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肝癌的时空异质性与侵袭带的发现

Spatial‒temporal heterogeneities of liver cancer and the discovery of the invasive zone.

作者信息

Yan Jiayan, Jiang Zhifeng, Zhang Shiyu, Yu Qichao, Lu Yijun, Miao Runze, Tang Zhaoyou, Fan Jia, Wu Liang, Duda Dan G, Zhou Jian, Yang Xinrong

机构信息

Department of Liver Surgery & Transplantation, Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai, China.

Key Laboratory of Carcinogenesis and Cancer Invasion, Ministry of Education, Shanghai, China.

出版信息

Clin Transl Med. 2025 Feb;15(2):e70224. doi: 10.1002/ctm2.70224.

Abstract

Solid tumours are intricate and highly heterogeneous ecosystems, which grow in and invade normal organs. Their progression is mediated by cancer cells' interaction with different cell types, such as immune cells, stromal cells and endothelial cells, and with the extracellular matrix. Owing to its high incidence, aggressive growth and resistance to local and systemic treatments, liver cancer has particularly high mortality rates worldwide. In recent decades, spatial heterogeneity has garnered significant attention as an unfavourable biological characteristic of the tumour microenvironment, prompting extensive research into its role in liver tumour development. Advances in spatial omics have facilitated the detailed spatial analysis of cell types, states and cell‒cell interactions, allowing a thorough understanding of the spatial and temporal heterogeneities of tumour microenvironment and informing the development of novel therapeutic approaches. This review illustrates the latest discovery of the invasive zone, and systematically introduced specific macroscopic spatial heterogeneities, pathological spatial heterogeneities and tumour microenvironment heterogeneities of liver cancer.

摘要

实体瘤是复杂且高度异质性的生态系统,在正常器官中生长并侵袭正常器官。它们的进展是由癌细胞与不同细胞类型(如免疫细胞、基质细胞和内皮细胞)以及细胞外基质的相互作用介导的。由于其高发病率、侵袭性生长以及对局部和全身治疗的抗性,肝癌在全球范围内具有特别高的死亡率。近几十年来,空间异质性作为肿瘤微环境的一个不利生物学特征受到了广泛关注,促使人们对其在肝肿瘤发展中的作用进行广泛研究。空间组学的进展促进了对细胞类型、状态和细胞间相互作用的详细空间分析,使人们能够全面了解肿瘤微环境的时空异质性,并为新型治疗方法的开发提供信息。本综述阐述了侵袭区的最新发现,并系统介绍了肝癌的特定宏观空间异质性、病理空间异质性和肿瘤微环境异质性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e99e/11807767/f56b0537e5ec/CTM2-15-e70224-g007.jpg

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