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Ki67、增殖细胞核抗原(PCNA)和微小染色体维持蛋白(MCM):乳腺癌诊断中的增殖标志物。

Ki67, PCNA, and MCM proteins: Markers of proliferation in the diagnosis of breast cancer.

作者信息

Juríková Miroslava, Danihel Ľudovít, Polák Štefan, Varga Ivan

机构信息

Institute of Histology and Embryology, Faculty of Medicine, Comenius University in Bratislava, Špitálska 24, 813 72 Bratislava, Slovakia.

Institute of Pathological Anatomy, Faculty of Medicine, Comenius University in Bratislava, Špitálska 24, 813 72 Bratislava, Slovakia.

出版信息

Acta Histochem. 2016 Jun;118(5):544-52. doi: 10.1016/j.acthis.2016.05.002. Epub 2016 May 28.

Abstract

The proliferative activity of tumour cells represents an important prognostic marker in the diagnosis of cancer. One of the methods for assessing the proliferative activity of cells is the immunohistochemical detection of cell cycle-specific antigens. For example, Ki67, proliferating cell nuclear antigen (PCNA), and minichromosome maintenance (MCM) proteins are standard markers of proliferation that are commonly used to assess the growth fraction of a cell population. The function of Ki67, the widely used marker of proliferation, still remains unclear. In contrast, PCNA and MCM proteins have been identified as important participants of DNA replication. All three proteins only manifest their expression during the cell division of normal and neoplastic cells. Since the expression of these proliferative markers was confirmed in several malignant tumours, their prognostic and predictive values have been evaluated to determine their significance in the diagnosis of cancer. This review offers insight into the discovery of the abovementioned proteins, as well as their current molecular and biological importance. In addition, the functions and properties of all three proteins and their use as markers of proliferation in the diagnosis of breast cancer are described. This work also reveals new findings about the role of Ki67 during the mitotic phase of the cell cycle. Finally, information is provided about the advantages and disadvantages of using all three antigens in the diagnosis of cancer.

摘要

肿瘤细胞的增殖活性是癌症诊断中的一个重要预后标志物。评估细胞增殖活性的方法之一是免疫组织化学检测细胞周期特异性抗原。例如,Ki67、增殖细胞核抗原(PCNA)和微小染色体维持(MCM)蛋白是常用的增殖标准标志物,用于评估细胞群体的生长分数。广泛使用的增殖标志物Ki67的功能仍不清楚。相比之下,PCNA和MCM蛋白已被确定为DNA复制的重要参与者。这三种蛋白仅在正常细胞和肿瘤细胞的细胞分裂过程中表现出表达。由于这些增殖标志物在几种恶性肿瘤中得到证实,因此对其预后和预测价值进行了评估,以确定它们在癌症诊断中的意义。本综述深入探讨了上述蛋白的发现及其当前的分子和生物学重要性。此外,还描述了这三种蛋白的功能和特性,以及它们在乳腺癌诊断中作为增殖标志物的应用。这项工作还揭示了关于Ki67在细胞周期有丝分裂期作用的新发现。最后,提供了关于在癌症诊断中使用这三种抗原的优缺点的信息。

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