CD13、CD28、ARG-1的生物学特性与消化道恶性肿瘤之间的关系研究进展
Research Progress on the Relationship between the Biological Characteristics of CD13, CD28, and ARG-1 and Digestive Tract Malignant Tumors
DOI: 10.12677/acm.2025.15102954, PDF,   
作者: 王衍鑫, 林心艳:右江民族医学院研究生学院,广西 百色;周喜汉*:右江民族医学院附属医院消化内科,广西 百色
关键词: CD13CD28ARG-1消化道恶性肿瘤免疫表达生物学特性CD13 CD28 ARG-1 Digestive Tract Malignant Tumors Immune Expression Iological Characteristics
摘要: 消化系统恶性肿瘤(含食管癌、胃癌、肝癌等)发病率与死亡率一直居高不下,2022年结直肠癌、胃癌、肝癌三者发病率占全球恶性肿瘤18.8%、死亡率占23.9%,当前,在消化道恶性肿瘤的免疫相关机制研究中,CD13、CD28、ARG-1三大分子已成为领域内的核心研究热点,本文系统综述三者的分子结构、表达分布、生理功能及病理关联,重点分析三者在胃癌、肝癌、结直肠癌等消化道肿瘤中的表达特征、作用机制及临床意义,旨在为消化系统恶性肿瘤的早期诊断、预后评估及靶向治疗提供理论依据与研究方向。
Abstract: The incidence and mortality rates of malignant tumors of the digestive system (including esophageal cancer, gastric cancer, liver cancer, etc.) have remained consistently high. In 2022, the incidence of colorectal cancer, gastric cancer, and liver cancer accounted for 18.8% of global malignant tumors, while their mortality accounted for 23.9%. Currently, in research on the immune-related mechanisms of digestive tract malignant tumors, three key molecules—CD13, CD28, and ARG-1—have become core research hotspots in the field. This article systematically reviews the molecular structure, expression distribution, physiological functions, and pathological associations of these three molecules, with a focus on analyzing their expression characteristics, mechanisms of action, and clinical significance in digestive tract tumors such as gastric cancer, liver cancer, and colorectal cancer. The aim is to provide a theoretical basis and research directions for the early diagnosis, prognostic evaluation, and targeted therapy of malignant tumors of the digestive system.
文章引用:王衍鑫, 周喜汉, 林心艳. CD13、CD28、ARG-1的生物学特性与消化道恶性肿瘤之间的关系研究进展[J]. 临床医学进展, 2025, 15(10): 1847-1856. https://doi.org/10.12677/acm.2025.15102954

参考文献

[1] Bray, F., Laversanne, M., Sung, H., Ferlay, J., Siegel, R.L., Soerjomataram, I., et al. (2024) Global Cancer Statistics 2022: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 74, 229-263. [Google Scholar] [CrossRef] [PubMed]
[2] Okeke, E., Davwar, P.M., Roberts, L., Sartorius, K., Spearman, W., Malu, A., et al. (2020) Epidemiology of Liver Cancer in Africa: Current and Future Trends. Seminars in Liver Disease, 40, 111-123. [Google Scholar] [CrossRef] [PubMed]
[3] Singal, A.G. and El-Serag, H.B. (2015) Hepatocellular Carcinoma from Epidemiology to Prevention: Translating Knowledge into Practice. Clinical Gastroenterology and Hepatology, 13, 2140-2151. [Google Scholar] [CrossRef] [PubMed]
[4] Zhou, Y., Song, K., Chen, Y., Zhang, Y., Dai, M., Wu, D., et al. (2024) Burden of Six Major Types of Digestive System Cancers Globally and in China. Chinese Medical Journal, 137, 1957-1964. [Google Scholar] [CrossRef] [PubMed]
[5] Look, A.T., Ashmun, R.A., Shapiro, L.H. and Peiper, S.C. (1989) Human Myeloid Plasma Membrane Glycoprotein CD13 (gp150) Is Identical to Aminopeptidase N. Journal of Clinical Investigation, 83, 1299-1307. [Google Scholar] [CrossRef] [PubMed]
[6] Feracci, H. and Maroux, S. (1980) Rabbit Intestinal Aminopeptidase N. Purification and Molecular Properties. Biochimica et Biophysica Acta (BBA)-Biomembranes, 599, 448-463. [Google Scholar] [CrossRef] [PubMed]
[7] Barnieh, F.M., Loadman, P.M. and Falconer, R.A. (2021) Is Tumour-Expressed Aminopeptidase N (APN/CD13) Structurally and Functionally Unique? Biochimica et Biophysica Acta (BBA)-Reviews on Cancer, 1876, Article 188641. [Google Scholar] [CrossRef] [PubMed]
[8] 李丹丹. CD33和CD13表达与多发性骨髓瘤患者预后的关系[D]: [硕士学位论文]. 合肥: 安徽医科大学, 2022.
[9] Mina-Osorio, P. (2008) The Moonlighting Enzyme CD13: Old and New Functions to Target. Trends in Molecular Medicine, 14, 361-371. [Google Scholar] [CrossRef] [PubMed]
[10] Dixon, J., Kaklamanis, L., Turley, H., Hickson, I.D., Leek, R.D., Harris, A.L., et al. (1994) Expression of Aminopeptidase-N (CD 13) in Normal Tissues and Malignant Neoplasms of Epithelial and Lymphoid Origin. Journal of Clinical Pathology, 47, 43-47. [Google Scholar] [CrossRef] [PubMed]
[11] Rutenburg, A.M., Goldbarg, J.A. and Pineda, E.P. (1958) Leucine Aminopeptidase Activity. New England Journal of Medicine, 259, 469-472. [Google Scholar] [CrossRef] [PubMed]
[12] Nohara, S., Kato, K., Fujiwara, D., Sakuragi, N., Yanagihara, K., Iwanuma, Y., et al. (2016) Aminopeptidase N (APN/CD13) as a Target Molecule for Scirrhous Gastric Cancer. Clinics and Research in Hepatology and Gastroenterology, 40, 494-503. [Google Scholar] [CrossRef] [PubMed]
[13] Pang, L., Zhang, N., Xia, Y., Wang, D., Wang, G. and Meng, X. (2016) Serum APN/CD13 as a Novel Diagnostic and Prognostic Biomarker of Pancreatic Cancer. Oncotarget, 7, 77854-77864. [Google Scholar] [CrossRef] [PubMed]
[14] Yamanaka, C., Wada, H., Eguchi, H., Hatano, H., Gotoh, K., Noda, T., et al. (2017) Clinical Significance of CD13 and Epithelial Mesenchymal Transition (EMT) Markers in Hepatocellular Carcinoma. Japanese Journal of Clinical Oncology, 48, 52-60. [Google Scholar] [CrossRef] [PubMed]
[15] 马玉倩, 邢晓燕, 葛彬彬, 等. APN/CD13抑制剂乌苯美司: 一个抗肿瘤化疗药物分子伴侣[J]. 中国药理学通报, 2021, 37(11): 1497-1502.
[16] Fiddler, C.A., Parfrey, H., Cowburn, A.S., Luo, D., Nash, G.B., Murphy, G., et al. (2016) The Aminopeptidase CD13 Induces Homotypic Aggregation in Neutrophils and Impairs Collagen Invasion. PLOS ONE, 11, e0160108. [Google Scholar] [CrossRef] [PubMed]
[17] Domínguez, J.M., Pérez-Chacón, G., Guillén, M.J., Muñoz-Alonso, M.J., Somovilla-Crespo, B., Cibrián, D., et al. (2020) CD13 as a New Tumor Target for Antibody-Drug Conjugates: Validation with the Conjugate Mi130110. Journal of Hematology & Oncology, 13, Article No. 32. [Google Scholar] [CrossRef] [PubMed]
[18] 张朝阳, 杨子, 李洪涛, 等. CD13在胃癌中的表达与临床病理参数的关系及其对远期预后的预测价值[J]. 中华全科医学, 2023, 21(12): 2018-2021.
[19] 汤小龙, 向正国, 陈旭峰, 等. CD13和FUT8在胃癌组织中的表达及与淋巴结转移的关系[J]. 生物医学工程与临床, 2025, 29(2): 250-255.
[20] Liu, X., Guo, Q., Jing, F., Zhou, C., Xiu, T., Shi, Y., et al. (2021) Ubenimex Suppresses the Ability of Migration and Invasion in Gastric Cancer Cells by Alleviating the Activity of the CD13/NAB1/MAPK Pathway. Cancer Management and Research, 13, 4483-4495. [Google Scholar] [CrossRef] [PubMed]
[21] Ha, Y.J., Shin, Y.J., Tak, K.H., Park, J.L., Kim, J.H., Lee, J.L., et al. (2023) Reduced Expression of Alanyl Aminopeptidase Is a Robust Biomarker of Non-Familial Adenomatous Polyposis and Non-Hereditary Nonpolyposis Colorectal Cancer Syndrome Early‐Onset Colorectal Cancer. Cancer Medicine, 12, 10091-10104. [Google Scholar] [CrossRef] [PubMed]
[22] Hashida, H., Takabayashi, A., Kanai, M., Adachi, M., Kondo, K., Kohno, N., et al. (2002) Aminopeptidase N Is Involved in Cell Motility and Angiogenesis: Its Clinical Significance in Human Colon Cancer. Gastroenterology, 122, 376-386. [Google Scholar] [CrossRef] [PubMed]
[23] Saxena, A., Chumanevich, A., Fletcher, E., Larsen, B., Lattwein, K., Kaur, K., et al. (2012) Adiponectin Deficiency: Role in Chronic Inflammation Induced Colon Cancer. Biochimica et Biophysica Acta (BBA)-Molecular Basis of Disease, 1822, 527-536. [Google Scholar] [CrossRef] [PubMed]
[24] Lukanova, A., Söderberg, S., Kaaks, R., Jellum, E. and Stattin, P. (2006) Serum Adiponectin Is Not Associated with Risk of Colorectal Cancer. Cancer Epidemiology, Biomarkers & Prevention, 15, 401-402. [Google Scholar] [CrossRef] [PubMed]
[25] 翟梦颖. 氨肽酶N激活BCKDK-ERK信号轴促进肝细胞癌转移和增殖的机制研究[D]: [博士学位论文]. 天津: 天津医科大学, 2020.
[26] Zhao, Y., Wu, H., Xing, X., Ma, Y., Ji, S., Xu, X., et al. (2020) CD13 Induces Autophagy to Promote Hepatocellular Carcinoma Cell Chemoresistance through the P38/Hsp27/CREB/ATG7 Pathway. The Journal of Pharmacology and Experimental Therapeutics, 374, 512-520. [Google Scholar] [CrossRef] [PubMed]
[27] Yamashita, M., Wada, H., Eguchi, H., Ogawa, H., Yamada, D., Noda, T., et al. (2016) A CD13 Inhibitor, Ubenimex, Synergistically Enhances the Effects of Anticancer Drugs in Hepatocellular Carcinoma. International Journal of Oncology, 49, 89-98. [Google Scholar] [CrossRef] [PubMed]
[28] Slavik, J.M., Hutchcroft, J.E. and Bierer, B.E. (1999) CD28/CTLA-4 and CD80/CD86 Families. Immunologic Research, 19, 1-24. [Google Scholar] [CrossRef] [PubMed]
[29] Sharpe, A.H. and Freeman, G.J. (2002) The B7-CD28 Superfamily. Nature Reviews Immunology, 2, 116-126. [Google Scholar] [CrossRef] [PubMed]
[30] June, C.H., Bluestone, J.A., Nadler, L.M. and Thompson, C.B. (1994) The B7 and CD28 Receptor Families. Immunology Today, 15, 321-331. [Google Scholar] [CrossRef] [PubMed]
[31] Kornbluth, J. (1995) Potential Role of CD28-B7 Interactions in the Growth of Myeloma Plasma Cells. In: Current Topics in Microbiology and Immunology, Springer Berlin Heidelberg, 43-49. [Google Scholar] [CrossRef] [PubMed]
[32] Krummel, M.F. and Allison, J.P. (1995) CD28 and CTLA-4 Have Opposing Effects on the Response of T Cells to Stimulation. The Journal of Experimental Medicine, 182, 459-465. [Google Scholar] [CrossRef] [PubMed]
[33] Walunas, T.L., Lenschow, D.J., Bakker, C.Y., Linsley, P.S., Freeman, G.J., Green, J.M., et al. (1994) CTLA-4 Can Function as a Negative Regulator of T Cell Activation. Immunity, 1, 405-413. [Google Scholar] [CrossRef] [PubMed]
[34] Njau, M.N. and Jacob, J. (2013) The CD28/B7 Pathway: A Novel Regulator of Plasma Cell Function. In: Katsikis, P., Schoenberger, S. and Pulendran, B., Eds., Advances in Experimental Medicine and Biology, Springer, 67-75. [Google Scholar] [CrossRef] [PubMed]
[35] Frauwirth, K.A., Riley, J.L., Harris, M.H., Parry, R.V., Rathmell, J.C., Plas, D.R., et al. (2002) The CD28 Signaling Pathway Regulates Glucose Metabolism. Immunity, 16, 769-777. [Google Scholar] [CrossRef] [PubMed]
[36] Broux, B., Markovic-Plese, S., Stinissen, P. and Hellings, N. (2012) Pathogenic Features of CD4+CD28– T Cells in Immune Disorders. Trends in Molecular Medicine, 18, 446-453. [Google Scholar] [CrossRef] [PubMed]
[37] Li, N., Gao, L., Ge, Y., Zhao, L., Bai, C. and Wang, Y. (2023) Prognostic and Predictive Significance of Circulating Biomarkers in Patients with Advanced Upper Gastrointestinal Cancer Undergoing Systemic Chemotherapy. Frontiers in Oncology, 13, Article 1195848. [Google Scholar] [CrossRef] [PubMed]
[38] Hsu, P., Yang, T., Kao, J., Cheng, K., Lee, Y., Wang, Y., et al. (2010) Increased PD-1 and Decreased CD28 Expression in Chronic Hepatitis B Patients with Advanced Hepatocellular Carcinoma. Liver International, 30, 1379-1386. [Google Scholar] [CrossRef] [PubMed]
[39] Esensten, J.H., Helou, Y.A., Chopra, G., Weiss, A. and Bluestone, J.A. (2016) CD28 Costimulation: From Mechanism to Therapy. Immunity, 44, 973-988. [Google Scholar] [CrossRef] [PubMed]
[40] Sam, J., Hofer, T., Kuettel, C., Claus, C., Thom, J., Herter, S., et al. (2024) CD19-CD28: An Affinity-Optimized CD28 Agonist for Combination with Glofitamab (CD20-TCB) as off-the-Shelf Immunotherapy. Blood, 143, 2152-2165. [Google Scholar] [CrossRef] [PubMed]
[41] Qin, L., Jing, X., Qiu, Z., Cao, W., Jiao, Y., Routy, J., et al. (2016) Aging of Immune System: Immune Signature from Peripheral Blood Lymphocyte Subsets in 1068 Healthy Adults. Aging, 8, 848-859. [Google Scholar] [CrossRef] [PubMed]
[42] Li, T. and Xiang, P. (2019) Therapeutic Effects of Endoscopic Mucosal Resection on the Recovery and Prognosis of Early Gastric Cancer. Journal of B.U.ON., 24, 1087-1091.
[43] Maki, A., Matsuda, M., Asakawa, M., Kono, H., Fujii, H. and Matsumoto, Y. (2004) Decreased Expression of CD28 Coincides with the Down-Modulation of Cd3ζ and Augmentation of Caspase-3 Activity in T Cells from Hepatocellular Carcinoma-Bearing Patients and Hepatitis C Virus-Infected Patients. Journal of Gastroenterology and Hepatology, 19, 1348-1356. [Google Scholar] [CrossRef] [PubMed]
[44] 李素燕, 安黎云, 张会峰, 等. PD-1在原发性肝细胞癌组织中的表达及意义[J]. 药学研究, 2024, 43(9): 913-917.
[45] 刘晓光, 金秀国, 刘波, 等. 结肠癌患者外周血淋巴细胞CD8和CD28的表达[J]. 肿瘤学杂志, 2007(1): 68-69.
[46] Kucukhuseyin, O., Turan, S., Yanar, K., et al. (2015) Individual and Combined Effects of CTLA4-CD28 Variants and Oxidant-Antioxidant Status on the Development of Colorectal Cancer. Anticancer Research, 35, 5391-5400.
[47] Mao, Y., Wang, C., Meng, F., Kong, J., Cao, S., Jiang, Y., et al. (2018) Polymorphisms in the ICOS/CD28-ICOSL Pathway Are Related to Capecitabine-Based Chemotherapy Response in Advanced Colon Cancer Patients. Molecular Immunology, 96, 78-82. [Google Scholar] [CrossRef] [PubMed]
[48] Dzik, J.M. (2014) Evolutionary Roots of Arginase Expression and Regulation. Frontiers in Immunology, 5, Article No. 544. [Google Scholar] [CrossRef] [PubMed]
[49] Dizikes, G.J., Grody, W.W., Kern, R.M. and Cederbaum, S.D. (1986) Isolation of Human Liver Arginase cDNA and Demonstration of Nonhomology between the Two Human Arginase Genes. Biochemical and Biophysical Research Communications, 141, 53-59. [Google Scholar] [CrossRef] [PubMed]
[50] Ash, D.E. (2004) Structure and Function of Arginases. The Journal of Nutrition, 134, 2760S-2764S. [Google Scholar] [CrossRef] [PubMed]
[51] Caldwell, R.W., Rodriguez, P.C., Toque, H.A., Narayanan, S.P. and Caldwell, R.B. (2018) Arginase: A Multifaceted Enzyme Important in Health and Disease. Physiological Reviews, 98, 641-665. [Google Scholar] [CrossRef] [PubMed]
[52] Satriano, J. (2004) Arginine Pathways and the Inflammatory Response: Interregulation of Nitric Oxide and Polyamines: Review Article. Amino Acids, 26, 321-329. [Google Scholar] [CrossRef] [PubMed]
[53] Deignan, J.L., Cederbaum, S.D. and Grody, W.W. (2008) Contrasting Features of Urea Cycle Disorders in Human Patients and Knockout Mouse Models. Molecular Genetics and Metabolism, 93, 7-14. [Google Scholar] [CrossRef] [PubMed]
[54] Yang, Z. and Ming, X. (2014) Functions of Arginase Isoforms in Macrophage Inflammatory Responses: Impact on Cardiovascular Diseases and Metabolic Disorders. Frontiers in Immunology, 5, Article No. 533. [Google Scholar] [CrossRef] [PubMed]
[55] 周丽英, 王宁宁, 张瑜, 等. 宫颈癌中IL-38表达及与肿瘤相关巨噬细胞因子关系[J]. 中华肿瘤防治杂志, 2020, 27(22): 1809-1814.
[56] Wu, C., Wang, S., Chang, T., Lin, E., Chang, K., Huang, M., et al. (1989) Content of Glucocorticoid Receptor and Arginase in Gastric Cancer and Normal Gastric Mucosal Tissues. Cancer, 64, 2552-2556. [Google Scholar] [CrossRef
[57] 曹梦, 高广甫. GPC-3和Arg-1在肝细胞性肝癌中的表达及其诊断价值[J]. 河南医学研究, 2022, 31(20): 3699-3703.
[58] Cheng, P.N.M., Liu, A.M., Bessudo, A. and Mussai, F. (2021) Safety, PK/PD and Preliminary Anti-Tumor Activities of Pegylated Recombinant Human Arginase 1 (BCT-100) in Patients with Advanced Arginine Auxotrophic Tumors. Investigational New Drugs, 39, 1633-1640. [Google Scholar] [CrossRef] [PubMed]
[59] Martinenaite, E., Lecoq, I., Aaboe-Jørgensen, M., Ahmad, S.M., Perez-Penco, M., Glöckner, H.J., et al. (2025) Arginase-1-Specific T Cells Target and Modulate Tumor-Associated Macrophages. Journal for ImmunoTherapy of Cancer, 13, e009930. [Google Scholar] [CrossRef] [PubMed]
[60] Liu, Y., Yu, Y., Hu, C., Jiang, M., Zhao, C., Li, X., et al. (2025) ZEB2 Upregulation Modulates the Polarization of Tams toward the Immunosuppressive State in EGFR-TKI-Resistant NSCLC. Cancer Drug Resistance, 8, Article No. 25. [Google Scholar] [CrossRef] [PubMed]
[61] 郑威强, 王向阳. 胃癌患者癌组织中精氨酸酶-1的表达及预后价值[J]. 华中科技大学学报(医学版), 2021, 50(4): 504-508.
[62] 李雪, 莫翠毅, 陈嘉嘉, 等. 早期胃癌肿瘤浸润深度与癌组织PD-L1、Arg-1表达的关系[J]. 临床和实验医学杂志, 2023, 22(1): 19-23.
[63] Pegg, A.E. (1988) Polyamine Metabolism and Its Importance in Neoplastic Growth and a Target for Chemotherapy. Cancer Research, 48, 759-774.
[64] Gao, Y., Li, X., Yang, M., Zhao, Q., Liu, X., Wang, G., et al. (2013) Colitis-Accelerated Colorectal Cancer and Metabolic Dysregulation in a Mouse Model. Carcinogenesis, 34, 1861-1869. [Google Scholar] [CrossRef] [PubMed]
[65] Ma, Z., Lian, J., Yang, M., Wuyang, J., Zhao, C., Chen, W., et al. (2019) Overexpression of Arginase-1 Is an Indicator of Poor Prognosis in Patients with Colorectal Cancer. Pathology-Research and Practice, 215, Article 152383. [Google Scholar] [CrossRef] [PubMed]
[66] Wang, X., Xiang, H., Toyoshima, Y., Shen, W., Shichi, S., Nakamoto, H., et al. (2023) Arginase-1 Inhibition Reduces Migration Ability and Metastatic Colonization of Colon Cancer Cells. Cancer & Metabolism, 11, Article No. 1. [Google Scholar] [CrossRef] [PubMed]
[67] 王斌生. 精氨酸酶1在原发性肝癌及肝转移癌鉴别中的作用[J]. 癌变.畸变.突变, 2014, 26(2): 113-116.
[68] Atta, I.S. (2021) Efficacy of Expressions of Arg-1, Hep Par-1, and CK19 in the Diagnosis of the Primary Hepatocellular Carcinoma Subtypes and Exclusion of the Metastases. Histol Histopathol, 36, 981-993.
[69] Sang, W., Zhang, W., Cui, W., Li, X., Abulajiang, G. and Li, Q. (2015) Arginase-1 Is a More Sensitive Marker than Heppar-1 and AFP in Differential Diagnosis of Hepatocellular Carcinoma from Nonhepatocellular Carcinoma. Tumor Biology, 36, 3881-3886. [Google Scholar] [CrossRef] [PubMed]