Department of Oncology, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, PR China.
State Key Laboratory of Systems Medicine for Cancer, Shanghai Cancer Institute, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200240, PR China.
Biochim Biophys Acta Rev Cancer. 2024 Sep;1879(5):189160. doi: 10.1016/j.bbcan.2024.189160. Epub 2024 Jul 24.
Cancer neuroscience, a promising field dedicated to exploring interactions between cancer and the nervous system, has attracted growing attention. The gastrointestinal tracts exhibit extensive innervation, notably characterized by intrinsic innervation. The gut harbors a substantial population of glial cells, including Schwann cells wrapping axons of neurons in the peripheral nervous system and enteric glial cells intricately associated with intrinsic innervation. Glial cells play a crucial role in maintaining the physiological functions of the intestine, encompassing nutrient absorption, barrier integrity, and immune modulation. Nevertheless, it has only been in recent times that the significance of glial cells within colorectal cancer (CRC) has begun to receive considerable attention. Emerging data suggests that glial cells in the gut contribute to the progression and metastasis of CRC, by interacting with cancer cells, influencing inflammation, and modulating the tumor microenvironment. Here, we summarize the significant roles of glial cells in the development and progression of CRC and discuss the latest technologies that can be integrated into this field for in-depth exploration, as well as potential specific targeted strategies for future exploration to benefit patients.
癌症神经科学是一个有前途的领域,致力于探索癌症和神经系统之间的相互作用,越来越受到关注。胃肠道具有广泛的神经支配,其特征是固有神经支配。肠道中存在大量的神经胶质细胞,包括包裹外周神经系统神经元轴突的施万细胞和与固有神经支配密切相关的肠神经胶质细胞。神经胶质细胞在维持肠道的生理功能方面起着至关重要的作用,包括营养吸收、屏障完整性和免疫调节。然而,直到最近,肠道中的神经胶质细胞在结直肠癌(CRC)中的重要性才开始受到广泛关注。新出现的数据表明,肠道中的神经胶质细胞通过与癌细胞相互作用、影响炎症和调节肿瘤微环境,促进 CRC 的进展和转移。在这里,我们总结了神经胶质细胞在 CRC 发生和发展中的重要作用,并讨论了可以整合到该领域的最新技术,以及未来探索以造福患者的潜在特定靶向策略。