Research progress on the mechanism of recurrence and metastasis of giant cell tumor of bone
Fan Mengke1,2, Wang Ling1,3, Ma Jiangtao1, Zhu Chao1, Zhang Qi1,2
1Orthopaedic Research Institute, Third Hospital of Hebei Medical University, Shijiazhuang 050051, China; 2College of Integrated Traditional Chinese and Western Medicine, Hebei Medical University, Shijiazhuang 050051, China; 3Department of Bone Tumor, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, China
摘要目的 总结骨巨细胞瘤(GCTB)复发转移机制的研究进展,以期为寻找新的诊治靶点提供必要的实验及理论依据。方法 在 PubMed、中国知网、万方数据和大医医学等数据库以“骨巨细胞瘤”“骨巨细胞瘤复发”“骨巨细胞瘤转移”和“giant cell tumor of bone”“recurrence of giant cell tumor of bone”“metastasis of giant cell tumor of bone”为中英文关键词,检索2001年1月—2018年12月国内外有关骨巨细胞瘤复发转移机制方面的相关文献资料,并进行汇总分析。结果 共检索到文献5 703篇,按纳入标准和排除标准最终纳入40篇文献,其中中文文献9篇和英文文献31篇。大量的研究证实RANK/RANKL信号通路、基质金属蛋白酶、细胞周期相关分子、肿瘤微环境细胞因子、组蛋白修饰、免疫细胞与相关分子等对GCTB的复发转移有促进作用。结论 GCTB较强的侵袭性及远处转移性导致治疗遭遇瓶颈,其复发转移机制至今仍不清楚,因此深入研究GCTB的复发转移机制,寻找新的治疗靶点非常关键。
Abstract:Objective To summarize the research progress of the mechanism of recurrence and metastasis of giant cell tumor of bone (GCTB).Methods Related literatures with the words “骨巨细胞瘤”“骨巨细胞瘤复发”“骨巨细胞瘤转移”, and “giant cell tumor of bone”“recurrence of giant cell tumor of bone”“metastasis of giant cell tumor of bone”on the mechanism of recurrence and metastasis of giant cell tumor of bone were searched and summarized in the database of PubMed, CNKI, Wanfang, and Dayi from January 2001 to December 2018.Results A total of 5 703 articles were retrieved, in which 40 articles were finally included according to the inclusion and exclusion criteria (9 Chinese articles and 31 English articles). A lot of researches confirmed that RANK/RANKL signaling pathway, matrix metalloproteinases, cell cycle related molecules, tumor microenvironment cytokines, histone modifications, immune cells and related molecules can promote the recurrence and metastasis of GCTB.Conclusions Strong recurrence and metastasis rate of GCTB, which mechanism remains unclear, has been a bottleneck stage in treatment. Therefore, it is critical to understand the mechanism of GCTB recurrence and metastasis to improve the treatment.
范梦科, 王玲, 马江涛, 朱超, 张奇. 骨巨细胞瘤复发转移机制的研究进展[J]. 中华解剖与临床杂志, 2020, 25(2): 208-212.
Fan Mengke, Wang Ling, Ma Jiangtao, Zhu Chao, Zhang Qi. Research progress on the mechanism of recurrence and metastasis of giant cell tumor of bone. Chinese Journal of Anatomy and Clinics, 2020, 25(2): 208-212.
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