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小鼠肝结节的侵袭性、转移性和移植性。

Invasiveness, metastasis, and transplantability of mouse liver nodules.

作者信息

Vesselinovitch S D

出版信息

Arch Toxicol Suppl. 1987;10:29-42. doi: 10.1007/978-3-642-71617-1_3.

Abstract

Data are presented which show that various mouse liver nodular lesions, such as hyperplastic nodules, hepatocellular adenomas, and hepatocellular carcinomas, differ not only morphologically but also biologically regarding their behavior in the primary and secondary hosts. The hyperplastic nodules grew slowly by expansion without affecting the integrity of the lobular structure. The primary hepatocellular adenomas also grew slowly by expansion but eliminated the histoid liver structure. Neither lesions metastasized to the regional lymph nodes and distant organs. Upon isogeneic transplantation, the adenomas required a long latent period before manifesting an expansive type of growth without invasion and metastasis. The primary hepatocellular carcinomas grew fast, destroyed surrounding parenchyma, and those showing moderately to poorly differentiated cellular morphology metastasized to regional lymph nodes and distant organs. Upon transplantation hepatocellular carcinomas grew fast, invaded locally, metastasized distantly, and killed the recipients within a few weeks. Thus hepatocellular adenomas and carcinomas represent two distinct entities both morphologically and biologically. Thus the agents should be classified according to the type of nodular liver lesions they "induce" in the mouse liver. The least innocuous agents would be those resulting in the development of hyperplastic nodules. They should not be labelled as hepatocarcinogens. On the other side of the spectrum should be the agents "inducing" the hepatocellular carcinomas and they should be classified as mouse liver carcinogens. The agents capable of affecting significantly the hepatocellular adenomas but not the hepatocellular carcinomas should be considered as tumorigens, since they are causally related only with the benign liver lesions. Combining both benign and malignant liver tumors for statistical purposes is not justified unless each type of tumor has been affected in a statistically significant incidence. If this were not the case, classification of the agent should be in accordance with the type of lesions induced significantly. In order to use the induction of hepatocellular carcinomas in rodents as an indication of carcinogenic risk in humans appropriately, one has to verify within the limits of feasibility that the identical carcinogenic effects and the subsequent events occur both in rodents and humans.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

所呈现的数据表明,各种小鼠肝脏结节性病变,如增生性结节、肝细胞腺瘤和肝细胞癌,不仅在形态上不同,而且在原发性和继发性宿主中的生物学行为也不同。增生性结节通过扩张缓慢生长,不影响小叶结构的完整性。原发性肝细胞腺瘤也通过扩张缓慢生长,但破坏了类肝组织结构。这两种病变均未转移至区域淋巴结和远处器官。在同基因移植时,腺瘤需要很长的潜伏期才表现出无侵袭和转移的扩张性生长类型。原发性肝细胞癌生长迅速,破坏周围实质,那些细胞形态为中度至低分化的会转移至区域淋巴结和远处器官。移植后,肝细胞癌生长迅速,局部侵袭,远处转移,并在几周内导致受体死亡。因此,肝细胞腺瘤和癌在形态学和生物学上均代表两种不同的实体。因此,应根据它们在小鼠肝脏中“诱导”的结节性肝脏病变类型对这些因子进行分类。最无害的因子是那些导致增生性结节形成的因子。它们不应被标记为肝癌致癌物。在光谱的另一端应该是“诱导”肝细胞癌的因子,它们应被分类为小鼠肝癌致癌物。能够显著影响肝细胞腺瘤但不影响肝细胞癌的因子应被视为致瘤物,因为它们仅与良性肝脏病变有因果关系。除非每种类型的肿瘤都有统计学上显著的发病率,否则为了统计目的将良性和恶性肝脏肿瘤合并是不合理的。如果不是这种情况,因子的分类应根据显著诱导的病变类型来进行。为了适当地将啮齿动物中肝细胞癌的诱导作为人类致癌风险的指标,必须在可行性范围内验证啮齿动物和人类中是否发生相同的致癌作用及后续事件。(摘要截取自400字)

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