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微小RNA在子宫内膜癌发生发展中的作用:文献综述

The Role of MicroRNAs in Development of Endometrial Cancer: A Literature Review.

作者信息

Indumati Somasundaram, Apurva Birajdar, Gaurav Gaur, Nehakumari Singh, Nishant Vyas

机构信息

Department of Stem Cell and Regenerative Medicine, D.Y. Patil Education Society, Kolhapur, India.

Logical Life science, Maharashtra, India.

出版信息

J Reprod Infertil. 2023 Jul-Sep;24(3):147-165. doi: 10.18502/jri.v24i3.13271.

Abstract

Endometrial cancer (EC) ranks as the second most common gynaecological cancer worldwide. EC patients are diagnosed at an early clinical stage and generally have a good prognosis. Therefore, there is a dire need for development of a specific marker for early detection of endometrial adenocarcinoma. The development of EC is conditioned by a multistep process of oncogenic upregulation and tumor suppressor downregulation as shown by molecular genetic evidence. In this setting, microRNAs appear as significant regulators of gene expression and several variations in the expression of microRNAs have been implicated in normal endometrium, endometrial tissue, metrorrhagia, and endometrial cancer. Furthermore, microRNAs act as highly precise, sensitive, and robust molecules, making them potential markers for diagnosing specific cancers and their progression. With the rising incidence of EC, its management remains a vexing challenge and diagnostic methods for the disease are limited to invasive, expensive, and inaccurate tools. Therefore, the prospect of exploiting the utility of microRNAs as potential candidates for diagnosis and therapeutic use in EC seems promising.

摘要

子宫内膜癌(EC)是全球第二常见的妇科癌症。EC患者在临床早期被诊断出来,总体预后良好。因此,迫切需要开发一种用于早期检测子宫内膜腺癌的特异性标志物。分子遗传学证据表明,EC的发生是由致癌基因上调和肿瘤抑制基因下调的多步骤过程所决定的。在这种情况下,微小RNA似乎是基因表达的重要调节因子,微小RNA表达的几种变化与正常子宫内膜、子宫内膜组织、子宫出血和子宫内膜癌有关。此外,微小RNA作为高度精确、敏感和稳定的分子,使其成为诊断特定癌症及其进展的潜在标志物。随着EC发病率的上升,其治疗仍然是一个棘手的挑战,该疾病的诊断方法仅限于侵入性、昂贵且不准确的工具。因此,利用微小RNA作为EC诊断和治疗用途的潜在候选物的前景似乎很有希望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d14e/10471942/0ea2e7690122/JRI-24-147-g001.jpg

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