Záveský L, Turyna R, Kohoutová M
Ceska Gynekol. 2013 Nov;78(5):432-42.
The most common gynecological malignancy, the endometrial carcinoma, is mostly diagnosed at early stages. However, diagnosis at advanced stages is accompanied by the high mortality rate. It is suggested that this cancer is one of the less studied female cancers. The necessity to establish novel diagnostic markers has led to investigations of small non-coding RNAs, particularly microRNAs, also in endometrial cancer. There have been found many microRNAs potentially associated with carcinogenesis and clinico-pathological data including prognosis for patients. Many microRNAs may also serve as diagnostic markers for non-invasive diagnostics using blood plasma. We reviewed extensively the published research focused on microRNAs that have been found deregulated particularly in tissue samples within the both major types of endometrial cancer (type 1 and type 2). They are presented in the view of their potential targets and mechanisms of action. Some microRNAs have been found deregulated also in blood plasma. There exists a high level of inconsistency across the studies as many microRNAs have been found only within one or a few studies so far. However, there are some microRNAs consistently deregulated as suggested several investigations. There remains the urgent need of more intensive research focused on the microRNAs and their regulatory role in endometrial cancer. Such a research should provide the basis for the introducing novel diagnostic tools into the clinical practice.
子宫内膜癌是最常见的妇科恶性肿瘤,大多在早期被诊断出来。然而,晚期诊断伴随着高死亡率。有人认为,这种癌症是研究较少的女性癌症之一。建立新型诊断标志物的必要性促使人们对小非编码RNA,特别是微小RNA在子宫内膜癌中的作用展开研究。现已发现许多微小RNA可能与致癌作用以及临床病理数据(包括患者预后)相关。许多微小RNA还可作为使用血浆进行非侵入性诊断的标志物。我们广泛回顾了已发表的研究,这些研究聚焦于特别是在两种主要类型的子宫内膜癌(1型和2型)的组织样本中发现表达失调的微小RNA。从它们的潜在靶标和作用机制的角度对其进行了介绍。一些微小RNA在血浆中也被发现表达失调。目前各研究之间存在高度不一致性,因为到目前为止,许多微小RNA仅在一项或几项研究中被发现。然而,几项研究表明,有一些微小RNA始终存在表达失调的情况。迫切需要更深入地研究微小RNA及其在子宫内膜癌中的调控作用。这样的研究应为将新型诊断工具引入临床实践提供依据。