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癌症相关成纤维细胞对胰腺癌主要特征的影响。

The impact of cancer-associated fibroblasts on major hallmarks of pancreatic cancer.

机构信息

Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai 200032, China.

Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China.

出版信息

Theranostics. 2018 Oct 6;8(18):5072-5087. doi: 10.7150/thno.26546. eCollection 2018.

Abstract

Pancreatic ductal adenocarcinoma (PDAC) constitutes one of the most challenging lethal tumors and has a very poor prognosis. In addition to cancer cells, the tumor microenvironment created by a repertoire of resident and recruited cells and the extracellular matrix also contribute to the acquisition of hallmarks of cancer. Among these factors, cancer-associated fibroblasts (CAFs) are critical components of the tumor microenvironment. CAFs originate from the activation of resident fibroblasts and pancreatic stellate cells, the differentiation of bone marrow-derived mesenchymal stem cells and epithelial-to-mesenchymal transition. CAFs acquire an activated phenotype via various cytokines and promote tumor proliferation and growth, accelerate invasion and metastasis, induce angiogenesis, promote inflammation and immune destruction, regulate tumor metabolism, and induce chemoresistance; these factors contribute to the acquisition of major hallmarks of PDAC. Therefore, an improved understanding of the impact of CAFs on the major hallmarks of PDAC will highlight the diagnostic and therapeutic values of these targeted cells.

摘要

胰腺导管腺癌 (PDAC) 是最具挑战性的致命肿瘤之一,预后极差。除癌细胞外,由一系列常驻和募集的细胞以及细胞外基质构成的肿瘤微环境也有助于获得癌症的标志性特征。在这些因素中,癌相关成纤维细胞 (CAF) 是肿瘤微环境的关键组成部分。CAF 源自于常驻成纤维细胞和胰腺星状细胞的激活、骨髓源性间充质干细胞的分化和上皮间质转化。CAF 通过各种细胞因子获得激活表型,并促进肿瘤增殖和生长、加速侵袭和转移、诱导血管生成、促进炎症和免疫破坏、调节肿瘤代谢以及诱导化疗耐药性;这些因素有助于获得 PDAC 的主要标志性特征。因此,深入了解 CAF 对 PDAC 主要标志性特征的影响将突出这些靶向细胞的诊断和治疗价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25bb/6217060/0e46526b3c79/thnov08p5072g001.jpg

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