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1、·916·中國(guó)普外基礎(chǔ)與臨床雜志2014年7月第2l卷第7期ChinJBasesClinGeneralSurg,Vo1.21,No.7,Ju1.2014綜述信號(hào)通路在肝細(xì)胞癌發(fā)展中的作用△李汛,孟文勃,白仲添,嚴(yán)俊,張磊,周文策【摘要】目的探討EGFR信號(hào)通路、MAPK信號(hào)通路、IKB/NF—KB信號(hào)通路、PI3K/Akt信號(hào)通路、wNT/[3-catenin信號(hào)通路和Hedgehog信號(hào)通路在肝細(xì)胞癌發(fā)展中的作用。方法采用文獻(xiàn)復(fù)習(xí)的方法,對(duì)信號(hào)通路在肝細(xì)胞癌發(fā)展中作用的相關(guān)文獻(xiàn)進(jìn)行綜述。結(jié)果在肝癌的發(fā)生發(fā)展過程中,EGFR、MAPK、IKB/NF—KB、PI
2、3K/Akt、WNT/[3一catenin、Hedgehog等信號(hào)通路之間復(fù)雜交織和相互作用,并且可能存在一些腫瘤標(biāo)志物、抑癌基因、原癌基岡和miRNA的協(xié)同作用。結(jié)論分子信號(hào)通路的異常改變是腫瘤發(fā)生及發(fā)展的必要條件,并且信號(hào)通路在肝細(xì)胞癌發(fā)病中有著復(fù)雜的交叉和冗余?!娟P(guān)鍵詞】信號(hào)通路;肝細(xì)胞癌;肝癌發(fā)生【中圖分類號(hào)】R735.7【文獻(xiàn)標(biāo)志碼】AEfectsofSignalingPathwayonDevelopmentofHepatocellularCarcinomaLIXun,MENGWen—bo,BAIZhong—tian,YANJu,ZHANGLei,Z
3、HOUWen—ce.*DepartmentofSurgery口,TheFirstHospitalofLanzhouUniversity,HepatopancreatobiliarySurgeryInsitituteofGansuProvince,Lanzhou730000,GansuProvince,ChinaCorrespondingAuthor:LIXun,E—mail:lxdr21@126.com[Abstract]ObjectiveToinvestigatetheeffectsofsignalingpathwayabouttheEGFR,MAPK,IK
4、B/NF-KB,PI3K/Akt,WNT/beta—catenin.a(chǎn)ndtheHedgehogindevelopmentofhepatocellularcarcinoma(HCC).MethodsTherelatedliteraturesaboutthemoleculargeneticmechanismofsignalingpathwayswerereviewed.ResultsIntheoccurrenceanddevelopmentofHCC,theEGFR,MAPK,IKB/NF-KB,PI3K/Akt,WNT/~一catenin,andHedgeho
5、gsignalingpathwaysnotonlyinterweaverwitheachothercomplexly,butalsointeractwitheachother,andsometumormarkers,anticancergenes,proto—oncogenes,andmiRNAmayhavesynergisticeffectsfortheoccurrenceofHCC.ConclusionTheabnormalchangesofmolecularsignalingpathwaysisanecessaryconditionfortheoccur
6、enceanddevelopmentoftumor,andthereisconsiderablecross—talkandredundancytomanysignalingpathways.[Keywords]Signalingpathway;Hepatocellularcarcinoma;Hepatocarcinogenesis[Foundationitem]ThisWorkWasSupportedbyTheNaturalScienceFoundationofChina(No.31270532andNo.31270543):FtmdamentalResear
7、chFundsforTheCentralUniversities(No.1zujbky一2010—144andNo.1zujbky一2012—167):WestLightFoundationofTheChineseAcademyofScience(No.2009—236),andHealthIndustryResearchProjectofGansuProvince(NO.GSWST20l1.04)肝細(xì)胞肝癌(簡(jiǎn)稱肝癌)是世界上最常見的惡平洋地區(qū)和撒哈拉沙漠以南的某些非洲國(guó)家,這些性腫瘤之一,全球范圍內(nèi)肝癌多發(fā)于東南亞、西太地區(qū)肝癌發(fā)病率一般在30/10萬以上
8、,全世界每年50萬~60萬例新發(fā)肝癌中