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淋巴瘤中的 microRNAs:从诊断到靶向治疗。

MicroRNAs in lymphoma, from diagnosis to targeted therapy.

机构信息

Department of Hematology, INSERM U918, IRIB, Centre Henri Becquerel, Rouen, France.

出版信息

Curr Opin Oncol. 2013 Sep;25(5):480-6. doi: 10.1097/CCO.0b013e328363def2.

Abstract

PURPOSE OF REVIEW

The crucial role of microRNAs (miRNAs) in major biological processes and cancer development has been extensively described. Some stage-specific miRNAs are involved in B-cell differentiation, from the naïve B-cell stage through germinal center maturation. Assuming that lymphoma cells are derived from B cells at different stages of maturation, miRNAs can be considered as both specific markers and putative target genes. Here, we review the most salient recent publications in this field, highlighting the clinical and therapeutic value of miRNAs in lymphomas.

RECENT FINDINGS

miRNA array-based experiments have indicated that almost all mature lymphoid malignancies can be characterized by a distinct miRNA profile. Recent works have highlighted the crucial roles of miR-155 and miR-17-92 in the pathogeneses of diffuse large B-cell lymphoma and mantle cell lymphoma, respectively, indicating that they represent promising target genes. Novel mechanisms of miRNA deregulation have also been reported, including recurrent somatic mutations, MYC-driven miRNA repression, and cross-talk with other cells in the microenvironment.

SUMMARY

In experimental models, some lymphomas are considered to be addicted to the sustained expression of targetable oncomiRs, such as miR-155 and miR-21. However, despite these results, which provide considerable information regarding lymphoma pathogenesis, the integration of miRNA analysis for lymphoma diagnosis or treatment in daily practice remains challenging.

摘要

目的综述

微小 RNA(miRNA)在主要生物过程和癌症发展中的关键作用已被广泛描述。一些阶段特异性 miRNA 参与 B 细胞分化,从幼稚 B 细胞阶段到生发中心成熟。假设淋巴瘤细胞来源于不同成熟阶段的 B 细胞,miRNA 可以被认为是特异性标记物和潜在的靶基因。在此,我们综述了该领域最近的重要出版物,强调了 miRNA 在淋巴瘤中的临床和治疗价值。

最近发现

基于 miRNA 芯片的实验表明,几乎所有成熟的淋巴恶性肿瘤都可以通过独特的 miRNA 谱来特征化。最近的研究强调了 miR-155 和 miR-17-92 在弥漫性大 B 细胞淋巴瘤和套细胞淋巴瘤发病机制中的关键作用,表明它们是有前途的靶基因。也报道了 miRNA 失调的新机制,包括反复的体细胞突变、MYC 驱动的 miRNA 抑制以及与微环境中其他细胞的串扰。

总结

在实验模型中,一些淋巴瘤被认为依赖于可靶向致癌 miRNA 的持续表达,如 miR-155 和 miR-21。然而,尽管这些结果提供了关于淋巴瘤发病机制的大量信息,但 miRNA 分析在淋巴瘤诊断或治疗中的整合在日常实践中仍然具有挑战性。

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