Miklikova Svetlana, Trnkova Lenka, Plava Jana, Bohac Martin, Kuniakova Marcela, Cihova Marina
Cancer Research Institute, Biomedical Research Center, University Science Park for Biomedicine, Slovak Academy of Sciences, 84505 Bratislava, Slovakia.
2nd Department of Oncology, Faculty of Medicine, Comenius University, National Cancer Institute, Klenova 1, 83310 Bratislava, Slovakia.
Cancers (Basel). 2021 Feb 2;13(3):575. doi: 10.3390/cancers13030575.
Taking into account the factors of high incidence rate, prevalence and mortality, breast cancer represents a crucial social and economic burden. Most cases of breast cancer develop as a consequence of somatic mutations accumulating in mammary epithelial cells throughout lifetime and approximately 5-10% can be ascribed to monogenic predispositions. Even though the role of genetic predispositions in breast cancer is well described in the context of genetics, very little is known about the role of the microenvironment carrying the same aberrant cells impaired by the germline mutation in the breast cancer development and progression. Based on the clinical observations, carcinomas carrying mutations in hereditary tumor-suppressor genes involved in maintaining genome integrity such as have worse prognosis and aggressive behavior. One of the mechanisms clarifying the aggressive nature of -associated tumors implies alterations within the surrounding adipose tissue itself. The objective of this review is to look at the role of mutations in the context of breast tumor microenvironment and plausible mechanisms by which it contributes to the aggressive behavior of the tumor cells.
考虑到乳腺癌的高发病率、患病率和死亡率等因素,它构成了一项重大的社会和经济负担。大多数乳腺癌病例是由于乳腺上皮细胞在一生中积累体细胞突变而发生的,约5-10%可归因于单基因易感性。尽管遗传易感性在乳腺癌中的作用在遗传学背景下已有充分描述,但对于携带因种系突变而受损的相同异常细胞的微环境在乳腺癌发生和发展中的作用却知之甚少。基于临床观察,携带参与维持基因组完整性的遗传性肿瘤抑制基因突变的癌症,如 ,预后较差且具有侵袭性。阐明 相关肿瘤侵袭性本质的机制之一暗示了周围脂肪组织本身的改变。本综述的目的是探讨 突变在乳腺肿瘤微环境中的作用以及它导致肿瘤细胞侵袭性行为的可能机制。