从遗传改变到肿瘤微环境:胰腺癌的阿里阿德涅线。

From Genetic Alterations to Tumor Microenvironment: The Ariadne's String in Pancreatic Cancer.

机构信息

Medical Oncology 1, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.

Department of Diagnostics and Public Health, Section of Pathology, University and Hospital Trust of Verona, 37134 Verona, Italy.

出版信息

Cells. 2020 Jan 28;9(2):309. doi: 10.3390/cells9020309.

Abstract

The threatening notoriety of pancreatic cancer mainly arises from its negligible early diagnosis, highly aggressive progression, failure of conventional therapeutic options and consequent very poor prognosis. The most important driver genes of pancreatic cancer are the oncogene and the tumor suppressors , and . Although the presence of few drivers, several signaling pathways are involved in the oncogenesis of this cancer type, some of them with promising targets for precision oncology. Pancreatic cancer is recognized as one of immunosuppressive phenotype cancer: it is characterized by a fibrotic-desmoplastic stroma, in which there is an intensive cross-talk between several cellular (e.g., fibroblasts, myeloid cells, lymphocytes, endothelial, and myeloid cells) and acellular (collagen, fibronectin, and soluble factors) components. In this review; we aim to describe the current knowledge of the genetic/biological landscape of pancreatic cancer and the composition of its tumor microenvironment; in order to better direct in the intrinsic labyrinth of this complex tumor type. Indeed; disentangling the genetic and molecular characteristics of cancer cells and the environment in which they evolve may represent the crucial step towards more effective therapeutic strategies.

摘要

胰腺癌的威胁性主要源于其早期诊断率极低、侵袭性强、常规治疗方法失败以及预后极差。胰腺癌最重要的驱动基因包括癌基因和肿瘤抑制基因、和。尽管存在少数驱动基因,但该癌症类型的发生涉及几个信号通路,其中一些具有精准肿瘤学的有前途的靶点。胰腺癌被认为是一种免疫抑制表型的癌症:其特征为纤维变性的基质,其中几种细胞(如成纤维细胞、髓样细胞、淋巴细胞、内皮细胞和髓样细胞)和无细胞(胶原、纤维连接蛋白和可溶性因子)成分之间存在强烈的相互作用。在这篇综述中;我们旨在描述胰腺癌的遗传/生物学景观以及其肿瘤微环境的组成;以便更好地指导这个复杂肿瘤类型的内在迷宫。事实上;解析癌细胞的遗传和分子特征及其进化的环境可能是迈向更有效治疗策略的关键步骤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d49/7072496/e8cbfaaecf9f/cells-09-00309-g001.jpg

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