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中华普通外科学文献(电子版) ›› 2024, Vol. 18 ›› Issue (03) : 229 -234. doi: 10.3877/cma.j.issn.1674-0793.2024.03.011

综述

胃癌分子分型的研究进展及相关联系
王欢欢1, 郑少祥1, 郝金锦1, 陈文亮2,()   
  1. 1. 030001 太原,山西医科大学研究生院
    2. 030001 太原,山西医科大学第二医院普通外科
  • 收稿日期:2023-12-18 出版日期:2024-06-01
  • 通信作者: 陈文亮
  • 基金资助:
    山西省自然科学基金资助项目(201801D121320)

Advances and correlation in molecular classification of gastric cancer

Huanhuan Wang1, Shaoxiang Zheng1, Jinjin Hao1, Wenliang Chen2,()   

  1. 1. Graduate Department of Shanxi Medical University, Taiyuan 030001, China
    2. Department of General Surgery, the Second Affiliated Hospital of Shanxi Medical University, Taiyuan 030001, China
  • Received:2023-12-18 Published:2024-06-01
  • Corresponding author: Wenliang Chen
引用本文:

王欢欢, 郑少祥, 郝金锦, 陈文亮. 胃癌分子分型的研究进展及相关联系[J]. 中华普通外科学文献(电子版), 2024, 18(03): 229-234.

Huanhuan Wang, Shaoxiang Zheng, Jinjin Hao, Wenliang Chen. Advances and correlation in molecular classification of gastric cancer[J]. Chinese Archives of General Surgery(Electronic Edition), 2024, 18(03): 229-234.

胃癌是常见的消化道恶性肿瘤,高度异质性是胃癌诊断和治疗的棘手问题之一。目前对于传统胃癌分型的治疗策略并不完善,因此对于胃癌分子分型的研究是极其必要的。本文回顾了癌症基因组图谱(TCGA)及亚洲癌症研究小组(ACRG)两种里程碑式的分子分型,并从单细胞RNA测序、lncRNA、表观遗传学、免疫浸润等方面进一步阐述胃癌不同的分子分型,阐述每个分型不同的分子特征和生物学行为以及不同分型之间的联系,并探寻其可能作用的基因靶点和机制通路,为改善胃癌患者预后并开展针对特定亚型的靶向治疗提供依据。

Gastric cancer is a common malignant tumor of digestive tract, and its high heterogeneity is one of the thorny problems in the diagnosis and treatment of gastric cancer. At present, the traditional treatment strategies for gastric cancer classification are not perfect, so the research on molecular classification of gastric cancer is extremely necessary. In this paper, two landmark molecular classifications of The Cancer Genome Atlas (TCGA) and Asian Cancer Research Group (ACRG) were reviewed, and different molecular classifications of recent gastric cancer were further elaborated from the aspects of single-cell RNA sequencing, lncRNA, epigenetics, and immune infiltration. The different molecular characteristics and biological behaviors of each type as well as the relationship between different subtypes were described. The gene targets and mechanism pathways of their action may be explored, which helps improve the outcomes and provides basis for targeted therapy for specific subtypes.

表1 胃癌的几种分子分型及相关联系
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