癌症相关成纤维细胞在乳腺癌转移中的作用。

The role of cancer-associated fibroblasts in breast cancer metastasis.

作者信息

Li Yi, Wang Changyuan, Huang Ting, Yu Xijie, Tian Bole

机构信息

Department of Breast Surgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.

Department of Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu, China.

出版信息

Front Oncol. 2023 Jul 11;13:1194835. doi: 10.3389/fonc.2023.1194835. eCollection 2023.

Abstract

Breast cancer deaths are primarily caused by metastasis. There are several treatment options that can be used to treat breast cancer. There are, however, a limited number of treatments that can either prevent or inhibit the spread of breast tumor metastases. Thus, novel therapeutic strategies are needed. Studies have increasingly focused on the importance of the tumor microenvironment (TME) in metastasis of breast cancer. As the most abundant cells in the TME, cancer-associated fibroblasts (CAFs) play important roles in cancer pathogenesis. They can remodel the structure of the extracellular matrix (ECM) and engage in crosstalk with cancer cells or other stroma cells by secreting growth factors, cytokines, and chemokines, as well as components of the ECM, which assist the tumor cells to invade through the TME and cause distant metastasis. Clinically, CAFs not only foster the initiation, growth, angiogenesis, invasion, and metastasis of breast cancer but also serve as biomarkers for diagnosis, therapy, and prediction of prognosis. In this review, we summarize the biological characteristics and subtypes of CAFs and their functions in breast cancer metastasis, focusing on their important roles in the diagnosis, prognosis, and treatment of breast cancer. Recent studies suggest that CAFs are vital partners of breast cancer cells that assist metastasis and may represent ideal targets for prevention and treatment of breast cancer metastasis.

摘要

乳腺癌死亡主要由转移引起。有几种治疗方法可用于治疗乳腺癌。然而,能够预防或抑制乳腺肿瘤转移扩散的治疗方法数量有限。因此,需要新的治疗策略。研究越来越关注肿瘤微环境(TME)在乳腺癌转移中的重要性。作为TME中最丰富的细胞,癌症相关成纤维细胞(CAF)在癌症发病机制中发挥着重要作用。它们可以重塑细胞外基质(ECM)的结构,并通过分泌生长因子、细胞因子、趋化因子以及ECM成分与癌细胞或其他基质细胞进行串扰,这有助于肿瘤细胞穿过TME并导致远处转移。临床上,CAF不仅促进乳腺癌的发生、生长、血管生成、侵袭和转移,还可作为诊断、治疗和预后预测的生物标志物。在本综述中,我们总结了CAF的生物学特性、亚型及其在乳腺癌转移中的功能,重点关注它们在乳腺癌诊断、预后和治疗中的重要作用。最近的研究表明,CAF是协助转移的乳腺癌细胞的重要伙伴,可能是预防和治疗乳腺癌转移的理想靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e3/10367093/eba47abfd3cd/fonc-13-1194835-g001.jpg

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