CD151

CD151
  • 文章类型: Journal Article
    最近,四跨膜蛋白CD151已被确定为参与包括细胞粘附在内的转移过程的重要生物学靶标。肿瘤进展过程,在不同类型的癌症中,如乳腺癌和胶质母细胞瘤。这在Silico研究中考虑了来自食品和药物管理局数据库的1603种化合物,在进行ADMET分析后,我们选择了853个配体,用于对接分析。最有前途的配体是从对接研究中选出的,基于两个标准:(a)对CD151蛋白的亲和力最低,(b)它们与QRD基序相互作用,位于第二个胞外环。此外,我们通过MD模拟以及自由能MM-PBSA计算研究了蛋白质-配体复合物的稳定性。从这些结果来看,洛哌丁胺和格列吡嗪被确定为评价最好的药物。我们建议需要进行体外分析以确认我们的计算机模拟预测研究。
    Recently tetraspanin CD151 has been identified as an important biological target involved in metastatic processes which include cell adhesion, tumor progression processes, and so forth in different types of cancers, such as breast cancer and glioblastoma. This in Silico study considered 1603 compounds from the Food and Drug Administration database, after performing an ADMET analysis; we selected 853 ligands, which were used for docking analysis. The most promising ligands were selected from docking studies, based on two criteria: (a) showed lowest affinity to the CD151 protein and (b) they interact with the QRD motif, located in the second extracellular loop. Furthermore, we investigate the stability of the protein-ligand complexes through MD simulations as well as free energy MM-PBSA calculations. From these results, loperamide and glipizide were identified as the best evaluated drugs. We suggest an in vitro analysis is needed to confirm our in silico prediction studies.
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  • 文章类型: Journal Article
    阐明人脐带间充质干细胞(hUC-MSC)的增殖和迁移能力决定其在类风湿性关节炎治疗中的治疗功效的潜在机制。
    利用DBA/1J小鼠建立胶原诱导的RA(CIA)小鼠模型并验证用CD151siRNA转染的hUC-MSC的治疗功效。RNA-seq,QT-PCR和蛋白质印迹用于评估PI3K/AKT途径的mRNA和蛋白质水平。分别。
    IFN-γ显著增强hUC-MSCs的增殖和迁移能力,上调与细胞增殖和迁移相关的基因CD151的表达。通过CD151siRNA处理实现了这种作用的有效抑制。然而,IFN-γ不影响hUC-MSCs分化或细胞表面标志物的变化。此外,与空载体治疗(siRNA-NC-hUC-MSCs)相比,CD151干扰的hUC-MSCs(siRNA-CD151-hUC-MSCs)移植导致CIA小鼠脚趾定植减少,治疗效果更差.
    IFN-γ通过CD151/PI3K/AKT途径促进hUC-MSCs的增殖和迁移。发现siRNA-CD151-hUC-MSC的治疗功效劣于siRNA-NC-hUC-MSC的治疗功效。
    UNASSIGNED: To elucidate the underlying mechanism by which the proliferation and migration abilities of human umbilical cord mesenchymal stem cells (hUC-MSCs) determine their therapeutic efficacy in rheumatoid arthritis treatment.
    UNASSIGNED: The DBA/1J mice were utilized to establish a collagen-induced RA (CIA) mouse model and to validate the therapeutic efficacy of hUC-MSCs transfected with CD151 siRNA. RNA-seq, QT-PCR and western blotting were utilized to evaluate the mRNA and protein levels of the PI3K/AKT pathway, respectively.
    UNASSIGNED: IFN-γ significantly enhanced the proliferation and migration abilities of hUC-MSCs, up-regulating the expression of CD151, a gene related to cell proliferation and migration. Effective inhibition of this effect was achieved through CD151 siRNA treatment. However, IFN-γ did not affect hUC-MSCs differentiation or changes in cell surface markers. Additionally, transplantation of CD151-interfered hUC-MSCs (siRNA-CD151-hUC-MSCs) resulted in decreased colonization in the toes of CIA mice and worse therapeutic effects compared to empty vector treatment (siRNA-NC-hUC-MSCs).
    UNASSIGNED: IFN-γ facilitates the proliferation and migration of hUC-MSCs through the CD151/PI3K/AKT pathway. The therapeutic efficacy of siRNA-CD151-hUC-MSCs was found to be inferior to that of siRNA-NC-hUC-MSCs.
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  • 文章类型: Journal Article
    背景:四跨膜蛋白家族在迁移体的发生中起关键作用,TetraspaninCD151也与肿瘤环境中的新生血管形成有关。然而,关于CD151参与肝细胞癌(HCC)新生血管形成及其与迁移体相关的研究仍然不足.
    方法:为了探讨CD151与迁移体标志物TSPAN4在肝癌中的相关性,我们使用HCC患者的临床数据进行了数据库分析.在HCC组织中评估CD151的表达水平,并与患者的生存结果相关。使用HCC细胞系进行体外实验以评估CD151表达对迁移体形成和细胞侵袭性的影响。使用具有改变的CD151表达水平的细胞系来研究迁移体的产生和体外侵袭能力。此外,通过细胞聚集试验和吞噬作用研究探讨了迁移体的功能.随后的VEGF水平分析和组织芯片实验进一步证实了CD151在介导迁移体参与血管生成和细胞信号转导中的作用。
    结果:我们的研究揭示了CD151表达和迁移体标志物TSPAN4在肝癌中的显著相关性,基于临床样本的数据库分析。CD151的高表达水平与HCC患者的不良生存预后密切相关。实验上,CD151表达减少导致偏头痛小体生成减少,体外侵袭能力减弱,导致体内转移潜能减弱。迁移体被证明有助于细胞聚集和吞噬作用,从而促进细胞侵袭。此外,富含VEGF的迁移体与信号传导和血管生成有关,加速HCC进展。
    结论:总之,我们的研究结果支持CD151表达升高促进迁移体形成的观点,迁移体在肝癌细胞的侵袭和血管生成中起着关键作用,从而促进HCC进展。这一发现表明,由CD151表达升高产生的迁移体可能构成HCC抗血管生成治疗的有希望的高优先级靶标。为深入探索迁移体功能和重新理解肝癌转移的潜在机制提供了重要见解。
    BACKGROUND: The tetraspanin family plays a pivotal role in the genesis of migrasomes, and Tetraspanin CD151 is also implicated in neovascularization within tumorous contexts. Nevertheless, research pertaining to the involvement of CD151 in hepatocellular carcinoma (HCC) neovascularization and its association with migrasomes remains inadequate.
    METHODS: To investigate the correlation between CD151 and migrasome marker TSPAN4 in liver cancer, we conducted database analysis using clinical data from HCC patients. Expression levels of CD151 were assessed in HCC tissues and correlated with patient survival outcomes. In vitro experiments were performed using HCC cell lines to evaluate the impact of CD151 expression on migrasome formation and cellular invasiveness. Cell lines with altered CD151 expression levels were utilized to study migrasome generation and in vitro invasion capabilities. Additionally, migrasome function was explored through cellular aggregation assays and phagocytosis studies. Subsequent VEGF level analysis and tissue chip experiments further confirmed the role of CD151 in mediating migrasome involvement in angiogenesis and cellular signal transduction.
    RESULTS: Our study revealed a significant correlation between CD151 expression and migrasome marker TSPAN4 in liver cancer, based on database analysis of clinical samples. High expression levels of CD151 were closely associated with poor survival outcomes in HCC patients. Experimentally, decreased CD151 expression led to reduced migrasome generation and diminished in vitro invasion capabilities, resulting in attenuated in vivo metastatic potential. Migrasomes were demonstrated to facilitate cellular aggregation and phagocytosis, thereby promoting cellular invasiveness. Furthermore, VEGF-enriched migrasomes were implicated in signaling and angiogenesis, accelerating HCC progression.
    CONCLUSIONS: In summary, our findings support the notion that elevated CD151 expression promotes migrasome formation, and migrasomes play a pivotal role in the invasiveness and angiogenesis of liver cancer cells, thereby facilitating HCC progression. This finding implies that migrasomes generated by elevated CD151 expression may constitute a promising high-priority target for anti-angiogenic therapy in HCC, offering crucial insights for the in-depth exploration of migrasome function and a renewed comprehension of the mechanism underlying liver cancer metastasis.
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  • 文章类型: Journal Article
    食管鳞状细胞癌(ESCC)是一种恶性肿瘤,通常与吸烟或饮酒有关。越来越多的证据揭示了长链非编码RNA(lncRNA)通过分子机制参与肿瘤发展和转移的调控。然而,lncRNASUMO1假基因3(lncSUMO1P3)对ESCC发展至关重要的功能仍然不清楚。
    进行逆转录定量实时聚合酶链反应(RT-qPCR)和蛋白质印迹(WB)分析以测量RNA和蛋白质水平。进行功能测定以检查ESCC细胞表型的变化。生物信息学分析支持,进行了机制分析,以评估不同基因之间的推定相互作用。
    LlncSUMO1P3在ESCC细胞系中异常上调,lncSUMO1P3缺乏会阻碍细胞增殖,ESCC中的迁移和侵袭以及上皮-间质转化(EMT),而lncSUMO1P3过表达导致相反的后果。LncSUMO1P3可以竞争性结合microRNA-486-5p(miR-486-5p)或PHD指蛋白8(PHF8)以调节CD151表达。CD151也被证实可以调节ESCC细胞的生物学行为。
    我们的研究表明,lncSUMO1P3在ESCC细胞中上调,可以海绵化miR-486-5p并招募PHF8上调CD151,从而影响ESCC细胞的恶性行为。
    UNASSIGNED: Esophageal squamous cell carcinoma (ESCC) is a malignancy usually associated with smoking or alcohol consumption. The involvement of long noncoding RNAs (lncRNAs) in the regulation of tumor development and metastasis through molecular mechanisms has been unveiled by accumulating evidence. However, the function of lncRNA SUMO1 Pseudogene 3 (lncSUMO1P3) essential to ESCC development remains obscure.
    UNASSIGNED: Reverse transcription quantitative real-time polymerase chain reaction (RT-qPCR) and Western blot (WB) analysis were done to measure RNA and protein levels. Functional assays were carried out to examine the changes in ESCC cell phenotype. Supported by bioinformatics analysis, mechanism assays were done for assessment of putative interactions among different genes.
    UNASSIGNED: LlncSUMO1P3 was aberrantly up-regulated in ESCC cell lines, and lncSUMO1P3 deficiency could hamper cell proliferation, migration and invasion as well as epithelial-mesenchymaltransition (EMT) in ESCC while lncSUMO1P3 overexpression led to the opposite consequences. LncSUMO1P3 could competitively bind to microRNA-486-5p (miR-486-5p) or PHD finger protein 8 (PHF8) to modulate CD151 expression. CD151 was also verified to regulate ESCC cell biological behaviors.
    UNASSIGNED: Our study revealed that lncSUMO1P3, up-regulated in ESCC cells, could sponge miR-486-5p and recruit PHF8 to up-regulate CD151, thus influencing the malignant behaviors of ESCC cells.
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  • 文章类型: Published Erratum
    在上述论文发表后,一位感兴趣的读者提请作者注意,在图中。在第839页的4A中,“CD151/24h”和“CD151‑ARSA/48h”面板似乎包含重叠的数据部分,这样它们可能来自相同的原始来源,其中这些面板旨在显示来自不同执行的实验的结果。作者重新检查了他们的原始数据,并意识到“CD151‑ARSA/48h”面板在图中无意中错误放置。图的修订版。图4,现在包含图中“CD151‑ARSA/48h”实验的正确数据。4A,如下所示。请注意,此错误不会对本研究中报告的结果或总体结论产生不利影响。所有作者都同意本更正的出版,并感谢《分子医学报告》的编辑让他们有机会发表这篇文章。他们还希望对造成的不便向《华尔街日报》的读者道歉。[分子医学报告7:836-842,2013;DOI:10.3892/mmr.2012.1250]。
    Subsequently to the publication of the above paper, an interested reader drew to the authors\' attention that, in Fig. 4A on p. 839, the \'CD151/24 h\' and \'CD151‑ARSA/48 h\' panels appeared to contain overlapping sections of data, such that they were potentially derived from the same original source, where these panels were intended to show the results from differently performed experiments. The authors have re‑examined their original data, and realize that the \'CD151‑ARSA/48 h\' panel was inadvertently placed incorrectly in the figure. The revised version of Fig. 4, now containing the correct data for the \'CD151‑ARSA/48 h\' experiment in Fig. 4A, is shown below. Note that this error did not adversely affect either the results or the overall conclusions reported in this study. All the authors agree with the publication of this corrigendum, and are grateful to the Editor of Molecular Medicine Reports for allowing them the opportunity to publish this. They also wish to apologize to the readership of the Journal for any inconvenience caused. [Molecular Medicine Reports 7: 836‑842, 2013; DOI: 10.3892/mmr.2012.1250].
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  • 文章类型: Journal Article
    背景:口腔癌的诊断工具有限,无法帮助临床治疗。目前的证据表明半染色体的改变,粘附复合物主要参与上皮与基底膜的附着,与多种癌症的癌症表型相关。本系统综述旨在评估半上小脑改变的实验证据,特别是与口腔潜在恶性疾病和口腔鳞状细胞癌有关。
    方法:我们进行了一项系统综述,以总结现有文献中关于半网状结构成分及其在口腔癌前病变和癌症中的作用。相关研究是从Scopus的全面搜索中检索到的,OvidMEDLINE,OvidEmbase和WebofScience。
    结果:26篇文章符合纳入标准,其中19项是体外研究,4个体内研究,1体外和体内研究,和2个体外和队列研究。其中,15项研究讨论了单个α-6和/或β-4亚基,12项研究讨论了α-6β-4异二聚体,6项研究讨论了整个半结膜复合体,5项研究讨论了大疱性类天疱疮-180,3项研究讨论了plectin,3项研究讨论了大疱性类天疱疮抗原-1,1项研究讨论了四跨膜蛋白。
    结论:细胞类型的异质性,实验模型,和方法进行了观察。半网间体成分的改变被证明有助于口腔癌前病变和癌症。我们得出的结论是,有足够的证据表明半染色体及其成分是评估口腔癌变的潜在生物标志物。
    BACKGROUND: Oral cancers have limited diagnostic tools to aid clinical management. Current evidence indicates that alterations in hemidesmosomes, the adhesion complexes primarily involved in epithelial attachment to the basement membrane, are correlated to cancer phenotype for multiple cancers. This systematic review aimed to assess the experimental evidence for hemidesmosomal alterations, specifically in relation to oral potentially malignant disorders and oral squamous cell carcinomas.
    METHODS: We conducted a systemic review to summarise the available literature on hemidesmosomal components and their role in oral pre-cancer and cancer. Relevant studies were retrieved from a comprehensive search of Scopus, Ovid MEDLINE, Ovid Embase and Web of Science.
    RESULTS: 26 articles met the inclusion criteria, of which 19 were in vitro studies, 4 in vivo studies, 1 in vitro and in vivo study, and 2 in vitro and cohort studies. Among them, 15 studies discussed individual alpha-6 and/or beta-4 subunits, 12 studies discussed the alpha-6 beta-4 heterodimers, 6 studies discussed the entire hemidesmosome complex, 5 studies discussed bullous pemphigoid-180, 3 studies discussed plectin, 3 studies discussed bullous pemphigoid antigen-1 and 1 study discussed tetraspanin.
    CONCLUSIONS: Heterogeneity in cell type, experimental models, and methods were observed. Alterations in hemidesmosomal components were shown to contribute to oral pre-cancer and cancer. We conclude that there is sufficient evidence for hemidesmosomes and their components to be potential biomarkers for evaluating oral carcinogenesis.
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  • 文章类型: Journal Article
    CD151是参与肿瘤进展的跨膜蛋白,并且已经显示调节促成恶性肿瘤的各种细胞和分子机制。最近,CD151在肿瘤免疫微环境(TIME)中的作用作为癌症治疗的潜在靶点而备受关注.这篇综述旨在探讨CD151在时代,专注于治疗和临床观点。将讨论CD151在调节肿瘤细胞与免疫系统之间的相互作用中的作用,以及目前对这些相互作用的分子机制的理解。还将回顾CD151靶向疗法的发展现状以及这些疗法的潜在临床应用。这篇综述概述了CD151在TIME中的作用,并强调了CD151作为癌症治疗靶点的潜力。
    CD151 is a transmembrane protein implicated in tumor progression and has been shown to regulate various cellular and molecular mechanisms contributing to malignancy. More recently, the role of CD151 in the tumor immune microenvironment (TIME) has gained attention as a potential target for cancer therapy. This review aims to explore the role of CD151 in the TIME, focusing on the therapeutic and clinical perspectives. The role of CD151 in regulating the interactions between tumor cells and the immune system will be discussed, along with the current understanding of the molecular mechanisms underlying these interactions. The current state of the development of CD151-targeted therapies and the potential clinical applications of these therapies will also be reviewed. This review provides an overview of the current knowledge on the role of CD151 in the TIME and highlights the potential of CD151 as a therapeutic target for cancer treatment.
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  • 文章类型: Journal Article
    三阴性乳腺癌是高度异质性的,侵略性,转移,预后差。尽管靶向治疗取得了进展,据报道,TNBC导致高发病率和死亡率。肿瘤微环境中组织成癌症干细胞层次结构的罕见亚群负责治疗抗性和肿瘤复发。由于成本降低,用于癌症治疗的抗病毒药物的再利用正在获得势头。劳动,和研究时间,但由于缺乏预后,和预测标记。本研究调查了蛋白质组学分析和ROC分析,以鉴定CD151和ELAVL1作为耐药TNBC中抗病毒药物2-硫代-6-氮唑啶(TAU)的潜在治疗反应标志物。通过在非贴壁和非分化条件下培养MDA-MB231和MDA-MD468贴壁细胞来富集它们的干性。然后,分离了CD151亚群,并对其进行了干细胞富集的表征。这项研究发现,CD151在干性丰富的亚群中过表达,并且还显示CD44高表达和CD24低表达以及干细胞相关转录因子八聚体结合转录因子4(OCT4)和性别决定Y-box2(SOX2)。本研究还发现TAU在CD151+TNBC亚群中诱导了显著的细胞毒性和遗传毒性,并通过诱导DNA损伤来抑制其增殖,细胞周期停滞在G2M期,和凋亡。Further,蛋白质组学研究表明,CD151与ELAVL1(一种RNA结合蛋白)的表达,用TAU治疗显着降低。KM绘图仪显示CD151和ELAVL1基因表达与TNBC预后不良相关。ROC分析预测并验证了CD151和ELAVL1是TNBC中TAU的最佳治疗反应标志物。这些发现为重新利用抗病毒药物TAU治疗转移性和耐药性TNBC提供了新的见解。
    Triple-negative breast cancer is high heterogeneous, aggressive, and metastatic with poor prognosis. Despite of advances in targeted therapies, TNBC has been reported to cause high morbidity and mortality. A rare subpopulation within the tumor microenvironment organized into a hierarchy of cancer stem cells is responsible for therapy resistance and tumor recurrence. Repurposing of antiviral drugs for cancer treatment is gaining momentum due to reduced cost, labour, and research time, but limited due to lack of prognostic, and predictive markers. The present study investigates proteomic profiling and ROC analysis to identify CD151 and ELAVL1 as potential therapy response markers for the antiviral drug 2-thio-6-azauridine (TAU) in resistant TNBC. The stemness of MDA-MB 231 and MDA-MD 468 adherent cells was enriched by culturing them under non-adherent and non-differentiation conditions. Then, CD151+ subpopulation was isolated and characterized for the enrichment of stemness. This study found that CD151 has overexpressed in stemness enriched subpopulations, and also showed CD44 high and CD24 low expression along with stem cell-related transcription factors octamer-binding transcription factor 4 (OCT4) and Sex determining Y-box 2 (SOX2). This study also found that TAU induced significant cytotoxicity and genotoxicity in the CD151+TNBC subpopulation and inhibited their proliferation by inducing DNA damage, cell cycle arrest at the G2M phase, and apoptosis. Further, a proteomic profiling study showed that the expression of CD151 along with ELAVL1, an RNA-binding protein, was significantly reduced with TAU treatment. KM plotter showed correlation of CD151 and ELAVL1 gene expression with a poor prognosis of TNBC. ROC analysis predicted and validated CD151 and ELAVL1 as best therapy response marker for TAU in TNBC. These findings provide new insight into repurposing antiviral drug TAU for treatment of metastatic and drug resistant TNBC.
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  • 文章类型: Journal Article
    卵巢癌(OC)是妇科最常见和最致命的癌症之一。在OC检测的早期阶段,目前的治疗和诊断方法不够有效和灵敏。因此,探索OC转移的机制,发现有价值的因素对女性癌症的早期诊断和新的转移治疗策略至关重要。已知外泌体参与发育,迁移,和癌细胞的入侵,和他们的货物可能是有用的非侵入性活检的发展。已知CD151和Tspan8阳性外泌体支持细胞外基质的降解,参与基质重塑,血管生成和细胞运动,以及miR-24和miR-101与这些过程的关联。这项研究的目的是探讨外泌体货物的这些成分之间的关系,在OC患者中,阐明这些标志物在液体活检中的临床意义。与健康女性(HFs)相比,OC患者的血浆外泌体中的四跨膜蛋白Tspan8和CD151外泌体的水平显着升高。血浆外泌体中miR-24和miR-101的相对水平显著高于OC患者血浆外泌体,而这些microRNA在来自患病女性的血浆和腹水的外泌体中的水平没有差异。我们的研究揭示了腹水外泌体CD151Tspan8亚群水平的变化与腹水(R=0.81,p<0.05)和血浆外泌体miR-24(R=0.74,p<0.05)在OC患者中的表达水平之间存在很强的直接相关性,这证实了外泌体货物协同作用以增加细胞运动性的假设,影响细胞过程和信号。生物信息学分析证实了CD151和Tspan8四跨膜蛋白以及miR-24-3p和miR-101控制的基因参与信号通路,这对致癌作用至关重要,证明这些四跨膜蛋白和microRNAs是OC筛选的潜在生物标志物,以及肿瘤临床病理行为不良的预测因素。
    Ovarian cancer (OC) is one of the most common and fatal types of gynecological cancer. In the early phase of OC detection, the current treatment and diagnostic methods are not efficient and sensitive enough. Therefore, it is crucial to explore the mechanisms of OC metastasis and discover valuable factors for early diagnosis of female cancers and novel therapeutic strategies for metastasis. Exosomes are known to be involved in the development, migration, and invasion of cancer cells, and their cargo could be useful for the non-invasive biopsy development. CD151- and Tspan8-positive exosomes are known to support the degradation of the extracellular matrix, and are involved in stroma remodeling, angiogenesis and cell motility, as well as the association of miR-24 and miR-101 with these processes. The objective of this study was to explore the relationship of these components of exosomal cargo, in patients with OC, to clarify the clinical significance of these markers in liquid biopsies. The levels of tetraspanins Tspan8+ and CD151+ exosomes were significantly higher in plasma exosomes of OC patients compared with healthy females (HFs). The relative levels of miR-24 and miR-101 in plasma exosomes of HFs were significantly higher than in plasma exosomes of OC patients, while the levels of these microRNAs in exosomes from plasma and ascites of ill females showed no difference. Our study revealed a strong direct correlation between the change in the ascites exosomes CD151+Tspan8+ subpopulation level and the expression levels of the ascites (R = 0.81, p < 0.05) and plasma exosomal miR-24 (R = 0.74, p < 0.05) in OC patients, which confirms the assumption that exosomal cargo act synergistically to increase cellular motility, affecting cellular processes and signaling. Bioinformatics analysis confirmed the involvement of CD151 and Tspan8 tetraspanins and genes controlled by miR-24-3p and miR-101 in signaling pathways, which are crucial for carcinogenesis, demonstrating that these tetraspanins and microRNAs are potential biomarkers for OC screening, and predictors of poor clinicopathological behavior in tumors.
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  • 文章类型: Journal Article
    前列腺癌的发病率和死亡率在全球和中国都在增加,转移率也在上升,限制前列腺癌的治疗效果和临床预后。CD151被认为是四跨膜蛋白超家族中肿瘤转移的第一个启动子。先前的研究已经将CD151与许多恶性肿瘤的进展联系起来,包括前列腺癌.然而,最近的一项研究发现,CD151可以抑制前列腺癌的进展。因此,本文对CD151与前列腺癌进展的相关研究进行了综述,以期阐明两者的关系,为今后的研究提供可能的参考。
    Prostate cancer morbidity and mortality are increasing globally and in China, and the rate of metastasis is also rising, limiting the therapeutic effect and clinical prognosis of prostate cancer. CD151 is considered to be the first promoter of tumor metastasis in the tetraspanin superfamily. Previous research has linked CD151 to the progression of a number of malignancies, including prostate cancer. However, a recent study found that CD151 can inhibit the progression of prostate cancer. As a result, this paper examines existing research on CD151 and prostate cancer progression in order to clarify the relationship and provide a possible reference for future studies.
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