癌症一直是備受關注的議題,至今已累積不少證據,癌細胞的新陳代謝與普通細胞有著與別不同的地方。1009Please respect copyright.PENANAWy8IqmSntL
1009Please respect copyright.PENANA84itKByidM
不少科學家深信,若然能夠針對癌細胞獨有的新陳代謝機制,將能更有效及針對性抑壓癌細胞的生長,甚至是殲滅它們。1009Please respect copyright.PENANAKmBEf8GaWa
1009Please respect copyright.PENANAzndbFdhfl6
近日,有科學家發表文章(Ref1),提出新的證據顯示新陳代謝對於癌細胞擴展的重要性。1009Please respect copyright.PENANAfO9YRK4stn
1009Please respect copyright.PENANABdTDKC65Hz
圖1)講解文章內容之前,我們需要快速學習一下相關的術語。1009Please respect copyright.PENANAmnUNwmaTV11009Please respect copyright.PENANAlHVrkELL85
1009Please respect copyright.PENANAA1WEnA7WFz
腫瘤由原來的位置轉移到另外一個器官,整個過程我們稱之為Metastasis。1009Please respect copyright.PENANAh0j0ljZcay
1009Please respect copyright.PENANAZ4H8o9iKbG
Primary Tumor(原發腫瘤)就是指原本被發現的癌細胞所在地,癌細胞會透過血液循環系統(Blood Circulatory System)或者淋巴系統(Lymphatic System)而從原本的位置轉移到另外一個器官,若然癌細胞能夠在第二個器官順利安頓下來及繁殖生長的話,我們會稱那腫瘤為Secondary Tumor(繼發性腫瘤)。1009Please respect copyright.PENANArFx7CecenG
1009Please respect copyright.PENANAO5PVRyydRv
1009Please respect copyright.PENANAdb7d329d4t
非常遺憾地,很多癌症病人的死因就在於Metastasis的發生,亦即是繼發性腫瘤的出現。1009Please respect copyright.PENANAmSUYIK4OQj
所以現今有不少科學家致力研究癌細胞Metastasis的機制,希望可以找出有效的方法阻止其發生。1009Please respect copyright.PENANA5IuTvJeEGF
1009Please respect copyright.PENANAIMGUEkSFFJ
1009Please respect copyright.PENANAy2WiFee9HV
(圖2)科學家們分別從30歲以下人士及60歲以上人士抽取其血清用作培養癌細胞之用。1009Please respect copyright.PENANA90mMuERGGF1009Please respect copyright.PENANAdJkavffEEF
1009Please respect copyright.PENANAhuawmGnWFi
他們發現,利用60歲以上人士血清培養過的癌細胞,將比30歲以下人士的1009Please respect copyright.PENANAPaNoLeB9OK
1.更呈化療藥物抗藥性1009Please respect copyright.PENANAJBKO6IJqsa
2.更容易使癌細胞出現Metastasis1009Please respect copyright.PENANAeBFqnnif1b
1009Please respect copyright.PENANAPzzJ6gbJUG
1009Please respect copyright.PENANAVeV0KvUV6H
(圖3)經過一大輪的實驗後,科學家們發現60歲以上人士的血清含有更多methylmalonic acid (MMA)。1009Please respect copyright.PENANAyyi52iWyB91009Please respect copyright.PENANA9bvGF3hyxN
1009Please respect copyright.PENANAoUVpZXhmnn
當清除血清裡的MMA過後,血清亦因而失去誘導癌細胞發生Metastasis的功能;1009Please respect copyright.PENANAhEdRpd1PPL
MMA的來源,已知是由代謝蛋白質及脂肪的時候會產生出來。1009Please respect copyright.PENANAONPPsTbCVH
1009Please respect copyright.PENANAxqcznCZ4ho
而他們亦證實,脂肪結構會協助MMA更有效率進入癌細胞,誘發一系列的過程誘使Metastasis發生。1009Please respect copyright.PENANAQEMCkqlbm2
1009Please respect copyright.PENANArHtrclIsuq
確實究竟是甚麼的脂肪結構,以及為何年老人士會有較多的MMA,暫時還沒能搞清楚。1009Please respect copyright.PENANAqecD9DSwnq
1009Please respect copyright.PENANALVOYSEFLG4
缺乏維他命B12,已被確定為會引致更多MMA的產生,但是從60歲以上人士的血清裡頭並沒有發現維他命B12與血清的MMA有直接的關聯,相信一定是有其他的原因導致MMA濃度的增加。1009Please respect copyright.PENANAsCgp4vnXgi
1009Please respect copyright.PENANAriesf32K9f
要注意的是,文章所說的是,MMA有著誘導癌細胞進行Metastasis功效,而不是指MMA能夠誘導細胞轉化成為癌細胞。1009Please respect copyright.PENANAsVQB68YkhI
1009Please respect copyright.PENANAxjgwQoCQ8d
1009Please respect copyright.PENANA83hVGbjqdA
總結來說,隨著歲數的增加,我們身體裡的MMA濃度亦會增加,提供了一個「良好」的環境讓癌細胞進行Metastasis。1009Please respect copyright.PENANA22hTXbH9Xx
1009Please respect copyright.PENANAsF9dM7Yc1P
無論如何,如何想利用這結果來進一步發展日後的癌細胞醫療方法,還需要深入搞清楚裡頭的機制才行。1009Please respect copyright.PENANACGsa2w4H3y
1009Please respect copyright.PENANASbWAoNGZ1z
1009Please respect copyright.PENANAW93QvYI8lQ
如果想我快啲出文的話,請入去Penana網站科普專欄–薯不揀單俾一個like以及Bookmark,這對我非常之重要。1009Please respect copyright.PENANANOCmIOAtzY
1009Please respect copyright.PENANA8bc4TjsypQ
Link: https://www.penana.com/story/66244/%E7%A7%91%E6%99%AE%E5%B0%88%E6%AC%84-%E8%96%AF%E4%B8%8D%E6%8F%80%E5%96%AE/toc1009Please respect copyright.PENANA4hnNpjVmrd
1009Please respect copyright.PENANAObpAtf7b6N
同時亦可以在Penana網站裡按「買一嚿/半嚿薯仔」,以課金的方式推動我繼續搜羅資料寫文,多謝。1009Please respect copyright.PENANAIveSdFICk4
1009Please respect copyright.PENANA0i7yUvoZne
Link:1009Please respect copyright.PENANA41pyQ0YaJ8
https://www.penana.com/user/27349/%E8%96%AF%E4%BB%94%E8%81%9E%E8%8C%B1%E8%8E%89/portfolio1009Please respect copyright.PENANA4THbDqgddN
1009Please respect copyright.PENANATIuz35YzGA
1009Please respect copyright.PENANA7s2y2PBOnN
有興趣接收科普資訊的話,歡迎follow IG: potatopigtongue。1009Please respect copyright.PENANAufYAVP7awp
1009Please respect copyright.PENANAvWZUuu013n
1009Please respect copyright.PENANAtdNSqt0sJR
Ref1:https://www.nature.com/articles/s41586-020-2630-0