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神经元作为神经系统癌症发生和进展的基质驱动因素。

Neurons as stromal drivers of nervous system cancer formation and progression.

机构信息

Department of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA.

Department of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA.

出版信息

Dev Cell. 2023 Jan 23;58(2):81-93. doi: 10.1016/j.devcel.2022.12.011.

Abstract

Similar to their pivotal roles in nervous system development, neurons have emerged as critical regulators of cancer initiation, maintenance, and progression. Focusing on nervous system tumors, we describe the normal relationships between neurons and other cell types relevant to normal nerve function, and discuss how disruptions of these interactions promote tumor evolution, focusing on electrical (gap junctions) and chemical (synaptic) coupling, as well as the establishment of new paracrine relationships. We also review how neuron-tumor communication contributes to some of the complications of cancer, including neuropathy, chemobrain, seizures, and pain. Finally, we consider the implications of cancer neuroscience in establishing risk for tumor penetrance and in the design of future anti-tumoral treatments.

摘要

类似于其在神经系统发育中的关键作用,神经元已成为癌症起始、维持和进展的关键调控因子。我们专注于神经系统肿瘤,描述了神经元与其他与正常神经功能相关的细胞类型之间的正常关系,并讨论了这些相互作用的破坏如何促进肿瘤的演变,重点讨论了电(缝隙连接)和化学(突触)偶联,以及新的旁分泌关系的建立。我们还回顾了神经元-肿瘤通讯如何导致癌症的一些并发症,包括神经病变、化疗脑、癫痫和疼痛。最后,我们考虑了癌症神经科学在确定肿瘤穿透风险和设计未来抗肿瘤治疗中的意义。

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