EZH2与消化系统肿瘤的关系及其作用机制的研究进展
Progress in the study of the relationship between EZH2 and digestive system tumors and its mechanism of action
投稿时间:2024-11-12  修订日期:2025-01-04
DOI:
中文关键词:  EZH2  表观遗传修饰  消化系统肿瘤  机制  抑制剂
英文关键词:EZH2  Epigenetic modification  Gastrointestinal Neoplasms  Machine  Inhibitor
基金项目:国家自然科学基金项目(面上项目,重点项目,重大项目)
作者单位邮编
万雅琪 华中科技大学同济医学院附属协和医院胃肠外科 430022
白洁 华中科技大学同济医学院附属协和医院胃肠外科 430022
陶凯雄* 华中科技大学同济医学院附属协和医院胃肠外科 430022
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中文摘要:
      近年来,消化系统肿瘤在实体瘤的占比中逐渐增加,其中食管癌、胃癌、肝癌、结直肠癌等的发病率在癌症中位居前列。传统治疗方法如手术治疗和放化疗在进展期肿瘤中治疗效果局限,远期预后较差。因此,针对消化系统肿瘤的新型靶向治疗正逐渐兴起,进而为消化系统肿瘤患者带来巨大获益。果蝇Zeste基因增强子人类同源物 2(Enhancer of Zeste Homolog 2, EZH2)作为表观遗传学的关键蛋白,在许多肿瘤都高表达,其主要催化组蛋白H3第27位赖氨酸发生三甲基化(H3K27me3),这种催化功能在消化系统肿瘤中发挥重要作用,具有判断预后和作为治疗靶点的潜能。在本文中,我们探讨了EZH2的作用机制以及其与消化系统肿瘤发生、预后的关系,揭示了EZH2在消化系统肿瘤免疫微环境、细胞周期、凋亡和迁移中的关键作用,并列举了已应用于临床以及部分处于临床研究和基础研究的EZH2抑制剂。综上所述,以EZH2为靶点探究其在消化系统肿瘤中的作用机制,开发相应的EZH2抑制剂,可以为消化系统肿瘤的诊断、治疗和预后提供新思路。
英文摘要:
      In recent years, there has been an observed increase in the proportion of solid tumours of the digestive system, with the incidence of oesophageal, gastric, liver and colorectal cancers being particularly high. Conventional treatments such as surgical intervention and radiotherapy have proven to be ineffective in addressing progressive tumours, which often result in a poor long-term prognosis. Consequently, there is an emerging focus on the development of novel targeted therapies for digestive system tumours, which hold great potential to significantly improve the lives of patients affected by these conditions. Enhancer of Zeste Homolog 2(EZH2), a pivotal epigenetic protein, is highly expressed in numerous tumours and predominantly catalyses the trimethylation of lysine at position 27 of histone H3 (H3K27me3). In this paper, we explored the mechanism of action of EZH2 and its relationship with digestive system tumourigenesis and prognosis. We revealed the key role of EZH2 in the immune microenvironment, cell cycle, apoptosis and migration of digestive system tumours. We also enumerated the EZH2 inhibitors that have already been applied in the clinic as well as some of them that are undergoing both clinical and basic research. In summary, utilising EZH2 as a target to elucidate its mechanism of action in digestive system tumours and developing corresponding EZH2 inhibitors can provide novel concepts for the diagnosis, treatment and prognosis of digestive system tumours.
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