Research progress on IL-6 in ovarian cancer
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摘要: 卵巢癌是常见的妇科生殖系统肿瘤之一,发病率仅次于宫颈癌和子宫内膜癌,但病死率居妇科肿瘤之首。卵巢癌的治疗一直是妇科肿瘤面临的艰巨挑战,因为早期卵巢癌的临床症状并不明显,待确定诊断时已是晚期。理想的细胞减灭术是卵巢癌治疗的基石,以铂类为主的联合治疗是卵巢癌化疗的主要方案,晚期患者即使经过上述标准治疗获得初步缓解,仍有70%~80%的患者出现复发以及随后对标准疗法产生抗药性的情况。近年来诸多研究提示,细胞因子在卵巢癌领域的研究优势逐渐突显。在卵巢癌中,细胞因子调控肿瘤细胞的增殖、存活、血管生成和转移。它们对肿瘤微环境产生自分泌作用,引发肿瘤细胞激活免疫调节机制以逃避免疫监视。白细胞介素-6(interleukin-6,IL-6)是一种具有多效活性的促炎细胞因子,是包括癌症在内的慢性炎症性疾病的核心参与者,是肿瘤微环境中主要的免疫调节细胞因子之一,以往的研究表明,卵巢癌组织中过表达的IL-6作用于其受体后,可激活相关传导通路如JAK/STAT、Ras/ERK/MAPK和PI3K/AKT等,从而促进肿瘤细胞增殖、抗凋亡、诱导血管增生、细胞浸润和产生耐药性。IL-6是促进卵巢癌发生、发展的关键细胞因子以及独立预测因子,有望为卵巢癌的早期诊断和治疗提供新的思路,本文对IL-6在卵巢癌中的研究进展进行综述。Abstract: Ovarian cancer is one of the common gynecological reproductive system tumors, the incidence rate is second only to cervical cancer and endometrial cancer, but the mortality rate is the first in gynecological tumors. The treatment of ovarian cancer has always been the most difficult challenge for gynecologic cancer, because the clinical symptoms of early ovarian cancer are not obvious, and it is advanced in the diagnosis.Ideal cytoreductive surgery is the cornerstone of ovarian cancer treatment. Platinum-based combination therapy is the main treatment for ovarian cancer chemotherapy. Even if patients with advanced disease receive initial relief after the above standard treatment, 70%-80% of patients will appear. Recurrence and subsequent development of resistance to standard therapies. In recent years, many studies have suggested that the research advantages of cytokines in the field of ovarian cancer are gradually highlighted. In ovarian cancer, cytokines regulate the proliferation, survival, angiogenesis, and metastasis of tumor cells. They produce an autocrine effect on the tumor microenvironment, triggering tumor cells to activate immune regulation mechanisms to evade immune surveillance. Interleukin-6 (IL-6) is a pro-inflammatory cytokine, a core player in chronic inflammatory diseases including cancer, and a major immunoregulatory cytokine in the tumor microenvironment. Previous studies have shown that overexpression of IL-6 in ovarian cancer tissues activates related pathways such as JAK/STAT, Ras/ERK/MAPK, and PI3 K/AKT to promote tumor cell proliferation, anti-apoptosis, induction of vascular proliferation, cell infiltration and drug resistance. IL-6 is a key cytokine and an independent predictor for the development and progression of ovarian cancer. It is expected to provide new ideas for the early diagnosis and treatment of ovarian cancer. This article reviews the progress of IL-6 in ovarian cancer.
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Key words:
- Interleukin-6 /
- Ovarian cancer /
- Cytokine
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