肿瘤的生物学特性精选课件.ppt
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1、关于肿瘤的生物学特性第一页,本课件共有47页n物质代谢及酶的变化物质代谢及酶的变化n肿瘤细胞的分化肿瘤细胞的分化n肿瘤细胞的生长肿瘤细胞的生长n肿瘤细胞扩散的过程机制肿瘤细胞扩散的过程机制n肿瘤侵袭和转移相关基因肿瘤侵袭和转移相关基因第二页,本课件共有47页第三页,本课件共有47页n核酸代谢核酸代谢n核酸增多是肿瘤迅速生长的物质基础核酸增多是肿瘤迅速生长的物质基础nDNADNA拓扑异构酶拓扑异构酶n物质代谢及酶的变化物质代谢及酶的变化n端粒酶端粒酶第四页,本课件共有47页nDNADNA拓扑异构酶拓扑异构酶n存在于细胞核内的一类酶,他们能够催化存在于细胞核内的一类酶,他们能够催化DNADNA链的
2、链的断裂和结合,从而控制断裂和结合,从而控制DNADNA的拓扑状态。的拓扑状态。nDNADNA拓扑异构酶通过形成短暂的单链裂解拓扑异构酶通过形成短暂的单链裂解-结合循环,结合循环,催化催化DNADNA复制复制的拓扑异构状态的变化的拓扑异构状态的变化 n核酸代谢核酸代谢n物质代谢及酶的变化物质代谢及酶的变化第五页,本课件共有47页(A)Classification of human DNA topoisomerases.Type IB are the only enzymes that form cleavage complexes(cc)with 30-phosphotyrosyl(30-P-
3、Y)intermediates.(C)Noncovalent binding of type IB enzymes.(D)Scheme of the 30 phosphotyrosine covalent bond in the Top1cc.The arrow indicates the reversible(religation)reaction,which is favored under normal conditions.G)Scheme of the 50-phosphotyrosine covalent bond in the Top2cc.第六页,本课件共有47页第七页,本课件
4、共有47页It is thought that length or integrity of chromosome end is used as a mitotic counting mechanism in vitro n核酸代谢核酸代谢n物质代谢及酶的变化物质代谢及酶的变化n端粒酶端粒酶Each mammalian chromosome end has a distinctive DNA-protein structure,which prevents the degradation and fusion of chromosome ends by helping distinguish
5、chromosome ends from a double strand break in the genomic DNA.第八页,本课件共有47页Mammalianhaveastretchofasimplerepeatsequenceunit(TTAGGG)andin,lengthis1520kb.Fiftyto200bpofthetelomericDNAshortensateachroundofmitosis.WhenaverageDNAreachesacriticallyshortlength,about47kb,isarrestedIrreversibly.n核酸代谢核酸代谢n端粒酶端
6、粒酶n物质代谢及酶的变化物质代谢及酶的变化第九页,本课件共有47页n物质代谢及酶的变化物质代谢及酶的变化n核酸代谢核酸代谢n蛋白质代谢蛋白质代谢n糖代谢糖代谢n酶系统酶系统第十页,本课件共有47页n物质代谢及酶的变化物质代谢及酶的变化n酶系统酶系统n增殖相关和分化相关的酶增殖相关和分化相关的酶n转化相关和演进相关的酶转化相关和演进相关的酶细胞恶变的指标。细胞恶变的指标。主要正常细胞发生转化,主要正常细胞发生转化,总可出现这类酶活性的总可出现这类酶活性的改变。改变。演进相关的酶演进相关的酶酶活性于恶性程度呈平行关系的酶酶活性于恶性程度呈平行关系的酶转化相关转化相关第十一页,本课件共有47页n肿瘤
7、细胞的分化肿瘤细胞的分化各种不同各种不同类型细胞类型细胞(分化细胞分化细胞)同一来源的幼同一来源的幼稚细胞稚细胞?n分化的概念分化的概念特定的生理功能特定的生理功能特定的生化特征特定的生化特征特定的形态结构特定的形态结构第十二页,本课件共有47页n稳定性稳定性n全能性全能性n选择性选择性n条件可逆性条件可逆性n细胞分化特点细胞分化特点:未分化恶性肿瘤是由于起源组织中的干细胞未分化恶性肿瘤是由于起源组织中的干细胞丧失了分化的能力。丧失了分化的能力。第十三页,本课件共有47页n肿瘤细胞分化异常的机制肿瘤细胞分化异常的机制n遗传学改变遗传学改变n信号转化异常信号转化异常n微环境的影响微环境的影响n诱
8、导分化治疗肿瘤诱导分化治疗肿瘤第十四页,本课件共有47页n肿瘤细胞的生长肿瘤细胞的生长n细胞增殖活性的原位检测方法及意义细胞增殖活性的原位检测方法及意义细胞增殖活性:细胞增殖活性:细胞增生快慢的能力细胞增生快慢的能力DNA DNA 含量测定含量测定确定增生细胞的比例确定增生细胞的比例DNA ploidy and proliferative activity as represented by the S-phase fraction(SPF).A link exists between high SPF values and increased risk of recurrence and d
9、eath for patients with primary BC,Flow cytometry Flow cytometry 法法第十五页,本课件共有47页n肿瘤细胞的生长肿瘤细胞的生长n免疫组织化学方法免疫组织化学方法Several monoclonal antibodies reacting with different proliferating cell nuclear antigens have been described,such as PCNA,Ki-67 and MIB 1,KiS1 and others.The Ki-67/MIB 1 protein has a prog
10、nostic value for many types of malignant tumors.nKi-67OnlypaperspublishedinEnglishinpeerreviewedjournalsbeforeJune2004thatincludeatleast100evaluablepatientswereselected.Inaddition,theprognosticandpredictiveroleoftheproliferativemarkershadtobeassessedthroughmultivariateanalyses.Onehundredandthirty-tw
11、opapersfulfilledthesecriteriaand159516patientsanalyzed.第十六页,本课件共有47页n肿瘤细胞的生长肿瘤细胞的生长n免疫组织化学方法免疫组织化学方法n细胞周期蛋白细胞周期蛋白The different cyclins:the concentration rise and fall at specific stages throughout the cell cycle,have a temporally distinct and highly regulated pattern of expression,i.e.they are synth
12、esized and degraded at specific stages of the cell cycle.Cyclin E is the limiting factor for G1 phase progression and S phase entryRecently,severalsplicevariantsofcyclinE1,whicharenotpresentinnormalcells,havealsobeendiscovered;whichstimulatecellstoprogressthroughthecellcyclemuchmoreefficientlythanth
13、efulllengthcyclinE1第十七页,本课件共有47页Cyclin E was prognostic in seven out of 10 studies.n肿瘤细胞的生长肿瘤细胞的生长n免疫组织化学方法免疫组织化学方法n细胞周期蛋白细胞周期蛋白The overexpression of cyclin E was accompanied by the appearance of low molecular weight(LMW)isoforms,and both were a reliable prognostic marker in stage IIII BC patients.H
14、igh levels of cyclin E1 were predictive of resistance to tamoxifen adjuvant therapy in 108 node-positive BC patients,independently of ER status.第十八页,本课件共有47页nCyclin D1n肿瘤细胞的生长肿瘤细胞的生长n细胞周期蛋白细胞周期蛋白D-type cyclins are other key regulator proteins of the G1 phase progression.The protein is synthesized in
15、 response togrowth factors;its levels reach a maximum in the mid-G1phase of the cell cycle and then begin to drop.It appears that the association of cyclin D1 to Cdk is crucial to drive cells to the restriction point where the cell is committed to divide第十九页,本课件共有47页A strong correlation between over
16、expression of cyclin D1 and HR-positivity has been reported in the majority of trials,but cyclin D1 does not appear to be a strong prognosticmarker.In fact,its overexpression has been associated with better RFS in only one studynCyclin D1n肿瘤细胞的生长肿瘤细胞的生长n细胞周期蛋白细胞周期蛋白第二十页,本课件共有47页n肿瘤的生长与扩散肿瘤的生长与扩散n肿瘤的
17、扩散方式肿瘤的扩散方式n直接蔓延直接蔓延n转移转移metastasismetastasisn瘤细胞从原发部位瘤细胞从原发部位 侵入淋巴管、血管和体腔,侵入淋巴管、血管和体腔,n扩散到其它部位,扩散到其它部位,形成与原发瘤形成与原发瘤相同的肿瘤。相同的肿瘤。第二十一页,本课件共有47页n转移转移nmetastasismetastasisn肿瘤的生长与扩散肿瘤的生长与扩散n肿瘤的扩散方式肿瘤的扩散方式n淋巴道转移淋巴道转移Lymphatic metastasis is a predictor of poor Lymphatic metastasis is a predictor of poor o
18、utcome in many solid malignancies.outcome in many solid malignancies.The presence of lymph node metastases The presence of lymph node metastases decreases the 5-year survival of melanoma decreases the 5-year survival of melanoma patients independent of other prognostic patients independent of other
19、prognostic factors of the primary tumor.factors of the primary tumor.第二十二页,本课件共有47页Figure 1.DevelopmentoflymphaticvesselsinembryogenesisandcancerSomeoftheproteinsthatareimportantintheseeventsareshownunderneatheachsection.Arrowsdenotethedirectionoflymphflowinthelymphaticvessels.第二十三页,本课件共有47页n转移转移met
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