上海大学学报(自然科学版) ›› 2017, Vol. 23 ›› Issue (2): 161-168.doi: 10.3969/j.issn.1007-2861.2017.02.003

• 精准与转化医学 • 上一篇    下一篇

外泌体在肿瘤精准诊断与治疗中的研究进展

胡牧仁1, 陈婷2, 杨长青3, 葛步军1   

  1. 1. 同济大学附属同济医院普外科, 上海 200065;
    2. 温州医科大学附属第一医院皮肤科, 浙江 温州 325000;
    3. 同济大学附属同济医院消化内科, 上海 200065
  • 收稿日期:2017-04-03 出版日期:2017-04-30 发布日期:2017-04-30
  • 通讯作者: 葛步军(1967—), 男, 主任医师, 博士生导师, 博士, 研究方向为消化道肿瘤. E-mail: gebujun@126.com
  • 作者简介:葛步军(1967—), 男, 主任医师, 博士生导师, 博士, 研究方向为消化道肿瘤. E-mail: gebujun@126.com
  • 基金资助:

    国家自然科学基金资助项目(81370559, 81370586, 81670571); 上海市重要疾病联合攻关重大项目(2014ZYJB0201); 上海市新兴前沿技术联合攻关项目(SHDC12014122)

Exosomes in the precision diagnosis and treatment of cancer

HU Muren1, CHEN Ting2, YANG Changqing3, GE Bujun1   

  1. 1. Department of General Surgery, Tongji Hospital Affiliated to Tongji University, Shanghai 200065, China;
    2. Department of Dermatology, First Affiliated Hospital, Wenzhou Medical University, Wenzhou 325000, Zhejiang, China;
    3. Department of Gastroenterology, Tongji Hospital Affiliated to Tongji University, Shanghai 200065, China
  • Received:2017-04-03 Online:2017-04-30 Published:2017-04-30

摘要:

外泌体是一种细胞分泌的具有双层脂质膜结构的纳米级小囊泡, 几乎所有类型的细胞均可分泌外泌体. 外泌体携带核酸和蛋白质等多种具有生物活性的内容物, 不但在细胞间信息交流和信号转导的过程中起着重要作用, 而且参与了人体内各种病理生理过程. 肿瘤来源的外泌体参与调控肿瘤的生长发展和侵袭转移等过程. 外泌体在肿瘤的早期诊断、预后判断以及作为治疗工具方面的探索已经成为研究热点. 对外泌体在肿瘤的发生发展、转移侵袭以及在肿瘤精准诊断与个体化治疗方面的进展作一综述.

关键词: 治疗, 肿瘤,  精准诊断, 外泌体

Abstract:

Exosomes are nanoscale vesicle with a double lipid membrane structure, and can be secreted by almost all types of cells. Exosomes can carry nucleic acids and proteins, and play important roles in a variety of physiological and pathological processes especially in cell communication and signal transduction. Tumor cell-derived exosomes have been proved to be involved in the regulation of tumor growth, invasion and metastasis process. Exosomes’ roles in the early diagnosis, prognosis prediction and therapeutics have been a hot topic. This review summarizes the role of exosomes in the development and metastasis of cancer, and its potential function in the individually precise treatment.

Key words: precision diagnosis, treatment, tumor, exosome