胃癌腹膜转移的机制研究进展综述

作者

  • 杨成 遵义医科大学基础医学院组胚教研室,中国 贵州 遵义 563000 作者
  • 游贤锋 遵义医科大学基础医学院组胚教研室,中国 贵州 遵义 563000 作者
  • 李浩艺 遵义医科大学基础医学院组胚教研室,中国 贵州 遵义 563000 作者
  • 聂宇帆 遵义医科大学基础医学院组胚教研室,中国 贵州 遵义 563000 作者
  • 许强 遵义医科大学第二附属医院泌尿外科,中国 贵州 遵义 563000 作者
  • 梁娜 遵义医科大学基础医学院组胚教研室,中国 贵州 遵义 563000 作者

关键词:

胃癌, 腹膜转移, 分子机制, 肿瘤微环境, 免疫逃逸

摘要

胃癌腹膜转移是导致患者预后不良的关键因素,其发生机制涉及多步骤、多因素的复杂生物学过程。近年来,随着分子生物学和免疫学研究的深入,肿瘤细胞脱落与侵袭、腹膜微环境适应与重塑、血管与淋巴管生成以及免疫逃逸等环节在GCPM中的作用逐渐明晰。本文系统综述了胃癌腹膜转移的核心机制,重点探讨了信号通路异常、细胞外基质重塑及免疫抑制微环境在促进肿瘤细胞定植与生长中的关键作用。同时,分析了现有研究存在的不足,如机制间交互作用的复杂性及临床转化瓶颈。本文旨在为胃癌腹膜转移的早期诊断标志物筛选和靶向治疗策略开发提供理论依据,并展望了基于多组学整合和免疫微环境调控的未来研究方向。

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2026-08-12

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