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Gastric cancer is the fifth leading incidence and the third leading cause of death in the world. Gastric cancer patients in China are often in advanced stages and have a poor prognosis. Cancer progression depends not only on the cancer cells themselves, but also on the physiological state and composition of the tumor microenvironment in which they are located. Cancer-associated fibroblasts as the major cell type in the tumor microenvironment played an important role in cancer progression. This paper mainly expounds the origin and classification of cancer-associated fibroblasts, and its research progress on gastric cancer invasion and metastasis, growth, angiogenesis, matrix remodeling, immunomodulation and cancer suppression, and summarizes the relevant anti-tumor strategies by targeting cancer-associated fibroblasts in gastric cancer, to provide more information for use of cancer-associated fibroblasts in targeted therapy of gastric cancer.
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胃癌是全球发病率第五、病死率第三的癌症。在中国,胃癌患者就诊时多为晚期且预后较差。癌症进展不仅取决于癌细胞自身,还取决于其所处的环境即肿瘤微环境的生理状态与构成改变,其中癌相关成纤维细胞作为肿瘤微环境中重要的细胞类型,在癌症进展中发挥着重要作用。该文阐述癌相关成纤维细胞的来源和分型,以及对胃癌侵袭转移、生长、血管生成、基质重塑、免疫调节及抑癌等方面作用的研究进展,总结靶向胃癌中癌相关成纤维细胞的相关抗肿瘤策略,以期为癌相关成纤维细胞应用于胃癌的靶向治疗提供更多信息。
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