Targeting tumor innervation: premises, promises, and challenges.

Targeting tumor innervation: premises, promises, and challenges.
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靶向肿瘤神经支配:前提、承诺和挑战

DOI:
10.1038/s41420-022-00930-9
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发表时间:
2022-03-25
影响因子:
7
通讯作者:
Li H
Li H
中科院分区:
医学2区
文献类型:
--
作者:
Li X;Peng X;Yang S;Wei S;Fan Q;Liu J;Yang L;Li H

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在多种实体瘤类型中,高肿瘤内神经密度与低生存率、高转移和高复发相关。近年来的研究发现,肿瘤细胞释放多种神经营养因子和外泌体促进肿瘤神经支配,浸润神经也可通过外泌体和神经递质介导多种肿瘤生物学过程。本文通过建立肿瘤神经支配的基础研究,探讨肿瘤微环境中周围神经与肿瘤细胞之间的联系,揭示神经-肿瘤系统对肿瘤发生、血管生成、淋巴管生成和免疫的调控机制。最后,我们讨论了靶向TME通讯的“老药新用”的有希望的方向,并阐明了预防肿瘤恶性能力的新路线。
A high intratumoral nerve density is correlated with poor survival, high metastasis, and high recurrence across multiple solid tumor types. Recent research has revealed that cancer cells release diverse neurotrophic factors and exosomes to promote tumor innervation, in addition, infiltrating nerves can also mediate multiple tumor biological processes via exosomes and neurotransmitters. In this review, through seminal studies establishing tumor innervation, we discuss the communication between peripheral nerves and tumor cells in the tumor microenvironment (TME), and revealed the nerve-tumor regulation mechanisms on oncogenic process, angiogenesis, lymphangiogenesis, and immunity. Finally, we discussed the promising directions of ‘old drugs newly used’ to target TME communication and clarified a new line to prevent tumor malignant capacity.
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