Zhang Chenyu, Yu Dihua
Department of Molecular and Cellular Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX, 77030, USA.
Cancer Metastasis Rev. 2016 Dec;35(4):677-684. doi: 10.1007/s10555-016-9638-9.
The past decade has witnessed impressive advances in cancer treatment ushered in by targeted and immunotherapies. However, with significantly prolonged survival, upon recurrence, more patients become inflicted by brain metastasis, which is mostly refractory to all currently available therapeutic regimens. Historically, brain metastasis is an understudied area in cancer research, partly due to the dearth of appropriate experimental models that closely simulate the special biological features of metastasis in the unique brain environment and to the sophistication of techniques required to perform in-depth studies of the extremely complex and challenging brain metastasis. Yet, with increasing clinical demand for more effective treatment options, brain metastasis research has rapidly advanced in recent years. The present review spotlights the recent major progresses in basic and translational studies of brain metastasis with focuses on new animal models, novel imaging technologies, omics "big data" resources, and some new and exciting biological insights on brain metastasis.
在过去十年中,靶向治疗和免疫治疗带来了癌症治疗方面令人瞩目的进展。然而,随着生存期显著延长,更多患者在复发时会发生脑转移,而目前所有可用的治疗方案大多对此无效。从历史上看,脑转移是癌症研究中一个未得到充分研究的领域,部分原因是缺乏能够紧密模拟独特脑环境中转移特殊生物学特征的合适实验模型,以及对极其复杂且具有挑战性的脑转移进行深入研究所需技术的复杂性。然而,随着临床对更有效治疗方案需求的增加,近年来脑转移研究迅速发展。本综述重点介绍了脑转移基础和转化研究的近期主要进展,重点关注新的动物模型、新型成像技术、组学“大数据”资源,以及一些关于脑转移的新的、令人兴奋的生物学见解。