Medawar P
Ann Intern Med. 1977 Jul;87(1):100-2. doi: 10.7326/0003-4819-87-1-100.
Anaplasia refers to the apparent retrogression toward an embryonic state that occurs in some human and animal tumors, the consequence, presumably, of a derepression of genes that would normally have been switched off in the course of development. The fetal substances newly formed in tumors are identified immunologically and are therefore referred to as "antigens." Some such antigens, for example, carcinoembryonic antigen and alpha-fetoprotein, and blood-group precursor substances have great promise diagnostically but play no known part in resistance to malignant growth. The reawakened fetal antigens that are of special interest and importance are those that are capable of arousing cell-mediated immunity and thus may contribute to antitumor immunity. Modern research, therefore, rehabilitates an etiologc notion earlier thought to have been discredited.
间变是指在一些人类和动物肿瘤中出现的向胚胎状态的明显退行,这大概是由于在发育过程中通常会被关闭的基因去抑制的结果。肿瘤中新形成的胎儿物质通过免疫方法得以识别,因此被称为“抗原”。某些这样的抗原,例如癌胚抗原和甲胎蛋白,以及血型前体物质在诊断上很有前景,但在抵抗恶性生长方面没有已知作用。特别令人感兴趣且重要的重新激活的胎儿抗原是那些能够激发细胞介导免疫并因此可能有助于抗肿瘤免疫的抗原。因此,现代研究恢复了一个早期被认为已不可信的病因学概念。