北京大学学报(医学版) ›› 2024, Vol. 56 ›› Issue (4): 557-561. doi: 10.19723/j.issn.1671-167X.2024.04.001

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治疗相关神经内分泌前列腺癌机制研究与靶向治疗新进展

黄教悌1,*(),胡菁2,3,韩博2,4   

  1. 1 Department of Pathology, Duke University, Durham, NC 27710, USA
    2 山东大学齐鲁医院病理科,济南 250012
    3 Michigan Center for Translational Pathology, University of Michigan, Ann Arbor, MI 48105, USA
    4 北京大学人民医院病理科,北京 100044
  • 收稿日期:2024-03-28 出版日期:2024-08-18 发布日期:2024-07-23
  • 通讯作者: 黄教悌 E-mail:jiaoti.huang@duke.edu

教悌 黄1,*(),菁 胡2,3,博 韩2,4   

  • Received:2024-03-28 Online:2024-08-18 Published:2024-07-23
  • Contact: 教悌 黄 E-mail:jiaoti.huang@duke.edu

RICH HTML

  

关键词: 神经内分泌前列腺癌, 谱系可塑性, 肿瘤异质性, 靶向治疗

中图分类号: 

  • R737.25

图1

NEPC的可能发生机制模式图 极少数NEPC为原发性,或是由腺癌转化而来。在内分泌治疗压力下,HSPC进展为CRPC,由于压力持续存在,基因组TP53/RB1缺失及突变等,腺癌细胞可在转录水平、表观遗传水平、代谢水平及肿瘤微环境等方面发生重编程,AR、FOXA1等luminal谱系转录因子表达下调,SOX2等谱系可塑性核心转录因子表达升高,FOXA2、MYCN等神经内分泌谱系转录因子表达升高。IL-8-CXCR2等肿瘤微环境信号轴协同肿瘤细胞内的表达调控促进NEPC的发生。NEPC,神经内分泌前列腺癌;HSPC,激素敏感性前列腺癌;CRPC,去势抵抗性前列腺癌;AR,雄激素受体;t-NEPC,治疗相关神经内分泌前列腺癌。"

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