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李金涛, 雷明珠, 雷群英, 等. 代谢应激和胰腺癌的发生发展[J]. 四川大学学报(医学版), 2021, 52(1): 5-10. DOI: 10.12182/20210160502
引用本文: 李金涛, 雷明珠, 雷群英, 等. 代谢应激和胰腺癌的发生发展[J]. 四川大学学报(医学版), 2021, 52(1): 5-10. DOI: 10.12182/20210160502
LI Jin-tao, LEI Ming-zhu, LEI Qun-ying, et al. A Review of Metabolic Stress and Development of Pancreatic Cancer[J]. Journal of Sichuan University (Medical Sciences), 2021, 52(1): 5-10. DOI: 10.12182/20210160502
Citation: LI Jin-tao, LEI Ming-zhu, LEI Qun-ying, et al. A Review of Metabolic Stress and Development of Pancreatic Cancer[J]. Journal of Sichuan University (Medical Sciences), 2021, 52(1): 5-10. DOI: 10.12182/20210160502

代谢应激和胰腺癌的发生发展

A Review of Metabolic Stress and Development of Pancreatic Cancer

  • 摘要: 目前胰腺导管腺癌(PDAC)的有效临床治疗方案有限,5年生存率低于8%,因此迫切需要探索新的治疗策略。PDAC为了适应极端恶劣的微环境,在其演进过程中存在广泛的代谢重编程。代谢应激与癌基因激活(如KRAS)以及抑癌基因失活所触发的信号密切相关。同时,代谢异常重塑肿瘤微环境,协同促进PDAC的发展。本篇综述将重点阐述PDAC及其微环境中的代谢重编程,以探索PDAC治疗中潜在的靶标。

     

    Abstract: Pancreatic ductal adenocarcinoma (PDAC) is one of the most notorious malignancies with a 5-year survival rate of less than 8%. Therefore, it is crucial to investigate the molecular mechanism underlining PDAC initiation, promotion, and progression for efficient treatment of PDAC. In order to adapt and survive in an extremely adverse microenvironment of hypoxia and insufficiency of nutrients and energy, PDAC cells undergo extensive metabolic modification triggered by intrinsic signalings which are activated by different genetic events, including mutations occurred at KRAS, TP53, and DPC4/SMAD4, collaboratively promoting PDAC development. Notably, PDCA cells have extensive crosstalk in the form of reciprocal metabolic flux with its surrounding microenvironment to facilitate tumor advancement and therapy resistance. We herein summarize recent findings of PDAC metabolism and discuss metabolic rewiring-based therapeutic strategies.

     

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