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1型神经纤维瘤病相关神经系统肿瘤的新机制及治疗潜力:对肿瘤发展的深入洞察

Emerging mechanism and therapeutic potential of neurofibromatosis type 1-related nerve system tumor: Advancing insights into tumor development.

作者信息

Yu Xuan, Gu Yihui, Liu Jun, Huang Jingxuan, Li Qingfeng, Wang Zhichao

机构信息

Neurofibromatosis Type 1 Center and Laboratory for Neurofibromatosis Type 1 Research, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

Neurooncol Adv. 2025 Feb 16;7(1):vdaf040. doi: 10.1093/noajnl/vdaf040. eCollection 2025 Jan-Dec.

Abstract

Neurofibromatosis Type 1 (NF1) is a genetic disorder resulting from mutations in the gene, which increases susceptibility to various nervous system tumors, including plexiform neurofibromas, malignant peripheral nerve sheath tumors, and optic pathway gliomas. Recent research has shown that these tumors are intricately connected to the complex, dynamic interactions within neurons, culminating in neuronal signaling that fosters tumor growth. These interactions offer crucial insights into the molecular mechanisms underpinning tumor development, as well as broader implications for therapeutic strategies. This review summarizes the mechanisms through which mutations in the gene within neural tissues trigger tumorigenesis, while examining the role of the neuron-via factors such as visual experience, neurotransmitter, tumor microenvironment, and psychological influences-in both promoting tumor progression and being affected by the tumors themselves. By investigating the dynamic relationship between NF1-associated nervous system tumor cells and neurons, we aim to shed light on novel biological pathways and disease processes, emphasizing the potential of interdisciplinary approaches that combine neurobiology, oncology, and pharmacology to enhance treatment strategies and even inhibit the tumorigenesis.

摘要

1型神经纤维瘤病(NF1)是一种由该基因突变引起的遗传性疾病,它会增加患各种神经系统肿瘤的易感性,包括丛状神经纤维瘤、恶性外周神经鞘瘤和视神经通路胶质瘤。最近的研究表明,这些肿瘤与神经元内复杂、动态的相互作用密切相关,最终导致促进肿瘤生长的神经元信号传导。这些相互作用为肿瘤发生的分子机制提供了关键见解,也对治疗策略具有更广泛的意义。本综述总结了神经组织中该基因突变引发肿瘤发生的机制,同时研究了神经元通过视觉经验、神经递质、肿瘤微环境和心理影响等因素在促进肿瘤进展以及受肿瘤自身影响方面所起的作用。通过研究与NF1相关的神经系统肿瘤细胞和神经元之间的动态关系,我们旨在揭示新的生物学途径和疾病过程,强调结合神经生物学、肿瘤学和药理学的跨学科方法在增强治疗策略甚至抑制肿瘤发生方面的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde5/11934560/4bbc58074499/vdaf040_fig3.jpg

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