共查询到18条相似文献,搜索用时 171 毫秒
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Gene therapy for gastric cancer: Is it promising? 总被引:1,自引:2,他引:1
Gastric cancer is one of the most common tumorsworldwide.The therapeutic outcome of conventionaltherapies is inefficient.Thus,new therapeutic strategiesare urgently needed.Gene therapy is a promisingmolecular alternative in the treatment of gastric cancer,including the replacement of defective tumor suppressorgenes,the inactivation of oncogenes,the introduction ofsuicide genes,genetic immunotherapy,anti-angiogeneticgene therapy,and virotherapy.Improved molecularbiological techniques and a better understanding ofgastric carcinogenesis have allowed us to validate avariety of genes as molecular targets for gene therapy.This review provides an update of the new developmentsin cancer gene therapy,new principles,techniques,strategies and vector systems,and shows how they maybe applied in the treatment of gastric cancer. 相似文献
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Ankita Tiwari Shivani Saraf Amit Verma Pritish Kumar Panda Sanjay K Jain 《World journal of gastroenterology : WJG》2018,(39)
Colorectal cancer(CRC) is the third most common cancer of mortality in the world. Chemotherapy based treatment leads to innumerable side effects as it delivers the anticancer drug to both normal cells besides cancer cells. Sonic Hedgehog(SHH), Wnt wingless-type mouse mammary tumor virus/β-catenin, transforming growth factor-β/SMAD, epidermal growth factor receptor and Notch are the main signaling pathways involved in the progression of CRC. Targeted therapies necessitate information regarding the particular aberrant pathways. Advancements in gene therapies have resulted in the recognition of novel therapeutic targets related with these signal-transduction cascades. CRC is a stepwise process where mutations occur over the time and activation of oncogenes and deactivation of tissue suppressor genes takes place. Genetic changes which are responsible for the induction of carcinogenesis include loss of heterozygosity in tumor suppressor genes such as adenomatous polyposis coli, mutation or deletion of genes like p53 and K-ras. Therefore, many gene-therapy approaches like gene correction, virusdirected enzyme-prodrug therapy, immunogenetic manipulation and virotherapy are currently being explored. Development of novel strategies for the safe and effective delivery of drugs to the cancerous site is the need of the hour. This editorial accentuates different novel strategies with emphasis on gene therapy and immunotherapy for the management of CRC. 相似文献
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Gastric cancer is the second most common of cancerrelated deaths worldwide.In the majority of cases gastric cancer is advanced at diagnosis and although medical and surgical treatments have improved,survival rates remain poor.Cancer immunotherapy has emerged as a powerful and promising clinical approach for treatment of cancer and has shown major success in breast cancer,prostate cancer and melanoma.Here,we provide an overview of concepts of modern cancer immunotherapy including the theory,current approaches,remaining hurdles to be overcome,and the future prospect of cancer immunotherapy in the treatment of gastric cancer.Adaptive cell therapies,cancer vaccines,gene therapies,monoclonal antibody therapies have all been used with some initial successes in gastric cancer.However,to date the results in gastric cancer have been disappointing as current approaches often do not stimulate immunity efficiently allowing tumors continue to grow despite the presence of a measurable immune response.Here,we discuss the identification of targets for immunotherapy and the role of biomarkers in prospectively identifying appropriate subjects or immunotherapy.We also discuss the molecular mechanisms by which tumor cells escape host immunosurveillance and produce an immunosuppressive tumor microenvironment.We show how advances have provided tools for overcoming the mechanisms of immunosuppression including the use of monoclonal antibodies to block negative regulators normally expressed on the surface of T cells which limit activation and proliferation of cytotoxic T cells.Immunotherapy has greatly improved and is becoming an important factor in such fields as medical care and welfare for human being.Progress has been rapid ensuring that the future of immunotherapy for gastric cancer is bright. 相似文献
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Bruno Christian Koehler Dirk Jger Henning Schulze-Bergkamen 《World journal of gastroenterology : WJG》2014,20(8):1923-1934
The evasion from controlled cell death induction has been considered as one of the hallmarks of cancer cells.Defects in cell death signaling are a fundamental phenomenon in colorectal cancer.Nearly any non-invasive cancer treatment finally aims to induce cell death.However,apoptosis resistance is the major cause for insufficient therapeutic success and disease relapse in gastrointestinal oncology.Various compounds have been developed and evaluated with the aim to meet with this obstacle by triggering cell death in cancer cells.The aim of this review is to illustrate current approaches and future directions in targeting cell death signaling in colorectal cancer.The complex signaling network of apoptosis will be demonstrated and the"druggability"of targets will be identified.In detail,proteins regulating mitochondrial cell death in colorectal cancer,such as Bcl-2 and survivin,will be discussed with respect to potential therapeutic exploitation.Death receptor signaling and targeting in colorectal cancer will be outlined.Encouraging clinical trials including cell death based targeted therapies for colorectal cancer are under way and will be demonstrated.Our conceptual understanding of cell death in cancer is rapidly emerging and new types of controlled cellular death have been identified.To meet this progress in cell death research,the implication of autophagy and necroptosis for colorectal carcinogenesis and therapeutic approaches will also be depicted.The main focus of this topic highlight will be on the revelation of the complex cell death concepts in colorectal cancer and the bridging from basic research to clinical use. 相似文献
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In recent decades,the study of the mechanism of tumorigenesis has brought much progress to cancer treatment.However,cancer stem cell(CSC)theory has changed previous views of tumors,and has provided a new method for treatment of cancer.The discovery of CSCs and their characteristics have contributed to understanding the molecular mechanism of tumor genesis and development,resulting in a new effective strategy for cancer treatment.Gastric CSCs(GCSCs)are the basis for the onset of gastric cancer.They may be derived from gastric stem cells in gastric tissues,or bone marrow mesenchymal stem cells.As with other stem cells,GCSCs highly express drug-resistance genes such as aldehyde dehydrogenase and multidrug resistance,which are resistant to chemotherapy and thus form the basis of drug resistance.Many specific molecular markers such as CD44 and CD133 have been used for identification and isolation of GCSCs,diagnosis and grading of gastric cancer,and research on GCSC-targeted therapy for gastric cancer.Therefore,discussion of the recent development and advancements in GCSCs will be helpful for providing novel insight into gastric cancer treatment. 相似文献
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Cao DX Li ZJ Jiang XO Lum YL Khin E Lee NP Wu GH Luk JM 《World journal of gastroenterology : WJG》2012,18(30):3923-3930
Gastric cancer and liver cancer are among the most common malignancies and the leading causes of death worldwide,due to late detection and high recurrence rates.Today,these cancers have a heavy socioeconomic burden,for which a full understanding of their pathophysiological features is warranted to search for promising biomarkers and therapeutic targets.Osteopontin (OPN) is overexpressed in most patients with gastric and liver cancers.Over the past decade,emerging evidence has revealed a correlation of OPN level and clinicopathological features and prognosis in gastric and liver cancers,indicating its potential as an independent prognostic indicator in such patients.Functional studies have verified the potential of OPN knockdown as a therapeutic approach in vitro and in vivo .Furthermore,OPN mediates multifaceted roles in the interaction between cancer cells and the tumor microenvironment,in which many details need further exploration.OPN signaling results in various functions,including prevention of apoptosis,modulation of angiogenesis,malfunction of tumor-associated macrophages,degradation of extracellular matrix,activation of phosphoinositide 3-kinase-Akt and nuclear factor-κB pathways,which lead to tumor formation and progression,particularly in gastric and liver cancers.This editorial aims to review recent findings on alteration in OPN expression and its clinicopathological associations with tumor progression,its potential as a therapeutic target,and putative mechanisms in gastric and liver cancers.Better understanding of the implications of OPN in tumorigenesis might facilitate development of therapeutic regimens to benefit patients with these deadly malignancies. 相似文献
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Gastric carcinoma remains a common disease worldwide with a dismal prognosis. Therefore, it represents a very important health problem. It occurs with a high incidence in Asia and is one of the leading causes of cancer death in the world. Although the incidence and mortality of gastric carcinoma are decreasing in many countries, gastric cancer still represents the second most frequent malignancies in the world and the fourth in Europe. The 5-year survival rate of gastric carcinoma is low. The etiology and pathogenesis are not yet fully known. The study of gastric cancer is important in clinical medicine as well as in public health. Over the past 15 years, integrated research in molecular pathology has clarified the details of genetic and epigenetic abnormalities of cancer-related genes in the course of the development and progression of gastric cancer. Gastric cancer, as all cancers, is the end result of the interplay of many risk factors as well as protective factors. Although epidemiological evidence indicates that environmental factors play a major role in gastric carcinogenesis, the role of immunological, genetic, and immunogenetic factors are thought to contribute to the pathogenesis of gastric carcinoma. Among the environmental factors, diet and Helicobacter pylori are more amenable to intervention aimed at the prevention of gastric cancer. The aim of the present paper is to review and include the most recent published evidence to demonstrate that only a multidisciplinary approach will lead to the advancement of the pathogenesis and prevention of gastric cancer. On the immunogenetic research it is clear that evidence is accumulating to suggest that a genetic profile favoring the proinflammatory response increases the risk of gastric carcinoma. 相似文献
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Isabel Fabregat 《World journal of gastroenterology : WJG》2009,15(5):513-520
Hepatocellular carcinoma (HCC) is a major health prob- lem, being the sixth most common cancer world-wide. Dysregulation of the balance between proliferation and cell death represents a pro-tumorigenic principle in hu- man hepatocarcinogenesis. This review updates the recent relevant contributions reporting molecular altera- tions for HCC that induce an imbalance in the regulation of apoptosis. Alterations in the expression and/or activation of p53 are frequent in HCC cells, which confer on them resistance to chemotherapeutic drugs. Many HCCs are also insensitive to apoptosis induced either by death receptor ligands, such as FasL or TRAIL, or by transforming growth factor-beta (TGF-β). Although the expression of some pro-apoptotic genes is decreased, the balance between death and survival is dysregulated in HCC mainly due to overactivation of anti-apoptotic pathways. Indeed, some molecules involved in counter- acting apoptosis, such as Bcl-X1, Mcl-1, c-IAP1, XIAP or survivin are over-expressed in HCC cells. Furthermore, some growth factors that mediate cell survival are upregulated in HCC, as well as the molecules involved in the machinery responsible for cleavage of their pro- forms to an active peptide. The expression and/or activation of the JAK/STAT, PI3K/AKT and RAS/ERKs path- ways are enhanced in many HCC cells, conferring on them resistance to apoptotic stimuli. Finally, recent evi- dence indicates that inflammatory processes, as well as the epithelial-mesenchymal transitions that occur in HCC cells to facilitate their dissemination, are related to cell survival. Therefore, therapeutic strategies to selectively inhibit anti-apoptotic signals in liver tumor cells have the potential to provide powerful tools to treat HCC. 相似文献
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Survivin: Potential role in diagnosis, prognosis and targeted therapy of gastric cancer 总被引:15,自引:0,他引:15
Survivin is a protein that is highly expressed in a vast number of malignancies,but is minimally expressed in normal tissues. It plays a role as an inhibitor of cell death in cancer cells,thus facilitating the growth of these cells. In the case of gastric cancer,survivin is over-expressed in tumor cells and plays a role in the carcinogenesis process. Several studies on gastric cancer have indicated that there is a relationship between survivin expression and the ultimate behavior of the carcinoma. Since the expression pattern of survivin is selective to cancer cells,it has been described as an "ideal target" for cancer therapy. Currently,several pre-clinical and clinical trials are on-going to investigate the effects of interfering with survivin function in cancer cells as a biologic therapy. Survivin is a potentially significant protein in the diagnosis,prognosis and treatment of gastric tumors. 相似文献
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背景:胃癌是我国最常见的恶性肿瘤之一,survivin是凋亡抑制蛋白家族的新成员,在胃癌组织中高表达。目的:构建survivin基因短发夹RNA(shRNA)真核表达载体并观察其对人胃癌细胞株BGC823和SGC7901中survivin表达的影响。方法:根据GenBank中survivin基因序列设计并合成能转录shRNA的双链DNA序列,插入含有绿色荧光蛋白(GFP)基因和U6启动子的真核表达载体pRNAT-U6.3中,构建重组载体pRNA-shSUR。重组载体经鉴定后转染胃癌细胞株BGC823和SGC7901,以转染pRNA-shControl作为阴性对照。荧光显微镜下观察转染情况,蛋白质印迹法检测survivin蛋白表达,Annexin V-FITC/PI双染法检测胃癌细胞凋亡情况。结果:成功构建了针对survivin基因的shRNA表达载体。转染胃癌BGC823和SGC7901细胞48 h后,与阴性对照组相比,pRNA-shSUR组GFP表达增强,survivin蛋白表达受到明显抑制(P<0.05),胃癌细胞早期凋亡率明显增加。结论:成功构建靶向survivin基因的特异性shRNA真核表达载体,转染胃癌细胞后可抑制survivin蛋白表达并促进细胞凋亡,为进一步研究survivin基因与胃癌生物学行为以及化疗耐药等的相关性奠定了基础。 相似文献
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小干扰RNA抑制胃癌细胞环氧合酶-2的表达 总被引:10,自引:0,他引:10
目的 观察瞬时转染环氧合酶-2特异性小干扰RNA(COX-2 siRNA)对胃癌细胞增殖与凋亡的影响,探讨COX-2在胃癌发生中的作用和RNA干扰方法 对肿瘤的治疗作用.方法 以胃癌细胞系SGC7901为研究对象,瞬时转染COX-2 siRNA,转染后72 h用RT-PCR方法 分别检测COX-2siRNA组、无意义siRNA组及空白对照组的COX-2 mRNA表达;免疫组化法与Western blot检测3组细胞的COX-2蛋白质的表达;流式细胞仪检测3组的细胞周期和凋亡情况.转染后1周内每天同一时间用噻唑蓝比色分析法(MTr)检测3组癌细胞的活力并计算癌细胞的相对生存率.结果 COX-2siRNA对胃癌细胞中COX-2 mRNA及蛋白表达均有明显抑制作用,胃癌细胞增殖受到抑制,凋亡增加,但细胞周期分布无明显变化.结论 在胃癌细胞中,COX-2表达的抑制可降低胃癌细胞的增殖速度,促进肿瘤细胞凋亡,COX-2在胃癌的发生中可能具有重要作用. 相似文献
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Gene therapy and virotherapy of gastric cancer: preclinical results and clinical developments 总被引:2,自引:0,他引:2
Heideman DA 《Digestive diseases (Basel, Switzerland)》2004,22(4):374-379
Despite advances in current treatment modalities, the clinical outcome of gastric cancer remains dismal. New treatment modalities are urgently required to improve the prognosis of patients with gastric cancer. Cancer gene therapy and virotherapy comprise a potential category of new therapeutics and will be discussed in this review. To date, various gene therapy strategies have been developed, but first clinical trials reported only limited therapeutic efficacy as a result of limited gene transfer efficiency. Consequently, targeted viral vectors for enhanced delivery of transgenes to tumor cells and replicative viral systems designed to replicate selectively in malignant tissue were developed. Replication-selective oncolytic viral vectors have the advantage over non-replicative systems to cause pronounced bystander effect via self-perpetuating infection of adjacent cells after cytolysis of primary targeted cells. So far, clinical studies on virotherapy showed encouraging results; especially promising are combinations of virotherapy with current modes of treatment like chemo- and radiotherapy, or insertion of therapeutic genes in the viral genome such as combination with enzyme-prodrug therapy. Further research aiming to enhance anti-tumor efficacy and to improve selectivity of infection and replication, will eventually lead to full realization of the therapeutic potential of (replicating) viral vector systems for gastric cancer. 相似文献
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Apoptosis in gastric epithelium induced by Helicobacter pylori infection: implications in gastric carcinogenesis 总被引:41,自引:0,他引:41
OBJECTIVES: Helicobacter pylori is an identified carcinogen for gastric cancer, however, the underlying mechanisms remain to be defined. In this review, we sought to elucidate the role of apoptosis in gastric carcinogenesis, to determine the influence of H. pylori infection on apoptosis, and finally to provide insights into the mechanisms by which H. pylori may lead to gastric carcinogenesis. METHODS: A broad-based MEDLINE and Current Contents literature search was performed to identify relevant publications between 1966 and March 2000 addressing H. pylori infection, apoptosis, cell proliferation, gastric carcinoma, oncogenes, and tumor suppressor genes, as well as the products of these genes. Abstracts from recent major conferences that provided adequate additional data were also included. RESULTS: Apoptotic cells are rare in the glandular neck region (the generative cell zone) of normal gastric mucosa. With progression of atrophic gastritis, the generative cell zone shifts downward and a relatively large number of apoptotic cells occur. In intestinalized glands, both apoptotic cells and proliferative cells are present in deeper portions of the glands, corresponding to the generative zone. A higher frequency of apoptosis has been observed in gastric dysplasia than in coexisting gastric carcinomas, whereas the number of proliferative cells is significantly higher in gastric carcinoma than in dysplasia. Upregulation of oncogene bcl-2 in premalignant lesions and "downregulation" of the gene after malignant change is probably a common event. Accumulation of p53 protein is first detected in dysplasia, although mutation of the pS3 gene may occur in intestinal metaplasia. H. pylori infection induces apoptosis in gastric epithelial cells, which returns to normal after eradication of the infection. Numerous molecules produced by H. pylori including cytotoxin (VacA), lipopolysaccharide, monochloramine, and nitric oxide may directly induce apoptosis. Moreover, H. pylori-stimulated host inflammatory/immune responses lead to release of a large amount of cytokines. Cytokines produced by type 1 T helper cells, such as TNF-alpha and IFN-gamma, markedly potentiate apoptosis. Gastric cell proliferation is significantly higher in patients with H. pylori infection than in normal controls, and eradication of the infection leads to a reduction in cell proliferation. Apoptosis and cell proliferation are also increased in precancerous lesions such as gastric atrophy, intestinal metaplasia, and dysplasia in the presence of H. pylori infection. However, H. pylori-induced apoptosis may no longer be cell cycle-dependent in these lesions because of the occurrence of alterations and mutations of apoptosis-regulating genes, resulting in a loss of balance between apoptosis and cell proliferation. CONCLUSIONS: It is hypothesized that H. pylori-induced apoptosis may play a key role in gastric carcinogenesis by increasing cell proliferation and/or resulting in gastric atrophy. 相似文献
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Adenovirus mediated p53 tumour suppressor gene therapy for human gastric cancer cells in vitro and in vivo 总被引:22,自引:0,他引:22 下载免费PDF全文
Ohashi M Kanai F Ueno H Tanaka T Tateishi K Kawakami T Koike Y Ikenoue T Shiratori Y Hamada H Omata M 《Gut》1999,44(3):366-371
BACKGROUND/AIMS: Gastric cancer is one of the most prevalent forms of cancer in East Asia. Point mutation of the p53 gene has been reported in more than 60% of cases of gastric cancer and can lead to genetic instability and uncontrolled cell proliferation. The purpose of this investigation was to evaluate the potential of p53 gene therapy for gastric cancer. METHODS: The responses of human gastric cancer cell lines, MKN1, MKN7, MKN28, MKN45, and TMK-1, to recombinant adenoviruses encoding wild type p53 (AdCAp53) were analysed in vitro. The efficacy of the AdCAp53 treatment for MKN1 and MKN45 subcutaneous tumours in nude mice was assessed in vivo. RESULTS: p53-specific growth inhibition was observed in vitro in two of four gastric cancer cell lines with mutated p53, but not in the wild type p53 cell line. The mechanism of the killing of gastric cancer cells by AdCAp53 was found, by flow cytometric analysis and detection of DNA fragmentation, to be apoptosis. In vivo studies showed that the growth of subcutaneous tumours of p53 mutant MKN1 cells was significantly inhibited by direct injection of AdCAp53, but no significant growth inhibition was detected in the growth of p53 wild type MKN45 tumours. CONCLUSIONS: Adenovirus mediated reintroduction of wild type p53 is a potential clinical utility in gene therapy for gastric cancers. 相似文献
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腺病毒介导的p27kip1基因对胃癌细胞周期和DNA合成的影响 总被引:3,自引:4,他引:3
背景:近年来胃癌基因治疗的研究取得了一定的进展,但总体疗效尚不尽人意,目前正积极寻求组织特异性基因作为胃癌基因治疗的突破点。目的:以腺病毒为载体,研究p27kipl基因对胃癌细胞周期和DNA合成的影响。方法:将成功构建的携带人p27kipl基因的重组腺病毒载体Ad-p27kipl和LacZ重组腺病毒Ad-LacZ转染胃癌细胞系SGC-7901,并观察细胞形态的变化,流式细胞仪检测细胞周期和凋亡,^3H-胸腺嘧啶核苷(TdR)掺入实验测定细胞DNA合成。结果:Ad-p27kip1转染SGC-7901细胞后,细胞变圆、呈葡萄串样聚集以致脱落,G0/G1期细胞比例增加,8期、G2/M期细胞比例降低,并有凋亡发生,^3H-TdR掺入量亦显著降低。结论:腺病毒介导的p27kipl基因能使SGC-7901细胞产生G0/G1期阻滞,并能诱导细胞凋亡,抑制DNA合成,表明该基因疗法能有效抑制体外胃癌细胞的生长。 相似文献