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miRNA 和胰腺导管腺癌中的基因表达。

miRNA and Gene Expression in Pancreatic Ductal Adenocarcinoma.

机构信息

Department of Oncology, Karmanos Cancer Institute, Wayne State University, Detroit, Michigan.

Department of Oncology, Karmanos Cancer Institute, Wayne State University, Detroit, Michigan.

出版信息

Am J Pathol. 2019 Jan;189(1):58-70. doi: 10.1016/j.ajpath.2018.10.005.

Abstract

Pancreatic ductal adenocarcinoma (PDAC) remains a challenging disease that is mostly diagnosed late in the course of the illness. Unlike other cancers in which measurable successes have been achieved with traditional chemotherapy, targeted therapy, and, recently, immunotherapy, PDAC has proved to be poorly responsive to these treatments, with only marginal to modest incremental benefits using conventional cytotoxic therapy. There is, therefore, a great unmet need to develop better therapies based on improved understanding of biology and identification of predictive and prognostic biomarkers that would guide therapy. miRNAs are small noncoding RNAs that regulate the expression of some key genes by targeting their 3'-untranslated mRNA region. Aberrant expression of miRNAs has been linked to the development of various malignancies, including PDAC. A series of miRNAs have been identified as potential tools for early diagnosis, prediction of treatment response, and prognosis of patients with PDAC. In this review, we present a summary of the miRNAs that have been studied in PDAC in the context of disease biology.

摘要

胰腺导管腺癌 (PDAC) 仍然是一种具有挑战性的疾病,大多数情况下在疾病进程中晚期才被诊断出来。与其他癌症不同,传统化疗、靶向治疗,最近还有免疫治疗已经在这些癌症的治疗中取得了显著的成效,但 PDAC 对这些治疗的反应不佳,常规细胞毒性治疗仅能带来轻微到适度的额外益处。因此,需要基于对生物学的深入了解和鉴定预测及预后生物标志物来开发更好的治疗方法,以满足这一巨大的未满足需求,从而指导治疗。miRNA 是一类小的非编码 RNA,通过靶向其 3'-UTR 区来调节一些关键基因的表达。miRNA 的异常表达与各种恶性肿瘤的发生有关,包括 PDAC。一系列 miRNA 已被确定为 PDAC 患者早期诊断、治疗反应预测和预后的潜在工具。在本文中,我们总结了在 PDAC 疾病生物学背景下研究的 miRNA。

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