Lee Jieun, Hwang Jung-Ah, Lee Eun Kyung
Cancer Genomics Branch, Research Institute, National Cancer Center, Goyang 410-769, Korea.
Genomics Inform. 2013 Jun;11(2):68-75. doi: 10.5808/GI.2013.11.2.68. Epub 2013 Jun 30.
Anaplastic thyroid cancer (ATC) belongs to the most malignant and rapidly progressive human thyroid cancers and its prognosis is very poor. Also, it shows high resistance to cancer treatments, so that effective treatment for ATC has not been found to date, and virtually all patients terminate their life rapidly after diagnosis. Although targeted treatment of genetic alterations has emerged as an extremely promising approach to human cancers, such as BRAF in metastatic melanoma, it remains unclear that how commonly genomic alterations are influenced in ATC tumorigenesis. In recent years, genome wide approaches have been exploited to find genetic alterations associated with complex diseases, including cancer. Here, we reviewed the comprehensive genetic alterations in ATC and recent approaches in the context of identifying genomic alterations associated with ATC. Since surprisingly few reports have been published on the genome wide study of ATC, this review puts emphasis on the urgent needs of genomic research for the prevention and treatment of ATC.
间变性甲状腺癌(ATC)是人类甲状腺癌中恶性程度最高、进展最快的类型,其预后很差。此外,它对癌症治疗表现出高度抗性,以至于迄今为止尚未找到针对ATC的有效治疗方法,几乎所有患者在确诊后都很快死亡。尽管针对基因改变的靶向治疗已成为治疗人类癌症极具前景的方法,如用于转移性黑色素瘤中的BRAF,但目前尚不清楚基因组改变在ATC肿瘤发生过程中的普遍程度。近年来,全基因组方法已被用于寻找与包括癌症在内的复杂疾病相关的基因改变。在此,我们综述了ATC中的全面基因改变以及在鉴定与ATC相关的基因组改变背景下的最新方法。由于关于ATC全基因组研究的报道出奇地少,本综述强调了基因组研究对于ATC预防和治疗的迫切需求。