New insights into the biology of renal cell carcinoma.

New insights into the biology of renal cell carcinoma.
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对肾细胞癌生物学的新见解。

DOI:
10.1016/j.hoc.2011.04.004
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发表时间:
2011-08
期刊:
Hematology/oncology clinics of North America
影响因子:
--
通讯作者:
Kaelin WG Jr
Kaelin WG Jr
中科院分区:
其他
文献类型:
--
作者:
Li L;Kaelin WG Jr

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肾癌是男性和女性最常见的 10 种癌症之一。这些癌症中百分之九十或更多被认为是上皮细胞起源的,并且被称为肾细胞癌(RCC)。根据其组织学外观,肾细胞癌可进一步细分为透明细胞肾癌(~75%)、乳头状肾癌(15%)、嫌色细胞肿瘤(5%)和嗜酸细胞瘤(5%)。对遗传性肾癌家族的研究发现了一些基因,当这些基因在种系中发生突变时,这些基因会增加这些不同组织学肾细胞癌亚型的风险,从而了解这些不同形式的肾细胞癌中失调的分子回路。实际上,组织学亚型之间存在一些重叠(例如,主要具有透明细胞特征的肿瘤可能包含更典型的乳头状肾细胞癌区域)。同样,这些肿瘤类型之间也有一些共同的分子特征(见后面的讨论)。本综述主要关注最常见的 RCC 形式——透明细胞肾癌,同时注意到其他组织学亚型的一些最新进展。
Kidney cancer is one of the 10 most common forms of cancer in both men and women. Ninety percent or more of these cancers are believed to be of epithelial cell origin, and are referred to as renal cell carcinoma (RCC). RCCs can be further subdivided, based on their histologic appearance, into clear-cell renal carcinomas (~75%), papillary renal carcinomas (15%), chromophobe tumors (5%), and oncocytomas (5%). Studies of hereditary kidney cancer families led to the identification of genes that, when mutated in the germline, confer an increased risk of these various histologic RCC subtypes and hence a glimpse at the molecular circuits that are deregulated in these different forms of RCC. In practice, there is some overlap among the histologic subtypes (eg, a tumor with predominantly clear-cell features might contain areas more typical of papillary RCC). Similarly, there are some shared molecular features among these tumor types (see later discussion). This review focuses primarily on the most common form of RCC, clear-cell renal carcinoma, while making note of some recent advances in the other histologic subtypes.
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发表时间: 2008-09-01
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