Bauer Alison K, Malkinson Alvin M, Kleeberger Steven R
Laboratory of Respiratory Biology, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, North Carolina 27709, USA.
Am J Physiol Lung Cell Mol Physiol. 2004 Oct;287(4):L685-703. doi: 10.1152/ajplung.00223.2003.
Chronic inflammation predisposes toward many types of cancer. Chronic bronchitis and asthma, for example, heighten the risk of lung cancer. Exactly which inflammatory mediators (e.g., oxidant species and growth factors) and lung wound repair processes (e.g., proangiogenic factors) enhance pulmonary neoplastic development is not clear. One approach to uncover the most relevant biochemical and physiological pathways is to identify genes underlying susceptibilities to inflammation and to cancer development at the same anatomic site. Mice develop lung adenocarcinomas similar in histology, molecular characteristics, and histogenesis to this most common human lung cancer subtype. Over two dozen loci, called Pas or pulmonary adenoma susceptibility, Par or pulmonary adenoma resistance, and Sluc or susceptibility to lung cancer genes, regulate differential lung tumor susceptibility among inbred mouse strains as assigned by QTL (quantitative trait locus) mapping. Chromosomal sites that determine responsiveness to proinflammatory pneumotoxicants such as ozone (O3), particulates, and hyperoxia have also been mapped in mice. For example, susceptibility QTLs have been identified on chromosomes 17 and 11 for O3-induced inflammation (Inf1, Inf2), O3-induced acute lung injury (Aliq3, Aliq1), and sulfate-associated particulates. Sites within the human and mouse genomes for asthma and COPD phenotypes have also been delineated. It is of great interest that several susceptibility loci for mouse lung neoplasia also contain susceptibility genes for toxicant-induced lung injury and inflammation and are homologous to several human asthma loci. These QTLs are described herein, candidate genes are suggested within these sites, and experimental evidence that inflammation enhances lung tumor development is provided.
慢性炎症易引发多种癌症。例如,慢性支气管炎和哮喘会增加患肺癌的风险。究竟哪些炎症介质(如氧化物种和生长因子)以及肺损伤修复过程(如促血管生成因子)会促进肺部肿瘤的发展尚不清楚。揭示最相关生化和生理途径的一种方法是,确定在同一解剖部位对炎症和癌症发展易感性的潜在基因。小鼠会发展出组织学、分子特征和组织发生与这种最常见的人类肺癌亚型相似的肺腺癌。通过数量性状基因座(QTL)定位,超过二十几个位点,即所谓的Pas(肺腺瘤易感性)、Par(肺腺瘤抗性)和Sluc(肺癌易感性基因),调节近交系小鼠品系间不同的肺肿瘤易感性。在小鼠中也绘制了决定对促炎性肺毒物(如臭氧(O3)、颗粒物和高氧)反应性的染色体位点。例如,已在17号和11号染色体上确定了对O3诱导的炎症(Inf1、Inf2)、O3诱导的急性肺损伤(Aliq3、Aliq1)以及与硫酸盐相关的颗粒物的易感性QTL。人类和小鼠基因组中哮喘和慢性阻塞性肺疾病(COPD)表型的位点也已被描绘出来。非常有趣的是,几个小鼠肺肿瘤形成的易感位点也包含毒物诱导的肺损伤和炎症的易感基因,并且与几个人类哮喘位点同源。本文描述了这些QTL,提出了这些位点内的候选基因,并提供了炎症促进肺肿瘤发展的实验证据。