Lobel Melissa K, Somasundaram Priya, Morton Cynthia C
Department of Obstetrics, Brigham and Women's Hospital and Harvard Medical School, 77 Avenue Louis Pasteur, NRB, Room 160, Boston, MA 02115, USA.
Obstet Gynecol Clin North Am. 2006 Mar;33(1):13-39. doi: 10.1016/j.ogc.2005.12.006.
Research investigating the genetics of UL has already been successful in gathering epidemiologic evidence for heritability, establishing the clonal and mosaic nature of these tumors, correlating genotypic and phenotypic characteristics, defining cytogenetic subgroups, and identifying specific genes involved in tumorigenesis. Although UL are known to be benign tumors, the impact they have on the lives of so many women can only be described as "malignant". For this reason, continuing the quest to ascertain the genes, functions, and mechanisms integral to UL development is absolutely imperative. Genetic tests for personalized medical management of women with fibroids is at the threshold for providing the most appropriate treatments (Fig. 3), and combined with developing less invasive therapies portends a brighter future for a major health problem for women.
关于子宫平滑肌瘤(UL)遗传学的研究已成功收集到遗传力的流行病学证据,确定了这些肿瘤的克隆性和镶嵌性本质,关联了基因型和表型特征,定义了细胞遗传学亚组,并鉴定出参与肿瘤发生的特定基因。尽管子宫平滑肌瘤已知为良性肿瘤,但它们对众多女性生活的影响只能被描述为“恶性的”。因此,继续探寻子宫平滑肌瘤发生所必需的基因、功能和机制绝对至关重要。针对患有子宫肌瘤的女性进行个性化医疗管理的基因检测即将能够提供最恰当的治疗方法(图3),并且与开发侵入性较小的疗法相结合,预示着女性这一重大健康问题将迎来更光明的未来。