Xiaolei Gao, Xinhua Liang, Yaling Tang
State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Pathology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2018 Feb 1;36(1):92-98. doi: 10.7518/hxkq.2018.01.018.
Disease metastasis and relapse in many cancer patients several years (even decades) after surgical remission have been recently acknowledged as cases of cancer dormancy. Although cases of minimal residual disease are well documented, knowledge on its biological mechanisms and clinical implications remains limited. To date, numerous reviews have summarized the three potential models that may explain this phenomenon, including the angiogenic, immunologic, and cellular dormancy. In this study, we discuss newly uncovered mechanisms governing tumor cell dormancy in head and neck cancer, emphasizing on the crosstalk between dormant tumor cells and their microenvironments. Additionally, we explore the mechanisms on the reactivation of dormant residual tumor cells in anatomical sites, including the lymph nodes and bone marrow.
许多癌症患者在手术缓解后的数年(甚至数十年)出现疾病转移和复发,这一现象近来被认为是癌症休眠的病例。尽管微小残留病的病例已有充分记录,但对其生物学机制和临床意义的了解仍然有限。迄今为止,众多综述总结了三种可能解释这一现象的潜在模型,包括血管生成性、免疫性和细胞休眠。在本研究中,我们讨论了头颈部癌中肿瘤细胞休眠的新发现机制,重点关注休眠肿瘤细胞与其微环境之间的相互作用。此外,我们还探讨了解剖部位(包括淋巴结和骨髓)中休眠残留肿瘤细胞重新激活的机制。