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综述癌症生物学:一种折衷的方法。

Reviewing cancer's biology: an eclectic approach.

机构信息

Department of Biochemistry, Faculty of Science, E Block, Ege University, Erzene Mahallesi, Bornova, 35040, Izmir, Turkey.

ARGEFAR, Faculty of Medicine, Ege University, Bornova, 35040, Izmir, Turkey.

出版信息

J Egypt Natl Canc Inst. 2021 Nov 1;33(1):32. doi: 10.1186/s43046-021-00088-y.

Abstract

BACKGROUND

Cancer refers to a group of some of the worldwide most diagnosed and deadliest pathophysiological conditions that conquered researchers' attention for decades and yet begs for more questions for a full comprehension of its complex cellular and molecular pathology.

MAIN BODY

The disease conditions are commonly characterized by unrestricted cell proliferation and dysfunctional replicative senescence pathways. In fact, the cell cycle operates under the rigorous control of complex signaling pathways involving cyclins and cyclin-dependent kinases assumed to be specific to each phase of the cycle. At each of these checkpoints, the cell is checked essentially for its DNA integrity. Genetic defects observed in these molecules (i.e., cyclins, cyclin-dependent kinases) are common features of cancer cells. Nevertheless, each cancer is different concerning its molecular and cellular etiology. These could range from the genetic defects mechanisms and/or the environmental conditions favoring epigenetically harbored homeostasis driving tumorigenesis alongside with the intratumoral heterogeneity with respect to the model that the tumor follows.

CONCLUSIONS

This review is not meant to be an exhaustive interpretation of carcinogenesis but to summarize some basic features of the molecular etiology of cancer and the intratumoral heterogeneity models that eventually bolster anticancer drug resistance for a more efficient design of drug targeting the pitfalls of the models.

摘要

背景

癌症是一组在全球范围内诊断率和致死率最高的疾病之一,几十年来一直引起研究人员的关注,但仍有许多问题需要进一步研究,以全面了解其复杂的细胞和分子病理学。

主要内容

这些疾病通常的特征是不受限制的细胞增殖和功能失调的复制衰老途径。事实上,细胞周期在涉及细胞周期蛋白和细胞周期蛋白依赖性激酶的复杂信号通路的严格控制下运作,这些通路被认为是每个细胞周期阶段所特有的。在这些检查点中的每一个,细胞基本上都要检查其 DNA 的完整性。在这些分子(即细胞周期蛋白、细胞周期蛋白依赖性激酶)中观察到的遗传缺陷是癌细胞的常见特征。然而,每种癌症在其分子和细胞病因学方面都有所不同。这些可能包括遗传缺陷机制和/或有利于表观遗传维持的环境条件,推动肿瘤发生,以及肿瘤内异质性,这与肿瘤遵循的模型有关。

结论

本文不是对致癌作用的详尽解释,而是对癌症分子病因学和肿瘤内异质性模型的一些基本特征进行总结,最终为设计针对这些模型的缺陷的抗癌药物提供了更强的靶向药物耐药性,以提高药物的靶向效率。

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