Riggi Nicolò, Stamenkovic Ivan
Division of Experimental Pathology, Institute of Pathology, University of Lausanne, Switzerland.
Cancer Lett. 2007 Aug 28;254(1):1-10. doi: 10.1016/j.canlet.2006.12.009. Epub 2007 Jan 23.
Sarcomas account for less than 10% of all human malignancies that are believed to originate from as yet poorly defined mesenchymal progenitor cells. They constitute some of the most aggressive adult and childhood cancers in that they have a high metastatic proclivity and are typically refractory to conventional chemo- and radiation therapy. Ewing's sarcoma is a member of Ewing's family tumors (ESFT) and the second most common solid bone and soft tissue malignancy of children and young adults. It is associated in 85% of cases with the t(11;22)(q24:q12) chromosomal translocation that generates fusion of the 5' segment of the EWS gene with the 3' segment of the ETS family gene FLI-1. The resulting EWS-FLI-1 fusion protein is believed to behave as an aberrant transcriptional activator that contributes to ESFT development by altering the expression of its target genes in a permissive cellular environment. Although ESFTs are among the best studied sarcomas, the mechanisms involved in EWS-FLI-1-induced transformation require further elucidation and the primary cells from which ESFTs originate need to be identified. This review will highlight some of the most recent discoveries in the field of Ewing sarcoma biology and origins.
肉瘤占所有人类恶性肿瘤的比例不到10%,据信其起源于尚未明确界定的间充质祖细胞。它们是一些最具侵袭性的成人和儿童癌症,因为它们具有很高的转移倾向,并且通常对传统的化疗和放疗具有抗性。尤因肉瘤是尤因家族肿瘤(ESFT)的一员,是儿童和年轻成人中第二常见的实体骨和软组织恶性肿瘤。在85%的病例中,它与t(11;22)(q24:q12)染色体易位相关,该易位导致EWS基因的5' 片段与ETS家族基因FLI-1的3' 片段融合。由此产生的EWS-FLI-1融合蛋白被认为表现为一种异常的转录激活因子,通过在允许的细胞环境中改变其靶基因的表达来促进ESFT的发展。尽管ESFT是研究最多的肉瘤之一,但EWS-FLI-1诱导转化所涉及的机制仍需进一步阐明,并且ESFT起源的原始细胞也需要被鉴定。本综述将重点介绍尤因肉瘤生物学和起源领域的一些最新发现。