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肿瘤去分化:肿瘤侵袭中的重要一步。

Tumor dedifferentiation: an important step in tumor invasion.

作者信息

Gabbert H, Wagner R, Moll R, Gerharz C D

出版信息

Clin Exp Metastasis. 1985 Oct-Dec;3(4):257-79. doi: 10.1007/BF01585081.

Abstract

Tumor invasion in vivo was studied by light and electron microscopy as well as by immunofluorescence microscopy. Special regard was paid to the grade of tumor differentiation. Dimethylhydrazine-induced murine colonic carcinomas comprising a differentiated and an undifferentiated tumor type with low and high invasiveness respectively, were used. At the invasion front of both tumor types a striking dissociation of the organized tumor cell complexes into isolated tumor cells was found together with a loss of most of the cytological features of differentiation. It is supposed that this process mobilizes the tumor cells from the main tumor bulk enabling them to invade the host tissue by active locomotion. This view is strongly supported by the demonstration of morphological equivalents of active cell movement such as pseudopodia-like cytoplasmic extrusions, adaptive changes of the cell shape and microfilament bundles. Although the proposed mechanism of tumor invasion is essentially the same in both tumor types, the grade of differentiation is nevertheless critical, as in the undifferentiated carcinomas only subtle dedifferentiation steps (loss of basement membrane and cell junctions) are necessary to acquire an invasive status. This fact may explain the comparatively high invasiveness and poor prognosis of undifferentiated carcinomas.

摘要

通过光学显微镜、电子显微镜以及免疫荧光显微镜对体内肿瘤侵袭进行了研究。特别关注了肿瘤分化程度。使用了二甲基肼诱导的小鼠结肠癌,其中包括分别具有低侵袭性和高侵袭性的分化型和未分化型肿瘤。在两种肿瘤类型的侵袭前沿,均发现有组织的肿瘤细胞复合体显著解离为孤立的肿瘤细胞,同时大部分细胞分化特征丧失。据推测,这一过程使肿瘤细胞从主要肿瘤块中游离出来,使其能够通过主动移动侵入宿主组织。活跃细胞运动的形态学等效物(如伪足样细胞质突起、细胞形状的适应性变化和微丝束)的证明有力地支持了这一观点。尽管两种肿瘤类型中提出的肿瘤侵袭机制基本相同,但分化程度仍然至关重要,因为在未分化癌中,仅需细微的去分化步骤(基底膜和细胞连接丧失)即可获得侵袭状态。这一事实可能解释了未分化癌相对较高的侵袭性和较差的预后。

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