EMT 和播散先于胰腺肿瘤形成。

EMT and dissemination precede pancreatic tumor formation.

机构信息

Gastroenterology Division, Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA.

出版信息

Cell. 2012 Jan 20;148(1-2):349-61. doi: 10.1016/j.cell.2011.11.025.

Abstract

Metastasis is the leading cause of cancer-associated death but has been difficult to study because it involves a series of rare, stochastic events. To capture these events, we developed a sensitive method to tag and track pancreatic epithelial cells in a mouse model of pancreatic cancer. Tagged cells invaded and entered the bloodstream unexpectedly early, before frank malignancy could be detected by rigorous histologic analysis; this behavior was widely associated with epithelial-to-mesenchymal transition (EMT). Circulating pancreatic cells maintained a mesenchymal phenotype, exhibited stem cell properties, and seeded the liver. EMT and invasiveness were most abundant at inflammatory foci, and induction of pancreatitis increased the number of circulating pancreatic cells. Conversely, treatment with the immunosuppressive agent dexamethasone abolished dissemination. These results provide insight into the earliest events of cellular invasion in situ and suggest that inflammation enhances cancer progression in part by facilitating EMT and entry into the circulation.

摘要

转移是癌症相关死亡的主要原因,但由于涉及一系列罕见的随机事件,因此难以研究。为了捕捉这些事件,我们开发了一种敏感的方法来标记和跟踪胰腺癌小鼠模型中的胰腺上皮细胞。标记的细胞出乎意料地早期侵袭并进入血液,而在严格的组织学分析之前,还无法检测到明显的恶性肿瘤;这种行为与上皮-间充质转化 (EMT) 广泛相关。循环胰腺细胞保持间充质表型,表现出干细胞特性,并在肝脏中定植。炎症灶中 EMT 和侵袭性最为丰富,胰腺炎的诱导会增加循环胰腺细胞的数量。相反,免疫抑制药物地塞米松的治疗消除了播散。这些结果深入了解了原位细胞侵袭的最早事件,并表明炎症通过促进 EMT 和进入循环在一定程度上促进了癌症的进展。

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