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高级别浆液性卵巢癌中明显的休眠机制

Principles of dormancy evident in high-grade serous ovarian cancer.

作者信息

Shepherd Trevor G, Dick Frederick A

机构信息

London Regional Cancer Program, London Health Sciences Centre, London, ON, N6A 5W9, Canada.

Department of Obstetrics & Gynaecology, Western University, London, ON, N6A 5C1, Canada.

出版信息

Cell Div. 2022 Mar 23;17(1):2. doi: 10.1186/s13008-022-00079-y.

Abstract

In cancer, dormancy refers to a clinical state in which microscopic residual disease becomes non-proliferative and is largely refractory to chemotherapy. Dormancy was first described in breast cancer where disease can remain undetected for decades, ultimately leading to relapse and clinical presentation of the original malignancy. A long latency period can be explained by withdrawal from cell proliferation (cellular dormancy), or a balance between proliferation and cell death that retains low levels of residual disease (tumor mass dormancy). Research into cellular dormancy has revealed features that define this state. They include arrest of cell proliferation, altered cellular metabolism, and unique cell dependencies and interactions with the microenvironment. These characteristics can be shared by dormant cells derived from disparate primary disease sites, suggesting common features exist between them.High-grade serous ovarian cancer (HGSOC) disseminates to locations throughout the abdominal cavity by means of cellular aggregates called spheroids. These growth-arrested and therapy-resistant cells are a strong contributor to disease relapse. In this review, we discuss the similarities and differences between ovarian cancer cells in spheroids and dormant properties reported for other cancer disease sites. This reveals that elements of dormancy, such as cell cycle control mechanisms and changes to metabolism, may be similar across most forms of cellular dormancy. However, HGSOC-specific aspects of spheroid biology, including the extracellular matrix organization and microenvironment, are obligatorily disease site specific. Collectively, our critical review of current literature highlights places where HGSOC cell dormancy may offer a more tractable experimental approach to understand broad principles of cellular dormancy in cancer.

摘要

在癌症中,休眠是指一种临床状态,即微小残留病灶不再增殖,并且对化疗基本耐药。休眠最初在乳腺癌中被描述,在这种情况下,疾病可能数十年都未被发现,最终导致复发和原始恶性肿瘤的临床表现。较长的潜伏期可以通过细胞增殖停止(细胞休眠)来解释,或者通过增殖与细胞死亡之间的平衡来解释,这种平衡使残留病灶(肿瘤块休眠)维持在低水平。对细胞休眠的研究揭示了定义这种状态的特征。这些特征包括细胞增殖停滞、细胞代谢改变以及独特的细胞依赖性和与微环境的相互作用。这些特征可以由源自不同原发疾病部位的休眠细胞共享,这表明它们之间存在共同特征。高级别浆液性卵巢癌(HGSOC)通过称为球体的细胞聚集体扩散到整个腹腔。这些生长停滞且对治疗耐药的细胞是疾病复发的重要因素。在本综述中,我们讨论了球体中的卵巢癌细胞与其他癌症疾病部位所报道的休眠特性之间的异同。这表明,休眠的一些要素,如细胞周期控制机制和代谢变化,在大多数形式的细胞休眠中可能是相似的。然而,球体生物学中特定于HGSOC的方面,包括细胞外基质组织和微环境,必然是疾病部位特异性的。总体而言,我们对当前文献的批判性综述突出了HGSOC细胞休眠可能为理解癌症细胞休眠的广泛原理提供更易于处理的实验方法的领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9326/8944075/ec27bb9fd3c3/13008_2022_79_Fig1_HTML.jpg

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