Int J Oncol:Let-7或可通过化疗增敏有效治疗食管癌

2017-10-21 MedSci MedSci原创

食管癌的治疗效果差,预后差,使得其成为最可怕的恶性癌之一,即便是多学科联合治疗仍无法实现患者的长期无病生存。本研究旨在早期诊断食管癌,改善抗癌治疗效果,从而提高治疗效果。采用回顾性分析,对接受食管切除术的患者癌症样本进行分析,结果发现,ALDH1或CD133阳性的癌症干细胞的比例与2年复发相关。较高比例的癌症干细胞表明较差的临床分期,Wnt信号激活更为频繁。进一步在实验研究中,研究人员探讨了在EC

食管癌的治疗效果差,预后差,使得其成为最可怕的恶性癌之一,即便是多学科联合治疗仍无法实现患者的长期无病生存。本研究旨在早期诊断食管癌,改善抗癌治疗效果,从而提高治疗效果。

采用回顾性分析,对接受食管切除术的患者癌症样本进行分析,结果发现,ALDH1或CD133阳性的癌症干细胞的比例与2年复发相关。较高比例的癌症干细胞表明较差的临床分期,Wnt信号激活更为频繁。进一步在实验研究中,研究人员探讨了在ECA-109和ECA-9706食管癌干细胞中Let-7自我更新的抑制作用和机制。

分离的癌症干细胞可自然地对称分裂,且具有抗药性。氟尿嘧啶和多西紫杉醇的治疗都促进了干细胞的增殖,证明了干细胞的耐药性。Wnt激活刺激干细胞的更对称分裂,导致自我更新促进,这可能被Let-7过表达而阻断。此外,增强Let-7使干细胞以Wnt通路抑制依赖的方式致敏化疗,有助于Let-7的化疗增敏作用。Wnt激活后通过CCAT-1的海绵功能削弱了对Let-7b的抑制,形成了Let-7b/Wnt/CCAT1的负反馈回路。

总之,这些结果确定了干细胞在食管癌发生和进展中作为有效指标参与,且Let-7纳米颗粒在癌症治疗中潜在的强大作用。

原始出处:

Yamei Pang, Jian Liu, et al., Nano Let-7b sensitization of eliminating esophageal cancer stem-like cells is dependent on blockade of Wnt activation of symmetric division. Int J Oncol. 2017 Oct; 51(4): 1077–1088. Published online 2017 Aug 29. doi: 10.3892/ijo.2017.4104

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    2017-10-30 minlingfeng
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    2017-10-23 zhouqu_8
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    2017-10-21 1ddf0692m34(暂无匿称)

    学习了.涨知识

    0