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胎盘与癌症之间存在的三类相似之处有助于癌症治疗:细胞、微环境和代谢物。

Three categories of similarities between the placenta and cancer that can aid cancer treatment: Cells, the microenvironment, and metabolites.

作者信息

Pang Huiyuan, Lei Di, Guo Yuping, Yu Ying, Liu Tingting, Liu Yujie, Chen Tingting, Fan Cuifang

机构信息

Department of Obstetrics and Gynecology, Renmin Hospital of Wuhan University, Wuhan, China.

Department of Obstetrics and Gynecology, First Affiliated Hospital of Gannan Medical University, Ganzhou, China.

出版信息

Front Oncol. 2022 Aug 18;12:977618. doi: 10.3389/fonc.2022.977618. eCollection 2022.

Abstract

Cancer is one of the most harmful diseases, while pregnancy is a common condition of females. Placenta is the most important organ for fetal growth, which has not been fully understand. It's well known that placenta and solid tumor have some similar biological behaviors. What's more, decidua, the microenvironment of placenta, and metabolism all undergo adaptive shift for healthy pregnancy. Interestingly, decidua and the tumor microenvironment (TME); metabolism changes during pregnancy and cancer cachexia all have underlying links. However, whether the close link between pregnancy and cancer can bring some new ideas to treat cancer is still unclear. So, in this review we note that pregnancy may offer clues to treat cancer related to three categories: from cell perspective, through the shared development process of the placenta and cancer; from microenvironment perspective, though the shared features of the decidua and TME; and from metabolism perspective, through shared metabolites changes during pregnancy and cancer cachexia. Firstly, comparing gene mutations of both placenta and cancer, which is the underlying mechanism of many similar biological behaviors, helps us understand the origin of cancer and find the key factors to restore tumorigenesis. Secondly, exploring how decidua affect placenta development and similarities of decidua and TME is helpful to reshape TME, then to inhibit cancer. Thirdly, we also illustrate the possibility that the altered metabolites during pregnancy may reverse cancer cachexia. So, some key molecules changed in circulation of pregnancy may help relieve cachexia and make survival with cancer realized.

摘要

癌症是最有害的疾病之一,而怀孕是女性的常见生理状态。胎盘是胎儿生长最重要的器官,但其尚未被完全了解。众所周知,胎盘和实体瘤具有一些相似的生物学行为。此外,蜕膜作为胎盘的微环境,以及新陈代谢在健康怀孕过程中都会发生适应性变化。有趣的是,蜕膜与肿瘤微环境(TME);怀孕和癌症恶病质期间的代谢变化都存在潜在联系。然而,怀孕与癌症之间的紧密联系是否能为癌症治疗带来一些新思路仍不清楚。因此,在本综述中我们指出,怀孕可能从三个类别为癌症治疗提供线索:从细胞角度,通过胎盘和癌症共同的发育过程;从微环境角度,通过蜕膜和肿瘤微环境的共同特征;从代谢角度,通过怀孕和癌症恶病质期间共同的代谢物变化。首先,比较胎盘和癌症的基因突变,这是许多相似生物学行为的潜在机制,有助于我们了解癌症的起源并找到恢复肿瘤发生的关键因素。其次,探索蜕膜如何影响胎盘发育以及蜕膜与肿瘤微环境的相似性有助于重塑肿瘤微环境,进而抑制癌症。第三,我们还阐述了怀孕期间代谢物改变可能逆转癌症恶病质的可能性。因此,怀孕循环中一些关键分子的变化可能有助于缓解恶病质并实现癌症患者的生存。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3e2/9434275/4c2a97dd0341/fonc-12-977618-g001.jpg

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