摘要
胃癌前病变(gastric precancerous lesions,GPL)是胃癌发生前的特殊组织病理学变化阶段,对GPL施以有效的干预是防止其恶化进展至胃癌的关键环节。GPL的胃黏膜组织炎症水平较高,大量的炎症细胞、炎症因子及炎症介质高水平代谢使耗氧量上升,导致了GPL阶段胃黏膜的缺氧微环境形成,这种缺氧状态利于线粒体自噬与糖代谢重编程的发生。线粒体自噬作为一种保守的生物学过程存在于机体多种组织细胞中,可通过形成自噬小体包裹功能损坏的线粒体并与溶酶体结合对目标线粒体进行消化、再利用,合适的自噬水平可防止GPL异型细胞的过度增殖,抑制GPL进展。然而,线粒体自噬活性在GPL病程中受到了抑制,同时GPL阶段细胞糖代谢重编程为糖酵解的活性升高。糖酵解是一种细胞缺氧状态下的能量代谢方式,它能加快细胞的能量供给,使异型细胞增殖加快进而加速GPL恶化。一些证据表明,线粒体自噬与糖代谢重编程之间可能存在一定的相互制约的关系,GPL过程中自噬的抑制一方面能引起糖酵解活性的提高,而另一方面,自噬水平的升高抑制了糖酵解的活性。目前尚不清楚自噬与糖酵解的具体关系及作用机制,但GPL胃黏膜由缺氧、细菌感染、炎症、氧化应激、信号分子活化紊乱等因素构成的复杂病理学环境可能是造成低自噬水平与高糖酵解活性的关键。参与缺氧适应的缺氧诱导因子1α(hypoxia inducible factor 1α,HIF-1α)在GPL阶段的胃黏膜中稳定表达,充当着启动自噬与糖酵解的开关,但HIF-1α在GPL的病理学过程中似乎更多参与了对糖酵解的调控,造成这种变化的原因可能就与上述病理学因素有关。幽门螺杆菌(helicobacter pylori,H.pylori)感染、磷脂酰肌醇3-激酶(phosphoinositide3-kinase,PI3K)/蛋白激酶B(protein kinase,AKT)/哺乳动物雷帕霉素靶蛋白(mammalian target of rapamycin,mTOR)信号转导通路活化等因�
Gastric precancerous lesions(GPL) are a special histopathological stage before the occurrence of gastric cancer.Effective treatment of GPL is the key to preventing its progression to gastric cancer. GPL has a high level of inflammation in gastric mucosa, and a large number of inflammatory cells, inflammatory factors and inflammatory mediators are metabolized at a high level, which increases oxygen consumption and leads to the formation of a hypoxia microenvironment in gastric mucosa at the GPL stage, which is conducive to the initiation of mitochondrial autophagy and glucose metabolism reprogramming. As a conserved biological process, mitochondrial autophagy exists in various tissues and cells of the body. It can form autophagosome to wrap mitochondria with damaged functions and bind with lysosomes to digest and reuse target mitochondria. Appropriate autophagy level can prevent excessive proliferation of GPL heterotype cells and inhibit the progress of GPL. However, mitochondrial autophagy activity is inhibited during the course of GPL, and the activity of glycometabolic reprogramming into glycolysis is increased during GPL. Glycolysis is a way of energy metabolism in the hypoxia state of cells, which can accelerate the energy supply of cells and the proliferation of abnormal cells, and thus accelerate the deterioration of GPL. Some evidences suggest that there may be a mutually restricting relationship between mitochondrial autophagy and glycolysis reprogramming. The inhibition of autophagy in GPL can increase glycolysis activity on the one hand, while the increase of autophagy inhibits glycolysis activity on the other hand.At present, the specific relationship and mechanism of autophagy and glycolysis are not clear, however, the complex pathological environment of GPL gastric mucosa composed of hypoxia, bacterial infection, inflammation, oxidative stress, activation disorder of signal molecules and other factors may be the key to the low autophagy level and high glycolysis activity. Hypoxia-inducible factor 1α
作者
张家祥
周永学
闫曙光
赵唯含
董汾
ZHANG Jiaxiang;ZHOU Yongxue;YAN Shuguang;ZHAO Weihan;DONG Fen(School of Basic Medicine,Shaanxi University of Traditional Chinese Medicine,Xianyang 712046,Shaanxi Province,China;Department of Gastroenterology,Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine,Xianyang 712000,Shaanxi Province,China;Department of Oncology,Second Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine,Xianyang 712000,Shaanxi Province,China)
出处
《中国癌症杂志》
CAS
CSCD
北大核心
2022年第10期1007-1015,共9页
China Oncology
基金
国家自然科学基金(81804082)。
关键词
胃癌前病变
线粒体自噬
糖酵解
缺氧
Gastric precancerous lesions
Mitochondrial autophagy
Glycolysis
Hypoxia
