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应对卵巢癌腹水挑战:治疗和研究的新途径。

Meeting the challenge of ascites in ovarian cancer: new avenues for therapy and research.

机构信息

The Institute of Cancer Research/Royal Marsden Hospital, Medicine, Downs Road, Sutton SM2 5PT, UK.

出版信息

Nat Rev Cancer. 2013 Apr;13(4):273-82. doi: 10.1038/nrc3432. Epub 2013 Feb 21.

DOI:10.1038/nrc3432
PMID:23426401
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4673904/
Abstract

Malignant ascites presents a considerable clinical challenge to the management of ovarian cancer, but also provides a wealth of opportunities for translational research. The accessibility of ascitic fluid and its cellular components make it an excellent source of tumour tissue for the investigation of prognostic and predictive biomarkers, pharmacodynamic markers and for molecular profiling analysis. In this Opinion article, we discuss recent advances in our understanding of its pathophysiology, the development of new methods to characterize its molecular features and how these findings can be used to improve the treatment of malignant ascites, particularly in the context of ovarian cancer.

摘要

恶性腹水对卵巢癌的治疗提出了重大的临床挑战,但也为转化研究提供了丰富的机会。腹水及其细胞成分的可及性使其成为研究预后和预测生物标志物、药效动力学标志物以及分子谱分析的肿瘤组织的绝佳来源。在这篇观点文章中,我们讨论了对其病理生理学的理解的最新进展、用于描述其分子特征的新方法的发展,以及如何利用这些发现来改善恶性腹水的治疗,特别是在卵巢癌的背景下。

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本文引用的文献

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Ovarian cancer ascites increase Mcl-1 expression in tumor cells through ERK1/2-Elk-1 signaling to attenuate TRAIL-induced apoptosis.卵巢癌腹水通过 ERK1/2-Elk-1 信号增加肿瘤细胞中的 Mcl-1 表达,从而减轻 TRAIL 诱导的细胞凋亡。
Mol Cancer. 2012 Nov 17;11:84. doi: 10.1186/1476-4598-11-84.
2
Isolation and characterization of tumor cells from the ascites of ovarian cancer patients: molecular phenotype of chemoresistant ovarian tumors.从卵巢癌患者腹水中分离和鉴定肿瘤细胞:耐药性卵巢肿瘤的分子表型。
PLoS One. 2012;7(10):e46858. doi: 10.1371/journal.pone.0046858. Epub 2012 Oct 8.
3
Controlling escape from angiogenesis inhibitors.控制抗血管生成抑制剂的逃逸。
Nat Rev Cancer. 2012 Oct;12(10):699-709. doi: 10.1038/nrc3366.
4
Profiling of cytokines in human epithelial ovarian cancer ascites.人上皮性卵巢癌腹水中细胞因子的分析。
Am J Cancer Res. 2012;2(5):566-80. Epub 2012 Aug 20.
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Human tumor cells induce angiogenesis through positive feedback between CD147 and insulin-like growth factor-I.人肿瘤细胞通过 CD147 和胰岛素样生长因子-I 之间的正反馈诱导血管生成。
PLoS One. 2012;7(7):e40965. doi: 10.1371/journal.pone.0040965. Epub 2012 Jul 23.
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Molecular identification of GD3 as a suppressor of the innate immune response in ovarian cancer.鉴定 GD3 是卵巢癌固有免疫反应的抑制分子。
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