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微小RNA(miRNA)失调作为胃癌诊断和预后的标志物及其在胃癌发生发展机制中的作用。

Dysregulation of miRNAs as a signature for diagnosis and prognosis of gastric cancer and their involvement in the mechanism underlying gastric carcinogenesis and progression.

作者信息

Ahadi Alireza

机构信息

Department of Medical Genetics, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

IUBMB Life. 2020 May;72(5):884-898. doi: 10.1002/iub.2259. Epub 2020 Feb 20.

Abstract

Gastric cancer (GC) is the second main cause of cancer-related mortality worldwide. The poor prognosis and survival of GC are due to diagnosis in an advanced, noncurable stage and with a restricted response to chemotherapy. GC is usually monitored in an advanced stage; therefore, the poor prognosis and lower level of survival rate with a restricted response to chemotherapy can be detected. Valuable and sensible biomarkers are urgently needed to display screen patients with a high risk of GC that can complement endoscopic diagnosis. Such biomarkers will enable the efficient prediction of the therapeutic response and prognosis of GC patients and prefer the establishment of an advantageous treatment method for each and every patient. Noninvasive diagnostic biomarkers may additionally make a contribution to the early identification of GC and enhance medical management. MicroRNAs (miRNAs) are a group of small noncoding RNAs that have displayed a strong association with GC. Accumulating evidence indicates that miRNAs are potential biomarkers with more than one diagnostic function for GC. Actually, miRNAs regulate cell proliferation, apoptosis, migration, invasion, and metastasis via many biological pathways through the repression of target mRNAs. The current review is accordingly to spotlight the multifaceted roles of miRNAs in GC, which would provide indications for future research. Therefore, we review right here the aberrant expression of miRNAs and underlying mechanisms, consequent effects due to miRNAs dysregulation, and accountable target genes in GC. Besides, potential clinical applications are also highlighted.

摘要

胃癌(GC)是全球癌症相关死亡的第二大主要原因。GC预后不良和生存率低是由于在晚期、不可治愈阶段被诊断出来,并且对化疗反应有限。GC通常在晚期进行监测;因此,可以检测到预后不良、生存率较低以及对化疗反应有限的情况。迫切需要有价值且合理的生物标志物来筛查GC高危患者,以补充内镜诊断。此类生物标志物将能够有效预测GC患者的治疗反应和预后,并有助于为每位患者制定有利的治疗方法。非侵入性诊断生物标志物还可能有助于GC的早期识别并改善医疗管理。微小RNA(miRNA)是一组与GC密切相关的小非编码RNA。越来越多的证据表明,miRNA是具有多种GC诊断功能的潜在生物标志物。实际上,miRNA通过抑制靶mRNA,经由多种生物学途径调节细胞增殖、凋亡、迁移、侵袭和转移。因此,本综述旨在聚焦miRNA在GC中的多方面作用,为未来研究提供线索。因此,我们在此综述GC中miRNA的异常表达及其潜在机制、miRNA失调产生的后果以及相关靶基因。此外,还强调了潜在的临床应用。

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