Melstrom Laleh G, Salazar Marcela D, Diamond Don J
Department of Surgery and Experimental Therapeutics, City of Hope National Medical Center, Duarte, California.
Department of Experimental Therapeutics, City of Hope National Medical Center, Duarte, California.
J Surg Oncol. 2017 Jul;116(1):7-15. doi: 10.1002/jso.24643. Epub 2017 Jun 12.
The tumor microenvironment in pancreatic cancer is a complex balance of pro- and anti-tumor components. The dense desmoplasia consists of immune cells, extracellular matrix, growth factors, cytokines, and cancer associated fibroblasts (CAF) or pancreatic stellate cells (PSC). There are a multitude of targets including hyaluronan, angiogenesis, focal adhesion kinase (FAK), connective tissue growth factor (CTGF), CD40, chemokine (C-X-C motif) receptor 4 (CXCR-4), immunotherapy, and Vitamin D. The developing clinical therapeutics will be reviewed.
胰腺癌中的肿瘤微环境是促肿瘤和抗肿瘤成分的复杂平衡。致密的促结缔组织增生由免疫细胞、细胞外基质、生长因子、细胞因子以及癌症相关成纤维细胞(CAF)或胰腺星状细胞(PSC)组成。存在众多靶点,包括透明质酸、血管生成、粘着斑激酶(FAK)、结缔组织生长因子(CTGF)、CD40、趋化因子(C-X-C基序)受体4(CXCR-4)、免疫疗法和维生素D。将对正在研发的临床治疗方法进行综述。