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中性粒细胞胞外诱捕网在胃肠道肿瘤中的作用机制研究进展:综述

Advances in the Mechanism of Action of Neutrophil Extracellular Traps in Gastrointestinal Tumors: A Review.

作者信息

Zhang Zaibo, Wang Bingyu, Tan Bibo

机构信息

The Third Department of Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, People's Republic of China.

出版信息

Int J Gen Med. 2023 Jun 30;16:2783-2789. doi: 10.2147/IJGM.S419542. eCollection 2023.

Abstract

INTRODUCTION

Neutrophils are important immune cells in the body, extremely abundant, phagocytic and bactericidal, and usually involved in the defense against infectious diseases as immune become. However, a new reticulum structure has been discovered: neutrophil extracellular traps (NETs), which consists of various components such as DNA and proteins, etc. Current studies have found that NETs are closely associated with various diseases such as immune diseases, inflammation and tumors, and the study of the development and metastasis of gastrointestinal tumors has become a recent research hotspot. The clinical significance of NETs has been gradually highlighted, especially in the area of immunosuppression.

METHODS

We reviewed a large amount of relevant literature, summarized the latest detection methods of NETs, explored the mechanism of NETs in gastrointestinal tumors and summarized the latest hotspot directions.

RESULTS

NETs are involved in the development of gastrointestinal tumors, and are closely related to the proliferation and metastasis of gastrointestinal tumors. Higher levels of NETs are associated with poor prognosis of gastrointestinal tumors, promote local growth of tumors through various pathways, participate in tumor-related systemic injury, and promote tumor growth and metastasis by enhancing the mitochondrial function of tumor cells and awakening dormant tumor cells.

DISCUSSION

NETs are highly expressed in tumors, and tumors and their microenvironment can promote the production of NETs, providing new ideas for the clinical diagnosis and treatment of gastrointestinal tumors. In this paper, we describe the basic information about NETs, explore the research mechanisms related to NETs in gastrointestinal tumors, and prospectively explore the clinical potential of hotspots and inhibitors related to NETs for gastrointestinal tumors, in order to provide new ideas and targets for the diagnosis and treatment of gastrointestinal tumors.

摘要

引言

中性粒细胞是体内重要的免疫细胞,数量极其丰富,具有吞噬和杀菌作用,通常在免疫反应中参与抵御传染病。然而,一种新的网状结构被发现:中性粒细胞胞外陷阱(NETs),它由DNA和蛋白质等多种成分组成。目前的研究发现,NETs与免疫疾病、炎症和肿瘤等多种疾病密切相关,对胃肠道肿瘤发生发展及转移的研究已成为近期的研究热点。NETs的临床意义已逐渐凸显,尤其是在免疫抑制领域。

方法

我们查阅了大量相关文献,总结了NETs的最新检测方法,探讨了NETs在胃肠道肿瘤中的作用机制,并总结了最新的热点研究方向。

结果

NETs参与胃肠道肿瘤的发生发展,与胃肠道肿瘤的增殖和转移密切相关。NETs水平升高与胃肠道肿瘤预后不良相关,通过多种途径促进肿瘤局部生长,参与肿瘤相关的全身损伤,并通过增强肿瘤细胞的线粒体功能和唤醒休眠肿瘤细胞促进肿瘤生长和转移。

讨论

NETs在肿瘤中高表达,肿瘤及其微环境可促进NETs的产生,为胃肠道肿瘤的临床诊断和治疗提供了新思路。本文阐述了NETs的基本信息,探讨了胃肠道肿瘤中与NETs相关的研究机制,并前瞻性地探索了NETs相关热点及抑制剂对胃肠道肿瘤的临床应用潜力,以期为胃肠道肿瘤的诊断和治疗提供新的思路和靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa92/10319275/fb71e7d2f3e4/IJGM-16-2783-g0001.jpg

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