Floquet Anne, Stoeckle Eberhard, Croce Sabrina, Longy Michel, Mc Grogan Gaétan, Barouk Emmanuelle, Bubien Virginie, Garbay Delphine, Joly Eglantine, Guyon Frédéric
Institut Bergonié, département d'oncologie médicale, 229, cours de l'Argonne, 33076 Bordeaux cedex, France.
Institut Bergonié, département de chirurgie, 229, cours de l'Argonne, 33076 Bordeaux cedex, France.
Bull Cancer. 2014 Feb;101(2):167-74. doi: 10.1684/bdc.2014.1888.
Hereditary ovarian cancers account for 10% of all cases. Two major syndromes with dominant autosomal transmission are identified. The most common one is breast-ovarian cancer syndrome due to BRCA1 and BRCA2 genes mutations, and the Lynch syndrome with mutated MMR genes is the other. Alterations in homologous recombination specifically observed in ovarian cancer with BRCA defects associated to Parp inhibition create a synthetic lethality of special interest. Numerous studies are in progress to explore this promising new approach. Furthermore, it seems that carcinogenesis of these two syndromes are different, suggesting alternative therapeutic options in the near future in order to improve prognosis of ovarian carcinomas.
遗传性卵巢癌占所有病例的10%。已确定两种主要的常染色体显性遗传综合征。最常见的是由BRCA1和BRCA2基因突变引起的乳腺癌-卵巢癌综合征,另一种是错配修复(MMR)基因突变的林奇综合征。在与聚(ADP-核糖)聚合酶(Parp)抑制相关的BRCA缺陷的卵巢癌中特别观察到的同源重组改变产生了一种特别令人感兴趣的合成致死性。许多研究正在进行中,以探索这种有前景的新方法。此外,这两种综合征的致癌机制似乎不同,这表明在不久的将来可能有其他治疗选择,以改善卵巢癌的预后。