Rásó Erzsébet, Barbai Tamás, Gyõrffy Balázs, Tímár József
Semmelweis Egyetem, MTA-SE Molekuláris Onkológiai Kutatócsoport, Budapest, Hungary.
Magy Onkol. 2013 Jun;57(2):79-83. Epub 2013 May 20.
Malignant melanoma biologically can be divided into non-metastatic and metastatic forms which cannot be predicted precisely using classical clinicopathological parameters, therefore studies on novel genetic or protein markers are abundant in the literature. These studies did not result in clinically useful markers because mostly ignored the results of studies on the genetic basis of metastatic potential of malignant melanoma. Accordingly, the list of promising novel markers is short (BCL2, CDK2, MART-1, OPN). Similar to other solid malignancies, introduction of targeted therapy into clinical practice of melanoma turned the attention toward the genetic basis of resistance to chemo- and targeted therapies. These novel data could lead to the development of molecular diagnostics which can help in designing more effective therapeutic strategies of malignant melanoma.
恶性黑色素瘤从生物学角度可分为非转移性和转移性两种形式,而使用经典的临床病理参数无法精确预测这两种形式,因此文献中有大量关于新型基因或蛋白质标志物的研究。这些研究并未产生具有临床实用性的标志物,因为大多忽视了关于恶性黑色素瘤转移潜能遗传基础的研究结果。相应地,有前景的新型标志物列表很短(BCL2、CDK2、MART-1、骨桥蛋白)。与其他实体恶性肿瘤类似,将靶向治疗引入黑色素瘤临床实践后,人们的注意力转向了对化疗和靶向治疗耐药的遗传基础。这些新数据可能会推动分子诊断学的发展,这有助于设计出更有效的恶性黑色素瘤治疗策略。