Department of Gastroenterology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563003, PR China.
Department of Gastroenterology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563003, PR China.
Cancer Lett. 2020 Apr 10;475:14-21. doi: 10.1016/j.canlet.2020.01.026. Epub 2020 Jan 28.
The upper gastrointestinal (GI) tumors are multifactorial diseases associated with a combination of oncogenes and environmental factors. Currently, surgery, chemotherapy, radiotherapy and immunotherapy are relatively effective treatment options for the patients with these tumors. However, the asymptomatic phenotype of these tumors during the early stages poses as a significant limiting factor to diagnosis and often renders treatments ineffective. Therefore, new early diagnosis and effective therapy for upper GI tumors are urgently needed. Ca is a pivotal intracellular second messenger and plays a crucial role in living cells by regulating several processes from cell division to death. The aberrant Ca homeostasis is related to many human pathological conditions and diseases, including cancer, and thus the changes in the expression and function of plasma membrane Ca permeable channels and sodium/calcium exchangers are frequently described in tumorigenesis and tumor development of the upper GI tract, including voltage-gated Ca channels (VGCC), transient receptor potential (TRP) channels, store-operated channels (SOC) and Na/Ca exchanger (NCX). This review will summarize the current knowledge about plasma membrane Ca permeable channels and sodium/calcium exchangers in the upper GI tumors and provide a synopsis of recent advancements on the role and involvement of these channels in upper GI tumors as well as a discussion of the possible strategies to target these channels and exchangers for diagnosis and therapy of the upper GI tumors.
上消化道(GI)肿瘤是多种因素相关的疾病,涉及癌基因和环境因素的综合作用。目前,手术、化疗、放疗和免疫疗法是这些肿瘤患者相对有效的治疗选择。然而,这些肿瘤在早期阶段的无症状表型是诊断的一个重大限制因素,往往使治疗无效。因此,迫切需要新的上消化道肿瘤早期诊断和有效治疗方法。钙是细胞内重要的第二信使,通过调节从细胞分裂到死亡的几个过程,在活细胞中发挥关键作用。钙稳态的异常与许多人类病理状况和疾病有关,包括癌症,因此,在上消化道肿瘤的发生和发展过程中,经常描述质膜钙通透通道和钠/钙交换器的表达和功能的变化,包括电压门控钙通道(VGCC)、瞬时受体电位(TRP)通道、储存操作通道(SOC)和钠/钙交换器(NCX)。这篇综述将总结目前关于上消化道肿瘤质膜钙通透通道和钠/钙交换器的知识,并概述这些通道在上消化道肿瘤中的作用和参与,以及讨论针对这些通道和交换器进行诊断和治疗上消化道肿瘤的可能策略。