癌症,人类的挑战

Yingyu Cui
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引用次数: 5

摘要

癌症或恶性肿瘤是一组由转化细胞的不可控制的生长及其入侵周围健康组织和转移到生物体内远程部位的能力所定义的疾病[1,2]。根据起源的不同,可进一步分为五种亚型:癌、腺癌、肉瘤、淋巴瘤/白血病和骨髓瘤。癌症是仅次于心血管疾病的全球第二大死亡原因(GBD 2013死亡率和死亡原因合作者2015)[3]。通常,科学家将肿瘤发生归因于细胞增殖的控制丧失、细胞分化的抑制以及细胞水平上细胞衰老和死亡的阻断;亚细胞水平的染色体非整倍体[4,5]和过度活跃的端粒酶[6];分别在分子水平上过度激活致癌基因和过度抑制抗癌基因、基因突变和表观遗传学修饰(DNA甲基化和组蛋白乙酰化等)[7]。体外环境中的致癌物,包括物理致癌物(紫外线、X射线等)、化学致癌物(苯并芘、黄曲霉毒素B1等)和生物致癌物(DNA病毒、RNA逆转录病毒),在体内环境因子的帮助下,可以促进良性肿瘤向恶性肿瘤的转化-
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Cancer, Mankind′s Challenge
Cancer, or malignant tumour, is a group of diseases defined by the uncontrollable growth of the transformed cells, and their capabilities of invasion into surrounding healthy tissues and metastasis to remote sites in the body of organisms[1, 2]. According to different origins, it can be further divided into five subtypes: carcinoma, adenocarcinoma, sarcoma, lymphoma/leukemia and myeloma. Cancer is the second leading cause of death worldwide after cardiovascular disease (GBD 2013 Mortality and Causes of Death Collaborators 2015)[3]. Usually, scientists attribute tumorigenesis to the control loss of cell proliferation, inhibition of cell differentiation and blockade of cell senescence and death at cellular level; chromosome aneuploidy[4, 5] and hyperactive telomerase[6] at sub-cellular level; excessive activation of oncogenes and excessive inhibition of anti-oncogenes, gene mutation and epigenetic modification (DNA methylation and histone acetylation, etc.)[7] at molecular level, respectively. Mutagens in in vitro environment, including physical carcinogens (UV, X-rays, etc.), chemical carcinogens (Benzopyrene, Aflatoxin B1, etc.) and biological carcinogens (DNA viruses, RNA retroviruses) can promote the transformation of benign tumours to malignant tumours with the help of factors in in vivo envi-
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