Buttyan R, Slawin K
Department of Urology, Columbia University, College of Physicians and Surgeons, New York, NY 10032.
Cancer Metastasis Rev. 1993 Mar;12(1):11-9. doi: 10.1007/BF00689786.
Currently, prostate cancer ranks as the most frequent non-skin malignancy detected in males. Yet, of the major human cancers, it remains one of the least understood in terms of its molecular and genetic basis. Research on prostate cancer has been limited by the paucity of tissues available for study. Much of the tissue obtained through surgery for localized prostate cancer will be required for pathological staging and grading. The more aggressive forms of prostate cancer are usually detected subsequent to metastatic involvement at which point there is little reason to surgically remove the prostate tumor(s). A final complication is the propensity of prostate cancer to metastasize to the bone, a site extremely difficult to obtain suitable biopsies for study. Further hindering research efforts on prostate cancer is the lack of suitable animal models for study. In contrast to its frequent occurrence in humans, prostate cancer is a rare event in most other mammalian species, particularly laboratory rodents. Therefore, in order to make this disease more amenable for study, there is a growing effort to identify or develop a means to target oncogenesis to the prostate gland of rodents. As will be reviewed here, this goal is being approached with the use of 3 different methods; one that takes advantage of the unique androgenic hormone requirement for prostate growth to exaggerate the effects of carcinogens at that site and two methods (recombinant retrovirus transduction prior to organ reconstitution and transgenic targeting) that allow direct genetic manipulation of cells in the prostate gland leading to the development of prostatic malignancy.
目前,前列腺癌是男性中最常见的非皮肤恶性肿瘤。然而,在主要的人类癌症中,就其分子和遗传基础而言,它仍然是了解最少的癌症之一。前列腺癌的研究受到可用于研究的组织匮乏的限制。通过手术获取的局限性前列腺癌组织大多将用于病理分期和分级。侵袭性更强的前列腺癌形式通常在发生转移后才被检测到,此时几乎没有理由通过手术切除前列腺肿瘤。最后一个难题是前列腺癌易于转移至骨骼,而骨骼部位极难获取合适的活检组织用于研究。前列腺癌研究工作的进一步阻碍在于缺乏合适的动物模型。与在人类中频繁发生不同,前列腺癌在大多数其他哺乳动物物种中,尤其是实验室啮齿动物中,是一种罕见疾病。因此,为了使这种疾病更便于研究,人们越来越致力于确定或开发一种方法,将肿瘤发生靶向到啮齿动物的前列腺。如下文将综述的,实现这一目标采用了3种不同方法;一种方法利用前列腺生长对雄激素的独特需求来增强致癌物在该部位的作用,另外两种方法(器官重建前的重组逆转录病毒转导和转基因靶向)可对前列腺中的细胞进行直接基因操作,从而导致前列腺恶性肿瘤的发生。