乳腺癌干细胞临床与基础研究的进展

Progress in the Research on Breast Cancer Stem Cells

  • 摘要: 乳腺癌是一类高度异质性的肿瘤,包括18种组织病理学类型和5 种分子亚型。乳腺癌干细胞(CSCs)是乳腺癌组织中极少数具有自我更新能力和多向分化潜能的细胞,具有肿瘤启动作用。CD44+/CD24-/low表型为乳腺CSCs的标志,大约30% 乳腺癌组织中存在CD44+/CD 24-/low表型细胞,CD44+/CD 24-/low表型细胞与病理组织学类型有关,在呈现CD44+/CD 24-/low表型的肿瘤中,浸润性导管癌所占比例最多(78%),其次为髓样癌(11%)和浸润性小叶癌(7%)。 CD44+/CD 24-/low表型细胞与乳腺癌的分子亚型有关,在依据基因表达谱得到的5 种分子亚型中,CD44+/CD 24-/low表型在基底样癌中最常见。乳腺癌干细胞通常为ER- 和PR- 的表型,但ER- 和PR- 的多潜能干细胞能产生ER+ ,PR+ 的肿瘤细胞。HER2 过表达能够增加CSCs的数量并促进乳腺癌的发生、进展和浸润,但乳腺癌组织中CD44+/CD 24-/low表型通常与HER2 低表达或阴性表达呈正相关。迄今有关干细胞与乳腺癌的临床基础研究提出了更多新的问题,引发了更多的思考。

     

    Abstract: Human breast carcinomas are very heterogeneous, with approximately 18histological types and at least 5 molecular subtypes. Breast cancer stem cells (CSCs) termed for a small population of cancer cells have self-renewal ca-pacities and the ability to recapitulate all cell types within an individual tumor. They have been demonstrated to have tu-mor-initiating properties in breast cancer. CD44+/CD24-/low is the biological marker for breast CSCs. About 30% of breast cancer patients have CD44+/CD24-/low phenotype. Histopathology is related to CD 44+/CD24-/low, in which invasive ductal carcinoma is the highest ( 78% ), medullary carcinoma (11% ) and invasive lobular carcinoma (7% ) are in the next place. CD44+/CD24-/low is related to molecular subtypes in which basal-like type is the most common for CD 44+/CD24-/low phe-notype. Breast CSCs are usually ER (-) and PR (-), but they can divide into ER+ and PR+ progeny cells. HER 2 overexpres -sion can interact with CSCs pathway and thus contribute to breast tumorgenesis and development. However, CD 44+/ CD24-/low phenotype is related to HER 2-negative breast cancer. This article reviews the progress in the research on breast cancer stem cells and discusses its potential for better diagnosis and treatment of breast cancer.

     

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