Yashiro Masakazu, Ohira Masaichi, Muguruma Kazuya, Shinto Osamu, Hirakawa Kosei
Department of Surgical Oncology, Osaka City University Graduate School of Medicine.
Nihon Rinsho. 2012 Oct;70(10):1812-6.
Scirrhous gastric carcinoma is characterized by rapid cancer cell infiltration and proliferation accompanied by extensive stromal fibrosis. The proliferative and invasive ability of scirrhous gastric cancer cells are closely associated with the growth factors, FGF7 and TGFbeta produced by organ-specific fibroblasts. Peritoneal fibroblasts morphologically change mesothelial cells, and stimulate the migratory capability of cancer cells. A FGFR2 phosphorylation inhibitor prolongs the survival of mice with peritoneal metastasis of scirrhous gastric cancer. A TGFbetaR inhibitor decreases the growth of fibroblast, and invasion-stimulating activity of fibroblasts on cancer cells. A FGFR2 phosphorylation inhibitor or TGFbetaR inhibitor appears therapeutically promising in scirrhous gastric carcinoma.
硬癌性胃癌的特征是癌细胞快速浸润和增殖,并伴有广泛的间质纤维化。硬癌性胃癌细胞的增殖和侵袭能力与器官特异性成纤维细胞产生的生长因子FGF7和TGFβ密切相关。腹膜成纤维细胞使间皮细胞发生形态改变,并刺激癌细胞的迁移能力。FGFR2磷酸化抑制剂可延长硬癌性胃癌腹膜转移小鼠的生存期。TGFβR抑制剂可降低成纤维细胞的生长以及成纤维细胞对癌细胞的侵袭刺激活性。FGFR2磷酸化抑制剂或TGFβR抑制剂在硬癌性胃癌的治疗中似乎具有前景。