Paltsev M A, Severin E S, Ivanov A A
Arkh Patol. 2006 Jul-Aug;68(4):3-7.
150 years ago, R. Virchow proposed a "cellular pathology" theory that forced one to revise many concepts of the mechanisms responsible for the development of disease and marked the beginning and further development of anatomical pathology as an independent discipline. Rapid progress in immunology, genetics, biotechnology, and cellular and molecular biology in the late 1980s to the early 1990s gave rise to a new field, namely molecular medicine. Damage changes the profile of expression some genes, activates various signal systems, and, due to of intercellular and cellular-matrix interactions, then spreads first at the level of organs, then at that of the whole body if a pathological process cannot localize. By involving some cells, the pathological process cannot cause characteristic morphological changes and therefore traditional studies yield a negative result. Molecular pathology became a necessary additional tool in the work of a pathologist, by allowing him to obtain the information that had been earlier beyond the reach, which increased the validity of diagnosis. Some points of the Virchow "cellular pathology" theory are supported by molecular pathology.
150年前,R. 魏尔啸提出了“细胞病理学”理论,该理论迫使人们修正许多关于疾病发生机制的概念,并标志着解剖病理学作为一门独立学科的开端和进一步发展。20世纪80年代末到90年代初,免疫学、遗传学、生物技术以及细胞与分子生物学的迅速发展催生了一个新领域,即分子医学。损伤会改变某些基因的表达谱,激活各种信号系统,并且由于细胞间和细胞与基质的相互作用,损伤首先在器官层面扩散,如果病理过程无法局限化,随后会在全身扩散。通过累及某些细胞,病理过程可能不会引起特征性的形态学改变,因此传统研究结果为阴性。分子病理学成为病理学家工作中一种必要的辅助工具,使他能够获取以前无法获得的信息,从而提高诊断的准确性。魏尔啸“细胞病理学”理论的一些观点得到了分子病理学的支持。