以及其他更一般的转录因子。本文提供的数据概述了BCA2在激素反应性乳腺癌中的潜在作用,并为更好地理解内质网表达的调节、乳腺癌细胞的生长和BCA2的重要性开辟了途径。
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引用次数: 0
Effect of Sex Hormone Binding Globulin on the Development of Ovarian Cancer in a Mouse Model 性激素结合球蛋白对小鼠卵巢癌发展的影响
Pub Date : 2008-12-19 DOI: 10.2174/1874079000802010059
J. Baranowska-Kortylewicz, Jessica Nearman, Z. Kortylewicz
Sex hormone-binding globulin (SHBG) is the major carrier protein of testosterone and estradiol in the blood. Although studies on the role of SHBG in ovarian cancer are inconclusive, substantial evidence indicates that SHBG- steroid complexes can play a direct role in the intracellular transport of steroids to cancer cells. SHBG is synthesized in the adult liver of many species, excluding rodents. Adult mouse and rat livers do not produce SHBG, and yet most experimental models of ovarian cancer employ these species. Data reported here indicate that SHBG has a major stimulatory effect on the growth of human ovarian cancer in athymic mice. The effect is observed in subcutaneous and intraperitoneal OVCAR-3 xenografts. Tumor doubling times were 9.98±0.14 days and 17.20±0.64 days when OVCAR-3 cells were implanted with and without SHBG, respectively (P = 0.023). The magnitude of SHBG effect depended on the age of mice and it was most prominent in the development of intraperitoneal solid tumor deposits. Levels of circulating CA-125 were also age- and tumor size-dependent. Biodistribution studies of 125 I-SHBG indicated a prolonged retention of the protein in solid tumor deposits. Estimated half-lives of 125 I-SHBG were 2.3� longer in solid tumors as compared to nonadherent cancer cells in the peritoneal lavage. The normal tissue distribution of 125 I-SHBG was similar in control and OVCAR-3-bearing mice. These data suggest that currently used models of ovarian cancer in mice, including carcinogenesis and drug evaluation studies, are imperfect because of the lack of SHBG production in these species.
性激素结合球蛋白(SHBG)是血液中睾酮和雌二醇的主要载体蛋白。虽然关于SHBG在卵巢癌中的作用的研究尚无定论,但有大量证据表明SHBG-类固醇复合物可直接参与类固醇向癌细胞的细胞内转运。除啮齿动物外,SHBG在许多物种的成年肝脏中合成。成年小鼠和大鼠的肝脏不产生SHBG,但大多数卵巢癌实验模型使用这些物种。本文报道的数据表明SHBG对人卵巢癌在胸腺小鼠体内的生长有主要的刺激作用。在皮下和腹腔内OVCAR-3异种移植物中观察到这种效果。转染SHBG和不转染SHBG的OVCAR-3细胞肿瘤倍增时间分别为9.98±0.14天和17.20±0.64天(P = 0.023)。SHBG的影响程度取决于小鼠的年龄,在腹腔内实体瘤沉积的发展中最为突出。循环CA-125水平也与年龄和肿瘤大小有关。125 I-SHBG的生物分布研究表明,该蛋白在实体瘤沉积物中可以长时间保留。估计125 I-SHBG在实体肿瘤中的半衰期比腹腔灌洗中的非粘附癌细胞长2.3个月。125 I-SHBG在对照组和ovcar -3小鼠的正常组织分布相似。这些数据表明,目前使用的小鼠卵巢癌模型,包括癌变和药物评价研究,都是不完善的,因为这些物种缺乏SHBG的产生。
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引用次数: 1
Systemic Leukocyte Alterations in Cancer and their Relation to Prognosis 肿瘤的全身白细胞改变及其与预后的关系
Pub Date : 2008-12-19 DOI: 10.2174/1874079000802010053
B. Tavares-Murta, E. Murta
Leukocyte migration is a key event in the inflammatory response to tumors. The tumor releases specific chemokines that control migration of leukocytes and functions of these cells after their arrival at the tumor site. In addition to these local changes in the tumor microenvironment, the host response to malignant solid tumors also gives rise to systemic effects, the most frequent of which are leukocytosis, neutrophilia and lymphopenia. These hematological findings are significantly correlated with advanced tumor stage and, therefore, poor disease prognosis. The ratio of neutrophil and lymphocyte counts has been suggested as a simple parameter of systemic inflammation in cancer patients. An elevated neutrophil to lymphocyte ratio has been shown to be an independent prognostic factor for cancers at various different sites, suggesting that this parameter is a clinically accessible and useful biomarker for patient survival. The effect of tumor development on circulating leukocyte number has not been clarified. One proposed mechanism is that tumor cells produce soluble factors such as granulocyte colony stimulating factor, which mobilize precursor cells in the bone marrow, or other mediators that alter cell differentiation. Leukocyte counts may be readily obtained at the time of diagnosis, and these data could be useful as stratification factors in clinical trials and in identifying patients with poor prognosis, leading to better treatment strategies.
白细胞迁移是肿瘤炎症反应中的一个关键事件。肿瘤释放特定的趋化因子,控制白细胞的迁移和这些细胞到达肿瘤部位后的功能。除了肿瘤微环境的这些局部改变外,宿主对恶性实体瘤的反应还会引起全身效应,其中最常见的是白细胞增多、嗜中性粒细胞增多和淋巴细胞减少。这些血液学表现与肿瘤分期晚期相关,因此与疾病预后不良相关。中性粒细胞和淋巴细胞计数的比值已被认为是癌症患者全身炎症的一个简单参数。中性粒细胞与淋巴细胞比值的升高已被证明是不同部位癌症的独立预后因素,这表明该参数是临床可获得且有用的患者生存生物标志物。肿瘤发展对循环白细胞数量的影响尚不清楚。一种被提出的机制是肿瘤细胞产生可溶性因子,如粒细胞集落刺激因子,它可以调动骨髓中的前体细胞,或其他介质改变细胞分化。在诊断时可以很容易地获得白细胞计数,这些数据可以作为临床试验的分层因素和识别预后不良的患者,从而导致更好的治疗策略。
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引用次数: 8
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