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探索息肉向结肠癌的旅程:能否阻断十字路口阻止这一序列?

Exploring polyps to colon carcinoma voyage: can blocking the crossroad halt the sequence?

机构信息

Division of Microbiology, Indian Council of Medical Research-National AIDS Research Institute, Pune, Maharashtra, India.

出版信息

J Cancer Res Clin Oncol. 2021 Aug;147(8):2199-2207. doi: 10.1007/s00432-021-03685-5. Epub 2021 Jun 11.

Abstract

Colorectal cancer is an important public health concern leading to significant cancer associate mortality. A vast majority of colon cancer arises from polyp which later follows adenoma, adenocarcinoma, and carcinoma sequence. This whole process takes several years to complete and recent genomic and proteomic technologies are identifying several targets involved in each step of polyp to carcinoma transformation in a large number of studies. Current text presents interaction network of targets involved in polyp to carcinoma transformation. In addition, important targets involved in each step according to network biological parameters are also presented. The functional overrepresentation analysis of each step targets and common top biological processes and pathways involved in carcinoma indicate several insights about this whole mechanism. Interaction networks indicate TP53, AKT1, GAPDH, INS, EGFR, and ALB as the most important targets commonly involved in polyp to carcinoma sequence. Though several important pathways are known to be involved in CRC, the central common involvement of PI3K-AKT indicates its potential for devising CRC management strategies. The common and central targets and pathways involved in polyp to carcinoma progression can shed light on its mechanism and potential management strategies. The data-driven approach aims to add valuable inputs to the mechanism of the years-long polyp-carcinoma sequence.

摘要

结直肠癌是一个重要的公共卫生关注点,导致了大量与癌症相关的死亡。绝大多数结肠癌起源于息肉,随后经历腺瘤、腺癌和癌的序列。这个全过程需要数年时间,最近的基因组和蛋白质组技术在大量研究中确定了参与息肉到癌转化的每个步骤的几个靶点。目前的文本呈现了参与息肉到癌转化的靶点相互作用网络。此外,还根据网络生物学参数呈现了每个步骤中的重要靶点。对每个步骤靶点和癌中共同涉及的常见顶级生物学过程和途径的功能过表达分析表明了关于整个机制的一些见解。相互作用网络表明,TP53、AKT1、GAPDH、INS、EGFR 和 ALB 是普遍参与息肉到癌序列的最重要靶点。尽管已知有几个重要的途径参与 CRC,但 PI3K-AKT 的核心共同参与表明其在制定 CRC 管理策略方面具有潜力。参与息肉到癌进展的共同和核心靶点和途径可以阐明其机制和潜在的管理策略。数据驱动的方法旨在为多年的息肉-癌序列机制提供有价值的输入。

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