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细胞衰老在胰腺肉瘤样癌的预后中是否起重要作用?

Does cellular senescence play an important role in the prognosis of sarcomatoid carcinoma of the pancreas?

机构信息

Department of Surgery, National Hospital Organization, Tsuruga Medical Center, 33-1, Sakuragaoka, Tsuruga, Fukui, 914-0195, Japan.

Faculty of Nursing and Social Welfare Sciences, Fukui Prefectural University, 4-1-1 Kenjojima, Matsuoka, Eiheiji-cho, Yoshida-gun, Fukui, 910-1193, Japan.

出版信息

World J Surg Oncol. 2021 Mar 16;19(1):79. doi: 10.1186/s12957-021-02177-7.

DOI:10.1186/s12957-021-02177-7
PMID:33726729
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7968209/
Abstract

AIM

Sarcomatoid carcinoma of the pancreas (SCP) is an extremely rare and aggressive disease with poor prognosis. We have already reported a rare case of SCP with long-term survival. In the present article, we investigate the underlying mechanisms of patient's long-term survival from the point of view of cellular senescence which was examined in three SCP cases, including our reported case, using immunohistochemical analysis.

FINDINGS

The expressions of cellular senescence marker were observed in the sarcomatous component of the patient with long-term survival but not observed in the other patients with short- term survival. Thus, we can speculate that cellular senescence might play an important role in the reduction of the cell proliferative and metastatic activities of sarcomatous cells, leading to long-term patient survival.

摘要

目的

胰腺肉瘤样癌(SCP)是一种极其罕见且侵袭性强、预后差的疾病。我们已经报道了一例罕见的 SCP 长期生存病例。在本文中,我们从细胞衰老的角度研究了患者长期生存的潜在机制,通过免疫组织化学分析,对包括我们报道的病例在内的三例 SCP 进行了研究。

发现

在长期生存患者的肉瘤成分中观察到细胞衰老标志物的表达,但在短期生存的其他患者中未观察到。因此,我们可以推测细胞衰老可能在降低肉瘤细胞的增殖和转移活性方面发挥重要作用,从而导致患者的长期生存。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be67/7968209/f0982fbfe171/12957_2021_2177_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be67/7968209/ced0547281bf/12957_2021_2177_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be67/7968209/f0982fbfe171/12957_2021_2177_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be67/7968209/ced0547281bf/12957_2021_2177_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be67/7968209/f0982fbfe171/12957_2021_2177_Fig2_HTML.jpg

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本文引用的文献

1
Sarcomatoid carcinoma of the pancreas with rare long-term survival: a case report.胰腺肉瘤样癌伴罕见长期生存:一例报告。
World J Surg Oncol. 2020 May 25;18(1):105. doi: 10.1186/s12957-020-01879-8.
2
Escape from senescence boosts tumour growth.逃离衰老会促进肿瘤生长。
Nature. 2018 Jan;553(7686):37-38. doi: 10.1038/d41586-017-08652-0.
3
c-Abl inhibits breast cancer tumorigenesis through reactivation of p53-mediated p21 expression.c-Abl通过重新激活p53介导的p21表达来抑制乳腺癌的肿瘤发生。
Oncotarget. 2016 Nov 8;7(45):72777-72794. doi: 10.18632/oncotarget.11909.
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Sarcomatoid (spindle cell) carcinoma of the pancreas: A case report and review of the literature.胰腺肉瘤样(梭形细胞)癌:一例病例报告及文献综述
Oncol Lett. 2014 Jan;7(1):245-249. doi: 10.3892/ol.2013.1683. Epub 2013 Nov 14.
5
Unusual early-stage pancreatic sarcomatoid carcinoma.胰腺肉瘤样癌的早期表现较为罕见。
World J Gastroenterol. 2013 Nov 21;19(43):7820-4. doi: 10.3748/wjg.v19.i43.7820.
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The basics of epithelial-mesenchymal transition.上皮-间质转化的基础知识。
J Clin Invest. 2009 Jun;119(6):1420-8. doi: 10.1172/JCI39104.
7
Epithelial-mesenchymal transitions in development and pathologies.发育和疾病中的上皮-间质转化
Curr Opin Cell Biol. 2003 Dec;15(6):740-6. doi: 10.1016/j.ceb.2003.10.006.