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From Prostate to Bone: Key Players in Prostate Cancer Bone Metastasis

机译:从前列腺到骨:前列腺癌骨转移的关键因素

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摘要

Bone is the most common site for metastasis in human prostate cancer patients. Skeletal metastases are a significant cause of morbidity and mortality and overall greatly affect the quality of life of prostate cancer patients. Despite advances in our understanding of the biology of primary prostate tumors, our knowledge of how and why secondary tumors derived from prostate cancer cells preferentially localize bone remains limited. The physiochemical properties of bone, and signaling molecules including specific chemokines and their receptors, are distinct in nature and function, yet play intricate and significant roles in prostate cancer bone metastasis. Examining the impact of these facets of bone metastasis in vivo remains a significant challenge, as animal models that mimic the natural history and malignant progression clinical prostate cancer are rare. The goals of this article are to discuss (1) characteristics of bone that most likely render it a favorable environment for prostate tumor cell growth, (2) chemokine signaling that is critical in the recruitment and migration of prostate cancer cells to the bone, and (3) current animal models utilized in studying prostate cancer bone metastasis. Further research is necessary to elucidate the mechanisms underlying the extravasation of disseminated prostate cancer cells into the bone and to provide a better understanding of the basis of cancer cell survival within the bone microenvironment. The development of animal models that recapitulate more closely the human clinical scenario of prostate cancer will greatly benefit the generation of better therapies.
机译:骨是人类前列腺癌患者中最常见的转移部位。骨骼转移是发病率和死亡率的重要原因,并且总体上极大地影响前列腺癌患者的生活质量。尽管我们对原发性前列腺肿瘤的生物学理解有了进步,但是我们对如何以及为什么源自前列腺癌细胞的继发性肿瘤优先定位骨的知识仍然有限。骨的物理化学特性以及包括特定趋化因子及其受体在内的信号分子在性质和功能上都各不相同,但在前列腺癌骨转移中起着复杂而重要的作用。由于体内模拟自然病史和恶性进展的动物模型非常罕见,因此在体内检查这些骨转移方面的影响仍然是一项重大挑战。本文的目的是讨论(1)最有可能使其成为前列腺肿瘤细胞生长的良好环境的骨骼特征,(2)趋化因子信号传导,这对前列腺癌细胞向骨骼的募集和迁移至关重要,以及(3)目前用于研究前列腺癌骨转移的动物模型。有必要进行进一步的研究以阐明弥散性前列腺癌细胞渗入骨骼的机制,并更好地了解骨骼微环境中癌细胞存活的基础。更紧密地概括人类前列腺癌临床情况的动物模型的开发将大大有益于更好的疗法的产生。

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