Kasper Susan, Smith Joseph A
Department of Urologic Surgery, Vanderbilt Medical Center, Nashville, Tennessee 37232-2765, USA.
J Urol. 2004 Jul;172(1):12-9. doi: 10.1097/01.ju.0000132122.93436.aa.
At the National Cancer Institute a comprehensive program has been developed for accelerating prostate cancer research, especially in the area of mouse models for human cancers. This review focuses on transgenic mouse models for elucidating the molecular and cellular processes that lead to prostate cancer initiation, progression and metastasis, and on their suitability for therapeutic and chemopreventive trials.
Published data from MEDLINE, http://emice.nci.nih.gov/, our laboratory and other investigators are reviewed.
Currently no 1 mouse model displays the entire continuum of human prostate cancer initiation, development and metastasis. The loss or over expression of a single gene results primarily in epithelial hyperplasia, prostatic intraepithelial neoplasia or more aggressive localized adenocarcinoma. To date the only models that develop lung, liver and occasionally bone metastasis are those that express SV40 large T antigen. A number of models have been used to investigate the efficacy of androgen deprivation, lovastatin, vitamin D, the anti-inflammatory drug E-7869, genistein and (-)-epigallocatechin-3-gallate as therapeutic or chemopreventive agents. Noninvasive optical imaging technologies facilitate the detection of metastatic lesions and the effects of therapeutic agents on tumor regression.
Integrating mouse studies with human clinical trials would ensure that mechanisms that promote prostate cancer are identified and potential therapeutic targets are validated.
美国国立癌症研究所已制定一项综合计划,以加速前列腺癌研究,特别是在人类癌症小鼠模型领域。本综述重点关注用于阐明导致前列腺癌起始、进展和转移的分子和细胞过程的转基因小鼠模型,以及它们在治疗和化学预防试验中的适用性。
对来自MEDLINE、http://emice.nci.nih.gov/、我们实验室及其他研究人员已发表的数据进行综述。
目前尚无一种小鼠模型能展现人类前列腺癌起始、发展和转移的完整连续过程。单个基因的缺失或过表达主要导致上皮增生、前列腺上皮内瘤变或更具侵袭性的局限性腺癌。迄今为止,唯一能发生肺、肝转移且偶尔发生骨转移的模型是那些表达SV40大T抗原的模型。已有多种模型用于研究雄激素剥夺、洛伐他汀、维生素D、抗炎药物E-7869、染料木黄酮和(-)-表没食子儿茶素-3-没食子酸酯作为治疗或化学预防剂的疗效。非侵入性光学成像技术有助于检测转移灶以及治疗剂对肿瘤消退的影响。
将小鼠研究与人类临床试验相结合,将确保识别出促进前列腺癌的机制,并验证潜在的治疗靶点。