Jin Bei, Zhang Ye-Yu, Pan Jing-Xuan
State Key Laboratory of Ophthalmology, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China.
Sichuan Da Xue Xue Bao Yi Xue Ban. 2023 May;54(3):469-474. doi: 10.12182/20230560301.
Metastasis, a main cause of death in tumor patients, is a complicated process that involves multiple steps, presenting a major clinical challenge. Tumor cells break the physical boundaries of a primary tumor, intravasate into the lumina of blood vessels, travel around through blood circulation, extravasate into distant organs, colonize the host organs, and eventually develop into the foci of metastatic cancer. The metastasis of tumor cells exhibits organ-tropism, i.e., tumor cells preferentially spread to specific organs. Liver is a common site for metastasis. The pattern of metastasis in uveal melanoma, colorectal carcinoma, and pancreatic ductal adenocarcinoma shows organ-tropism for liver. The anatomical structure of liver determines its hemodynamic characteristics, e.g., low pressure and slow blood flow, which tend to facilitate the stasis and colonization of tumor cells in the liver. Besides the hemodynamic features, the metastatic colonization of liver depends largely on the interaction between tumor cells and the hepatic microenvironment (especially liver-resident cellular components). Resident cells of the hepatic microenvironment include hepatocytes, liver sinusoidal endothelial cells (LSECs), hepatic stellate cells (HSCs), Kupffer cells (KCs), etc. Herein, we discussed the role and significance of liver-resident cells in the metastatic colonization of tumor in the liver.
转移是肿瘤患者死亡的主要原因,是一个涉及多个步骤的复杂过程,构成了一项重大临床挑战。肿瘤细胞突破原发肿瘤的物理边界,侵入血管腔,通过血液循环游走,渗出到远处器官,在宿主器官中定植,最终发展成为转移性癌灶。肿瘤细胞的转移表现出器官嗜性,即肿瘤细胞优先扩散到特定器官。肝脏是常见的转移部位。葡萄膜黑色素瘤、结直肠癌和胰腺导管腺癌的转移模式显示出对肝脏的器官嗜性。肝脏的解剖结构决定了其血流动力学特征,例如低压和缓慢血流,这往往有利于肿瘤细胞在肝脏中的停滞和定植。除血流动力学特征外,肝脏的转移定植在很大程度上取决于肿瘤细胞与肝微环境(尤其是肝脏驻留细胞成分)之间的相互作用。肝微环境的驻留细胞包括肝细胞、肝窦内皮细胞(LSEC)、肝星状细胞(HSC)、库普弗细胞(KC)等。在此,我们讨论了肝脏驻留细胞在肿瘤肝脏转移定植中的作用和意义。