Hamada Shin, Masamune Atsushi, Shimosegawa Tooru
Nihon Rinsho. 2015 May;73(5):844-9.
Prognosis of pancreatic cancer remains dismal due to the resistance against conventional therapies. Metastasis and massive invasion toward surrounding organs hamper radical resection. Small part of entire cancer cells reveal resistance against chemotherapy or radiotherapy, increased tumorigenicity and migratory phenotype. These cells are called as cancer stem cells, as a counter part of normal stem cells. In pancreatic cancer, several cancer stem cell markers have been identified, which enabled detailed characterization of pancreatic cancer stem cells. Recent researches clarified that conventional chemotherapy itself could increase cancer cells with stem cell-phenotype, suggesting the necessity of cancer stem cell-targeting therapy. Based on these observations, pancreatic cancer stem cell-targeting therapies have been tested, which effectively eliminated cancer stem cell fraction and attenuated cancer progression in experimental models. Clinical efficacy of these therapies need to be evaluated, and cancer stem cell-targeting therapy will contribute to improve the prognosis of pancreatic cancer.
由于对传统疗法存在抗性,胰腺癌的预后仍然不容乐观。转移以及向周围器官的大量侵袭阻碍了根治性切除。全部癌细胞中的一小部分表现出对化疗或放疗的抗性、更高的致瘤性和迁移表型。这些细胞被称为癌症干细胞,作为正常干细胞的对应物。在胰腺癌中,已鉴定出几种癌症干细胞标志物,这使得能够对胰腺癌干细胞进行详细表征。最近的研究表明,传统化疗本身可能会增加具有干细胞表型的癌细胞,这表明有必要进行针对癌症干细胞的治疗。基于这些观察结果,已经对针对胰腺癌干细胞的疗法进行了测试,这些疗法在实验模型中有效消除了癌症干细胞部分并减缓了癌症进展。需要评估这些疗法的临床疗效,并且针对癌症干细胞的疗法将有助于改善胰腺癌的预后。