组织工程与重建外科杂志 ›› 2023, Vol. 19 ›› Issue (4): 414-.

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NOTCH 信号通路与内皮间质转化在婴幼儿血管瘤中的研究进展

  

  • 出版日期:2023-08-01 发布日期:2023-09-06

Research progress of NOTCH signaling pathway and endothelial-to-mesenchymal transition in infantile hemangioma

  • Online:2023-08-01 Published:2023-09-06

摘要:  婴幼儿血管瘤(Infantile hemangioma,IH)是一种发生于婴幼儿时期的良性血管肿瘤,发病机制尚未完全
阐明,病程呈自限性,但部分患者会残留影响外观或功能的后遗症。NOTCH 信号通路是进化上高度保守的信号通路,
在细胞分化、胚胎发育、组织自我更新、肿瘤、炎症的发生及血管功能的调控等多个生理病理过程中发挥重要作用。
内皮间质转化是指在多种因素作用下,内皮细胞(Endothelial cells,ECs)失去原有特征向间充质细胞(Mesenchymal
cells,MSCs)转分化,其广泛参与胚胎发育、肿瘤侵袭和纤维化疾病等过程。研究发现,抑制 NOTCH 信号通路可
加速婴幼儿血管瘤的消退,以及 NOTCH 信号通路可诱导内皮间质转化过程干扰疾病进展。本文就婴幼儿血管瘤的
NOTCH 信号通路以及内皮间质转化过程进行综述。

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Abstract:

Infantile hemangioma (IH) is a benign tumor that occurs in infants and childhood. The pathogenesis of IH has
not been fully elucidated. Although the course of the disease is self-limiting, partial patients may have sequelae that affect the
aesthetics or normal function. NOTCH signaling is an evolutionarily conserved signaling pathway, that plays vital roles in many
physiological and pathological processes, such as cell differentiation, embryonic vascular development, tissue itself-renewal, the
occurrence of tumor and inflammation, and regulation of vascular function. Endothelial-to-mesenchymal transition (EndMT) is a
mechanism in which endothelial cells (ECs) lose their unique properties and acquire mesenchymal and stem cell-like characteristics under the influence of multiple factors. EndMT can be involved in a variety of pathologies, including embryonic development, malignant tumor invasion, and fibrotic disease. Recent findings have shown that inhibition of the NOTCH signaling pathway might accelerate the regression of IH and interfere with disease progression caused by EndMT. In this paper, the progression of endothelial-to-mesenchymal transition and NOTCH signaling pathway in IH were reviewed

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