Université Paris Descartes, Sorbonne Paris Cité, Paris, France.
Dig Liver Dis. 2012 Mar;44(3):195-200. doi: 10.1016/j.dld.2011.10.010. Epub 2011 Nov 21.
Colorectal cancer is still the third most common cancer in the world. Its carcinogenesis has been extensively studied at a molecular point of view, and has recently entered the era of microRNAs, a class small non-coding RNAs that post-transcriptionally regulate gene expression and control various cellular mechanisms. Because they control biological processes that are implicated in carcinogenesis (as developmental transitions, organ morphology, apoptosis and cell proliferation), microRNAs have been linked to cancer development, and these molecules have been recently studied as new potential biomarkers to better characterise tumour prognosis and to predict response to the different active chemotherapy. This review summarizes the potential roles of microRNAs as potential biomarkers for colorectal cancer diagnosis, prognosis and drug-response prediction. Through the literature there is evidence that some microRNA could be used as biomarkers in colorectal cancer; however, there are some discrepancies amongst the different studies. These differences could partially due to heterogeneity between the different series associated with tumour stage, tumour location, genetic background of the tumours and technical issues. More progress is needed before microRNAs can be used in clinical practice. Accumulation of further data will allow to determine the most relevant microRNAs as biomarkers and also to better understand their role in colorectal carcinogenesis.
结直肠癌仍然是世界上第三大常见癌症。其致癌机制已在分子水平上得到广泛研究,最近已进入 microRNAs 时代,microRNAs 是一类小的非编码 RNA,可在后转录水平上调节基因表达并控制各种细胞机制。由于它们控制涉及致癌作用的生物学过程(如发育转变、器官形态、细胞凋亡和细胞增殖),microRNAs 与癌症的发展有关,这些分子最近被作为新的潜在生物标志物进行研究,以更好地描述肿瘤的预后,并预测对不同的活性化疗的反应。这篇综述总结了 microRNAs 作为结直肠癌诊断、预后和药物反应预测的潜在生物标志物的作用。通过文献有证据表明,一些 microRNA 可以作为结直肠癌的生物标志物;然而,不同研究之间存在一些差异。这些差异可能部分归因于与肿瘤分期、肿瘤位置、肿瘤的遗传背景和技术问题相关的不同系列之间的异质性。在 microRNAs 能够在临床实践中使用之前,还需要取得更多的进展。进一步数据的积累将有助于确定最相关的 microRNAs 作为生物标志物,并更好地了解它们在结直肠致癌作用中的作用。