切换至 "中华医学电子期刊资源库"

中华胃肠内镜电子杂志 ›› 2026, Vol. 13 ›› Issue (01) : 1 -4. doi: 10.3877/cma.j.issn.2095-7157.2026.01.001

专家述评

超越寄生:恶性肿瘤作为新生器官的演化图景与未来形态预测
令狐恩强()   
  1. 100853 北京,解放军总医院第一医学中心消化内科医学部
  • 收稿日期:2026-01-20 出版日期:2026-02-15
  • 通信作者: 令狐恩强
  • 基金资助:
    十四五国家重点研发计划(2022YFC2503600)

Beyond parasitism: The evolutionary landscape of malignant tumors as emergent organs and future morphological predictions

Enqiang Linghu()   

  1. Department of Gastroenterology, The First Medical Center, Chinese PLA General Hospital, Beijing 100853, China
  • Received:2026-01-20 Published:2026-02-15
  • Corresponding author: Enqiang Linghu
引用本文:

令狐恩强. 超越寄生:恶性肿瘤作为新生器官的演化图景与未来形态预测[J/OL]. 中华胃肠内镜电子杂志, 2026, 13(01): 1-4.

Enqiang Linghu. Beyond parasitism: The evolutionary landscape of malignant tumors as emergent organs and future morphological predictions[J/OL]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2026, 13(01): 1-4.

传统观点将恶性肿瘤视为机体细胞的异常增生,然而整合基因组学、蛋白质组学与免疫组学的前沿证据表明,进展期肿瘤已超越简单的细胞变异范畴,形成了具有高度组织复杂性的"新生器官"。本文基于肿瘤核心功能获得理论,系统论证肿瘤通过基因组不稳定性驱动表型演化,借助蛋白质网络重构实现代谢重编程,通过主动塑造免疫微环境建立免疫逃避,并寻求神经接触浸润以获取增殖信号。肿瘤不仅诱导周围细胞异化形成支持性基质,更以"组团式"方式构建三维生态位。在此理论基础上,本文进一步提出前瞻性预测:该"新型生物个体"在形态上将趋向极简功能结构,在能力上获得代谢自主性与免疫伪装,并在特定条件下具备脱离原宿主体、形成传染性谱系的可能,肿瘤的演化本质上是多细胞生命在体内的"二次成体"尝试。

Conventional views regard malignant tumors simply as abnormal proliferations of somatic cells.However, cutting-edge evidence integrating genomics, proteomics, and immunology indicates that advanced tumors have transcended the realm of simple cellular aberrations, evolving into "neo-organs" with a high degree of histological complexity.Based on the theory of core functional acquisitions in cancer, this article systematically argues that tumors, driven by genomic instability, undergo phenotypic evolution, achieve metabolic reprogramming through the remodeling of protein interaction networks, establish immune evasion by actively sculpting the immune microenvironment, and seek neural contact and invasion to obtain proliferative signals.Tumors not only induce the alteration of surrounding cells to form a supportive stroma but also construct three-dimensional niches in a "cooperative cluster" manner.Building upon this theoretical framework, this paper further proposes forward-looking predictions: this "novel biological entity" will tend towards minimal functional structures in morphology, achieve metabolic autonomy and immune camouflage in its capabilities, and, under specific conditions, possess the potential to detach from the original host and form transmissible lineages.In essence, tumor evolution represents an attempt at "secondary organismal formation" by multicellular life within the host.

[1]
Chen Qun, Jiang Kuirong, Michael S, et al.Tumor microenvironment and macroenvironment:A new perspective on holistic oncology[J].Cancer Lett2025634:218076.
[2]
令狐恩强.超级微创切除实体肿瘤再认识—换个视角看实体肿瘤的系统性、动态性概念[J/OL].中华胃肠内镜电子杂志202512(4): 217-219.
[3]
Lukow Devon A, Sheltzer Jason M.Chromosomal instability and aneuploidy as causes of cancer drug resistance[J].Trends Cancer20218(1): 43-53.
[4]
Cosenza Marco Raffaele, Gaiatto Alice, Uysal Büşra Erarslan, et al. Origins of chromosome instability unveiled by coupled imaging and genomics[J].Nature2025648(8093): 383-393.
[5]
Pang Boran, Wu Hao.Metabolic reprogramming in colorectal cancer: a review of aerobic glycolysis and its therapeutic implications for targeted treatment strategies[J].Cell Death Discov202511(1): 321.
[6]
Davies PCW, Lineweaver CH.Cancer tumors as Metazoa 1.0: tapping genes of ancient ancestors[J].Phys Biol20118(1): 015001.
[7]
Ikeda Hideki, Kawase Katsushige, Nishi Tatsuya, et al.Immune evasion through mitochondrial transfer in the tumour microenvironment[J]. Nature2025638(8049): 225-236.
[8]
Hou Tianhui, Ding Huaze, Huang Guofang, et al.Neural-tumor crosstalk and molecular targeting:mechanisms and therapeutic implications in cancer neuroscience[J].Cell Oncol (Dordr)202649(1): 35.
[9]
Arnold F, Del Vecchio A, Hussain Z, et al.Heterocellular crosstalk and architecture of the pancreatic tumour microenvironment[J].Nat Rev Cancer2026,undefined.
[10]
Wang, Haojun, Yu, Yang, Li, Runze, et al.Immunoregulatory mechanisms in the aging microenvironment:Targeting the senescence- associated secretory phenotype for cancer immunotherapy[J].Acta Pharm Sin B202515: 4476-4496.
[11]
Mei Song, Wang Xiaolei, Zhao Mengmeng, et al.Resolving the spatial and cellular architecture of intra-tumor heterogeneity by multi-region dissection of lung adenocarcinoma[J].J Genet Genomics202552(9): 1121-1132.
[12]
Hoover Gregory, Gilbert Shila, Curley Olivia, et al.Nerve-to-cancer transfer of mitochondria during cancer metastasis[J].Nature2025, 644(8075):252-262.
[13]
Wang Jiahui, Li Rongqing, Qian Li.Intercellular mitochondrial transfer rewires redox signaling and metabolic plasticity:mechanisms, disease relevance and therapeutic frontiers[J].Redox Biol202690: 104019.
[14]
Jiang Jun, Xu Zhe, Qu Danyu, et al.Targeting sensory nerves in the tumor microenvironment:a new vulnerability in cancer therapy[J].Cell Commun Signal2026, 24(1): 65.
[15]
Duzanski AP, López-Valbuena FD, Osorio-Zambrano WF, et al. Canine Transmissible Venereal Tumour:A Natural Model of Immune Evasion in Comparative Oncology[J].Vet Comp Oncol2026, undefined.
[16]
Storfer Andrew, Beer Marc A, Gallinson Dylan, et al.The devil in more detail: Eco-evolutionary genomics of Tasmanian devil persistence despite range-wide spread of a fatal,transmissible cancer[J].PLoS Pathog2025, 21(9): e1013523.
[1] 梁冬梅, 王燕, 戴峻. 调节性T细胞与子宫内膜异位症关系的研究现状[J/OL]. 中华妇幼临床医学杂志(电子版), 2021, 17(06): 627-633.
[2] 石浩伟, 郝少龙, 纪宇, 孙浩, 韩威. 低氧微环境对胰腺癌影响的研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2021, 15(03): 351-354.
[3] 何蓉, 张义, 李盼盼, 宋歌声, 李爱银, 王艺. 直肠癌神经浸润的影像评估进展[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(04): 378-381.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?