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肿瘤休眠与复发:理解癌症复发的分子机制

Tumor dormancy and relapse: understanding the molecular mechanisms of cancer recurrence.

作者信息

Tufail Muhammad, Jiang Can-Hua, Li Ning

机构信息

Department of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital, Central South University, Changsha, 410008, China.

Institute of Oral Precancerous Lesions, Central South University, Changsha, 410008, China.

出版信息

Mil Med Res. 2025 Feb 11;12(1):7. doi: 10.1186/s40779-025-00595-2.

DOI:10.1186/s40779-025-00595-2
PMID:39934876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11812268/
Abstract

Cancer recurrence, driven by the phenomenon of tumor dormancy, presents a formidable challenge in oncology. Dormant cancer cells have the ability to evade detection and treatment, leading to relapse. This review emphasizes the urgent need to comprehend tumor dormancy and its implications for cancer recurrence. Despite notable advancements, significant gaps remain in our understanding of the mechanisms underlying dormancy and the lack of reliable biomarkers for predicting relapse. This review provides a comprehensive analysis of the cellular, angiogenic, and immunological aspects of dormancy. It highlights the current therapeutic strategies targeting dormant cells, particularly combination therapies and immunotherapies, which hold promise in preventing relapse. By elucidating these mechanisms and proposing innovative research methodologies, this review aims to deepen our understanding of tumor dormancy, ultimately facilitating the development of more effective strategies for preventing cancer recurrence and improving patient outcomes.

摘要

由肿瘤休眠现象驱动的癌症复发是肿瘤学中一项艰巨的挑战。休眠癌细胞有能力逃避检测和治疗,从而导致复发。本综述强调迫切需要了解肿瘤休眠及其对癌症复发的影响。尽管取得了显著进展,但我们对休眠潜在机制的理解仍存在重大差距,并且缺乏预测复发的可靠生物标志物。本综述对休眠的细胞、血管生成和免疫方面进行了全面分析。它强调了当前针对休眠细胞的治疗策略,特别是联合疗法和免疫疗法,这些疗法在预防复发方面具有前景。通过阐明这些机制并提出创新的研究方法,本综述旨在加深我们对肿瘤休眠的理解,最终促进开发更有效的预防癌症复发和改善患者预后的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/516c/11812268/a15903f14ea2/40779_2025_595_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/516c/11812268/1bdb0a7a5267/40779_2025_595_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/516c/11812268/acc8d86f31e4/40779_2025_595_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/516c/11812268/a15903f14ea2/40779_2025_595_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/516c/11812268/1bdb0a7a5267/40779_2025_595_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/516c/11812268/acc8d86f31e4/40779_2025_595_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/516c/11812268/a15903f14ea2/40779_2025_595_Fig3_HTML.jpg

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本文引用的文献

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BMJ Oncol. 2024 Feb 1;3(1):e000154. doi: 10.1136/bmjonc-2023-000154. eCollection 2024.
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Implication of the Extracellular Matrix in Metastatic Tumor Cell Dormancy.细胞外基质在转移性肿瘤细胞休眠中的作用
Cancers (Basel). 2024 Dec 5;16(23):4076. doi: 10.3390/cancers16234076.
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Higher risk of recurrence in early-stage breast cancer patients with increased levels of ribosomal protein S6.核糖体蛋白 S6 水平升高的早期乳腺癌患者复发风险增加。
外泌体生物标志物与免疫检查点抑制剂:进展与未来展望
Cancer Cell Int. 2025 Jun 24;25(1):234. doi: 10.1186/s12935-025-03806-x.
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Autophagy as a potential therapeutic target in regulating improper cellular proliferation.自噬作为调节细胞异常增殖的潜在治疗靶点。
Front Pharmacol. 2025 May 15;16:1579183. doi: 10.3389/fphar.2025.1579183. eCollection 2025.
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Wnt signaling in cancer: from biomarkers to targeted therapies and clinical translation.癌症中的Wnt信号传导:从生物标志物到靶向治疗及临床转化
Mol Cancer. 2025 Apr 2;24(1):107. doi: 10.1186/s12943-025-02306-w.
Sci Rep. 2024 Oct 24;14(1):25136. doi: 10.1038/s41598-024-75154-1.
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The Epigenetic Hallmarks of Cancer.癌症的表观遗传标志。
Cancer Discov. 2024 Oct 4;14(10):1783-1809. doi: 10.1158/2159-8290.CD-24-0296.
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Tumor Dormancy Within the Lymphovascular Embolus Is Regulated by Multiple Metabolism-signaling Pathways.肿瘤在脉管内休眠受多种代谢信号通路调控。
Anticancer Res. 2024 Oct;44(10):4165-4173. doi: 10.21873/anticanres.17247.
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Altered metabolism in cancer: insights into energy pathways and therapeutic targets.癌症中的代谢改变:能量途径和治疗靶点的新见解。
Mol Cancer. 2024 Sep 18;23(1):203. doi: 10.1186/s12943-024-02119-3.
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