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肿瘤力医学

Tumor mechanomedicine

摘要:

恶性肿瘤对人类生命健康构成了巨大威胁。在全球范围内,恶性肿瘤已经成为世界人口的主要死因之一,据世界卫生组织统计,2020年全球近1/6的死亡是由恶性肿瘤导致的。中国的恶性肿瘤负担也在日益增加,随着人口老龄化和生活方式的改变,中国恶性肿瘤的发病率和死亡率逐渐增加,恶性肿瘤逐渐成为中国的主要死因之一。开发有效的诊疗手段对降低我国恶性肿瘤负担具有重要意义。多年来各种研究集中于利用肿瘤的生物化学特性诊断和治疗肿瘤,但这并不能完全解决肿瘤临床诊疗的诸多难题。随着生物力学和力学生物学与肿瘤学的交叉研究不断深入,力学因素逐渐成为备受关注的肿瘤新特征,调控肿瘤发生发展并有望成为肿瘤诊疗的新靶点。目前,许多临床ManBetX万博官网地址下载 对肿瘤的力学特征尚缺乏深入了解,也未完全掌握其在诊疗中的潜在价值。鉴于此,本文通过总结国内外相关研究,提出并系统性地介绍了肿瘤力医学这一概念,从肿瘤生物力学、肿瘤力生物学、肿瘤力诊断学和肿瘤力治疗学四个方面系统性地阐述肿瘤的多尺度力学特征及其对肿瘤生物学行为的影响,探讨力学特征在肿瘤诊疗中的潜在应用,旨在为肿瘤诊疗提供新的研究视角和解决方案。

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abstracts:

Malignant tumors represent a significant health challenge, critically impacting human well-being. Malignant tumors have become one of the leading causes of death worldwide. According to statistics from the World Health Organization, nearly one-sixth of global deaths in 2020 were caused by malignant tumors. The burden of malignant tumors in our country is also increasing. In recent years, with population aging and changes in lifestyle, the incidence and mortality rates of malignant tumors in China have been steadily rising, malignant tumors have gradually become one of the main causes of death in China. Developing effective diagnostic and treatment methods is of great significance in reducing the burden of malignant tumors in our country. Historically, the focus has been on leveraging the biochemical cues of tumors for both diagnosis and treatment. While valuable, this strategy does not recapitulate the full complexity of tumor diagnosis and management. Recently, the integration of biomechanics and mechanobiology with oncology has highlighted the importance of mechanical cues, which have emerged as new hallmarks of tumors, regulating tumor initiation and development are expected to open potential novel routes for cancer diagnosis and therapeutic interventions. Despite the advances, a thorough literature review suggests a pronounced gap in our understanding of the mechanical properties of tumors. The clinical community has not yet completely recognized the diagnostic and therapeutic relevance of the mechanical cues of tumors. To bridge this knowledge gap, we propose and introduce the paradigm of "Tumor Mechanomedicine". We provide a comprehensive overview of the multi-scale mechanical characteristics of tumors, exploring their influence on tumor biology, from the aspects of tumor biomechanics, tumor mechanobiology, tumor mechanodiagnostics, and tumor mechanotherapeutics. By elucidating the diagnostic and therapeutic potential of these mechanical cues, we aim to furnish the oncology community with fresh insights, paving the way for innovative solutions to persistent clinical conundrums.

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作者: 郭卉 [1] 贺昱昇 [2] 刘梦洁 [2] 程波 [3] 徐峰 [3]
期刊: 《中华肿瘤杂志》2024年46卷6期 536-548页 MEDLINEISTICPKUCSCD
栏目名称: 专题综论
DOI: 10.3760/cma.j.cn112152-20230904-00118
发布时间: 2024-07-30
基金项目:
国家杰出青年科学基金 国家自然科学基金 陕西省“三秦学者”创新团队 陕西省重点研发计划 中央高校基本科研业务费专项基金 The National Science Fund for Distinguished Young Scholars The National Natural Science Foundation of China Shaanxi Province "Sanqin Scholars" Innovation Team The Key Research and Development Program of Shaanxi Province Special Fund of Fundamental Scientific Research Business Expense for Higher School of Central Government
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