肿瘤的生物学特性课件.ppt
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1、u物质代谢及酶的变化物质代谢及酶的变化u肿瘤细胞的分化肿瘤细胞的分化u肿瘤细胞的生长肿瘤细胞的生长u肿瘤细胞扩散的过程机制肿瘤细胞扩散的过程机制u肿瘤侵袭和转移相关基因肿瘤侵袭和转移相关基因核酸代谢核酸代谢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DNADNA拓扑异构拓扑异构酶酶u物质代谢及酶的变化物质代谢及酶的变化端粒酶端粒酶DNADNA拓扑异构拓扑异构酶酶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。DNADNA拓扑异构酶通过形成短暂的单链裂解拓扑
2、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 核酸代谢核酸代谢u物质代谢及酶的变化物质代谢及酶的变化(A)Classification of human DNA topoisomerases.Type IB are the only enzymes that form(A)Classification of human DNA topoisomerases.Type IB are the only enzymes that form cleavage complexes(cc)with 30-phosphotyrosyl
3、(30-P-Y)intermediates.cleavage complexes(cc)with 30-phosphotyrosyl(30-P-Y)intermediates.(C)Noncovalent binding of type IB enzymes.(D)Scheme of the 30 phosphotyrosine(C)Noncovalent binding of type IB enzymes.(D)Scheme of the 30 phosphotyrosine covalent bond in the Top1cc.The arrow indicates the rever
4、sible(religation)reaction,which is 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 favored under normal conditions.G)Scheme of the 50-phosphotyrosine covalent bond in t
5、he Top2cc.Top2cc.It is thought that length or integrity of chromosome It is thought that length or integrity of chromosome end is used as a mitotic counting mechanism end is used as a mitotic counting mechanism in vitro in vitro 核酸代谢核酸代谢u物质代谢及酶的变化物质代谢及酶的变化端粒酶端粒酶Each mammalian chromosome end has a di
6、stinctive DNA-Each mammalian chromosome end has a distinctive DNA-protein structure,which prevents the degradation and fusion protein structure,which prevents the degradation and fusion of chromosome ends by helping distinguish chromosome of chromosome ends by helping distinguish chromosome ends fro
7、m a double strand break in the genomic DNA.ends from a double strand break in the genomic DNA.Mammalian have a stretch of a simple repeat sequence unit(TTAGGG)and in ,length is 1520 kb.Fifty to 200 bp of the telomeric DNA shortens at each round of mitosis.When average DNA reaches a critically short
8、length,about 47 kb,is arrested Irreversibly.核酸代谢核酸代谢端粒酶端粒酶u物质代谢及酶的变化物质代谢及酶的变化u物质代谢及酶的变化物质代谢及酶的变化核酸代谢核酸代谢蛋白质代谢蛋白质代谢糖代谢糖代谢酶系统酶系统u物质代谢及酶的变化物质代谢及酶的变化酶系统酶系统增殖相关和分化相关的酶增殖相关和分化相关的酶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
9、的酶转化相关转化相关u肿瘤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)同一来源的同一来源的幼稚细胞幼稚细胞?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稳定性稳定性全能性全能性选择性选择性条件可逆性条件可逆性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。肿瘤细胞分化异常的机制肿瘤细胞分化异常的机制遗传学改变遗传学改变信号转化异常信号转化异常微环境的影响微环境的影响诱导分化治疗肿瘤诱导分化治疗肿瘤u肿瘤细胞的生长肿
10、瘤细胞的生长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 DNA ploidy and proliferative activity as represented by the S-phase fraction(SPF).the S-phase fraction(SPF).A link exists between high SPF
11、values and increased A link exists between high SPF values and increased risk of recurrence and death for patients with primary risk of recurrence and death for patients with primary BC,BC,Flow cytometry Flow cytometry 法法u肿瘤细胞的生长肿瘤细胞的生长免疫组织化学方法免疫组织化学方法Several monoclonal antibodies reacting with diff
12、erent Several monoclonal antibodies reacting with different proliferating cell nuclear antigens have been described,such proliferating cell nuclear antigens have been described,such as PCNA,Ki-67 and MIB 1,KiS1 and others.as PCNA,Ki-67 and MIB 1,KiS1 and others.The Ki-67/MIB 1 protein has a The Ki-6
13、7/MIB 1 protein has a prognostic valueprognostic value for many for many types of malignant tumors.types of malignant tumors.Ki-67Ki-67Only papers published in English in peer reviewed journals before June 2004 that include at least 100 evaluable patients were selected.Inaddition,the prognostic and
14、predictive role of the proliferative markers had to be assessed through multivariate analyses.One hundred and thirty-two papers fulfilled these criteria and 159 516 patients analyzed.u肿瘤细胞的生长肿瘤细胞的生长免疫组织化学方法免疫组织化学方法细胞周期蛋白细胞周期蛋白The different cyclinsThe different cyclins:the concentration rise and fall
15、 at the concentration rise and fall at specific stages throughout the cell cycle,have a specific stages throughout the cell cycle,have a temporally temporally distinctdistinct and and highly regulated pattern of expressionhighly regulated pattern of expression,i.e.they are,i.e.they are synthesized a
16、nd degraded at specific stages of the cell cycle.synthesized and degraded at specific stages of the cell cycle.Cyclin E is the limiting factor for G1 phase progression and Cyclin E is the limiting factor for G1 phase progression and S phase entryS phase entryRecently,several splice variants of cycli
17、n E1,which are not present in normal cells,have also been discovered;which stimulate cells to progress through the cell cycle much more efficiently than the full length cyclin E1Cyclin E was prognostic in seven out of 10 studies.Cyclin E was prognostic in seven out of 10 studies.u肿瘤细胞的生长肿瘤细胞的生长免疫组织化
18、学方法免疫组织化学方法细胞周期蛋白细胞周期蛋白The overexpression of cyclin E was accompanied by the The overexpression of cyclin E was accompanied by the appearance of low molecular weight(LMW)isoforms,and both appearance of low molecular weight(LMW)isoforms,and both were a reliable prognostic marker in stage IIII BC pati
19、ents.were a reliable prognostic marker in stage IIII BC patients.High levels of cyclin E1 were predictive of resistance to High levels of cyclin E1 were predictive of resistance to tamoxifen adjuvant therapy in 108 node-positive BC patients,tamoxifen adjuvant therapy in 108 node-positive BC patients
20、,independently of ER status.independently of ER status.Cyclin D1Cyclin D1u肿瘤细胞的生长肿瘤细胞的生长细胞周期蛋白细胞周期蛋白D-type cyclins are other key regulator proteins of the G1 D-type cyclins are other key regulator proteins of the G1 phase progression.phase progression.The protein is synthesized in response toThe pro
21、tein is synthesized in response togrowth factors;its levels reach a maximum in the mid-growth factors;its levels reach a maximum in the mid-G1phase of the cell cycle and then begin to drop.It appears G1phase of the cell cycle and then begin to drop.It appears that the association of cyclin D1 to Cdk
22、 is crucial to drive that the association of cyclin D1 to Cdk is crucial to drive cells to the restriction point where the cell is committed to cells to the restriction point where the cell is committed to dividedivideA strong correlation between overexpression of cyclin A strong correlation between
23、 overexpression of cyclin D1 and HR-positivity has been reported in the majority D1 and HR-positivity has been reported in the majority of trials,but cyclin D1 does not appear to be a strong of trials,but cyclin D1 does not appear to be a strong prognosticprognosticmarker.In fact,its overexpression
24、has been associated marker.In fact,its overexpression has been associated with better RFS in only one studywith better RFS in only one studyCyclin D1Cyclin D1u肿瘤细胞的生长肿瘤细胞的生长细胞周期蛋白细胞周期蛋白u肿瘤的生长与扩散肿瘤的生长与扩散l肿瘤的扩散方式肿瘤的扩散方式直接蔓延直接蔓延转移转移metastasismetastasis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,扩散到其它部位,扩散
25、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。转移转移metastasismetastasisu肿瘤的生长与扩散肿瘤的生长与扩散肿瘤的扩散方式肿瘤的扩散方式淋巴道转移淋巴道转移Lymphatic metastasis is a predictor of poor outcome in Lymphatic metastasis is a predictor of poor outcome in many solid malignancies.many solid malignancies.The presence of lymph node metastases decreases
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