Mizejewski Gerald J
Wadsworth Center, New York State Department of Health, Albany, NY, USA.
Breast Cancer (Dove Med Press). 2017 Apr 26;9:287-291. doi: 10.2147/BCTT.S131394. eCollection 2017.
Breast cancer and Alzheimer's disease (AD) are major causes of death in older women. Interestingly, breast cancer occurs less frequently in AD patients than in the general population. Amyloidosis, the aggregation of amyloid proteins to form amyloid bodies, plays a central role in the pathogenesis of AD and other human neuropathies by forming intracellular fibrillary proteins. Contrary to popular belief, amyloidosis is a common occurrence in mammalian cells, and has recently been reported to be a natural physiological process in response to environmental stress stimulations (such as pH and temperature extremes, hypoxia, and oxidative stress). Many proteins contain an intrinsic "amyloid-converting motif", which acts in conjunction with a specific noncoding RNA to induce formation of proteinaceous amyloid bodies that are stored in intracellular bundles. In cancer cells such as breast and prostate, the process of amyloidosis induces cells to enter a dormant or resting stage devoid of cell division and proliferation. Therefore, cancer cells undergo growth cessation and enter a dormant stage following amyloidosis in the cell; this is akin to giving the cell AD to cease growth.
乳腺癌和阿尔茨海默病(AD)是老年女性的主要死因。有趣的是,AD患者中乳腺癌的发病率低于普通人群。淀粉样变性,即淀粉样蛋白聚集形成淀粉样体,通过形成细胞内纤维状蛋白在AD和其他人类神经病变的发病机制中起核心作用。与普遍看法相反,淀粉样变性在哺乳动物细胞中很常见,最近有报道称它是对环境应激刺激(如极端pH值和温度、缺氧和氧化应激)的一种自然生理过程。许多蛋白质含有一个内在的“淀粉样转化基序”,它与一种特定的非编码RNA共同作用,诱导形成储存在细胞内束中的蛋白质性淀粉样体。在乳腺癌和前列腺癌等癌细胞中,淀粉样变性过程会诱导细胞进入无细胞分裂和增殖的休眠或静止阶段。因此,癌细胞在细胞内发生淀粉样变性后会停止生长并进入休眠阶段;这类似于让细胞患上AD以停止生长。