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胃癌中的 TK1:幽门螺杆菌驱动的肿瘤发生生物标志物、效用及新兴靶向治疗

英文原题:TK1 in gastric cancer: Helicobacter pylori-driven oncogenesis biomarker, utility, and emerging targeted therapies.

查看英文原题

TK1 in gastric cancer: Helicobacter pylori-driven oncogenesis biomarker, utility, and emerging targeted therapies.

PubMed 2026/03/02(内容时间) Front Oncol Q2 · IF 3.4(JCR 2025)

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中文摘要

作为胃肠道恶性肿瘤中癌症相关死亡的主要原因,胃癌(GC)需要增强的分子诊断范式以实现早期干预。胸苷激酶酶家族,特别是胸苷激酶1(TK1,EC 2.7.1.21),作为脱氧核糖核苷酸补救途径的酶促协调者,对维持基因组完整性至关重要,其致癌性过表达与幽门螺杆菌介导的慢性炎症微环境协同作用,并促进从癌前化生向组织病理学进展。本综述阐述了TK1作为血清学生物标志物在GC早期检测、肿瘤分期、治疗监测和预后分层中的效用。我们假设了TK1介导的致癌作用的分子机制及其与幽门螺杆菌诱导的发病机制的相互作用。此外,我们探索了新兴的TK1靶向治疗模式,包括基因导向酶前药治疗(GDEPT)、纳米级药物递送平台和过继细胞治疗,同时评估了TK1在GC管理中的转化潜力。尽管TK1在胃致癌作用中的精确调控网络仍未完全表征,正在进行的研究将TK1定位为有前景的诊断和治疗靶点,可能革新改善临床结局的策略。

展开英文摘要原文

As a leading cause of cancer-related mortality among gastrointestinal malignancies, gastric carcinoma (GC) necessitates enhanced molecular diagnostic paradigms for early intervention. The thymidine kinase enzymatic family, particularly thymidine kinase 1 (TK1, EC 2. 7. 1.

21), serves as an enzymatic orchestrator of deoxyribonucleotide salvage pathways critical for genomic integrity maintenance, and its oncogenic overexpression acts in concert with Helicobacter pylori -mediated chronic inflammatory microenvironments, and potentiates the histopathological progression from premalignant metaplasia review delineates the utility of TK1 as a serological biomarker for early detection, tumor staging, therapeutic monitoring, and prognostic stratification in GC.

We have hypothesized the molecular mechanisms underlying TK1-mediated oncogenesis and its interplay with H. pylori -induced pathogenesis.

Additionally, we have explored emerging TK1-targeted therapeutic modalities, including gene-directed enzyme prodrug therapy (GDEPT), nanoscale drug delivery platforms, and adoptive cell therapy, while evaluating TK1's translational potential in GC management. Although the precise regulatory networks of TK1 in gastric carcinogenesis remain incompletely characterized, ongoing research positions TK1 as a promising diagnostic and therapeutic target, potentially revolutionizing strategies to ameliorate clinical outcomes.

论文信息

作者
Zheng ZX、Yang L、Chen JT、Zeng Y、Dai SX、Liu SJ
第一作者单位
The Second School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, China.China
通讯作者单位
Department of Gastroenterology, Geriatric Center, National Regional Medical Center, Guangdong Provincial People's Hospital Ganzhou Hospital, Ganzhou Municipal Hospital, Ganzhou, Jiangxi, China.China
文献类型
综述
期刊
Frontiers in oncology2026
原文标识
PubMed 41847702 · DOI 10.3389/fonc.2026.1641930