Vanderhyden Barbara C, Shaw Tanya J, Ethier Jean-François
Department of Cellular and Molecular Medicine, University of Ottawa, 451 Smyth Road, Ottawa, Ontario, Canada K1H 8M5.
Reprod Biol Endocrinol. 2003 Oct 7;1:67. doi: 10.1186/1477-7827-1-67.
Ovarian cancer is the most lethal of all of the gynecological cancers and can arise from any cell type of the ovary, including germ cells, granulosa or stromal cells. However, the majority of ovarian cancers arise from the surface epithelium, a single layer of cells that covers the surface of the ovary. The lack of a reliable and specific method for the early detection of epithelial ovarian cancer results in diagnosis occurring most commonly at late clinical stages, when treatment is less effective. In part, the deficiency in diagnostic tools is due to the lack of markers for the detection of preneoplastic or early neoplastic changes in the epithelial cells, which reflects our rather poor understanding of this process. Animal models which accurately represent the cellular and molecular changes associated with the initiation and progression of human ovarian cancer have significant potential to facilitate the development of better methods for the early detection and treatment of ovarian cancer. This review describes some of the experimental animal models of ovarian tumorigenesis that have been reported, including those involving specific reproductive factors and environmental toxins. Consideration has also been given to the recent progress in modeling ovarian cancer using genetically engineered mice.
卵巢癌是所有妇科癌症中致死率最高的,可起源于卵巢的任何细胞类型,包括生殖细胞、颗粒细胞或基质细胞。然而,大多数卵巢癌起源于表面上皮,即覆盖卵巢表面的单层细胞。缺乏可靠且特异的上皮性卵巢癌早期检测方法,导致诊断最常出现在临床晚期,此时治疗效果较差。部分诊断工具的不足是由于缺乏检测上皮细胞癌前或早期肿瘤变化的标志物,这反映出我们对这一过程的了解相当有限。能够准确呈现与人类卵巢癌发生和发展相关的细胞及分子变化的动物模型,对于推动开发更好的卵巢癌早期检测和治疗方法具有巨大潜力。本综述描述了一些已报道的卵巢肿瘤发生的实验动物模型,包括那些涉及特定生殖因素和环境毒素的模型。同时也考虑了利用基因工程小鼠构建卵巢癌模型的最新进展。