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子宫内膜异位症:一种恶性指纹图谱。

Endometriosis: A Malignant Fingerprint.

作者信息

DeAngelo Christopher, Tarasiewicz Megan Burnett, Strother Athena, Taggart Heather, Gray Caron, Shanahan Meaghan, Glowacki Christopher, Khandalavala Jimmy, Talaska Erin, Kinnan Andrea, Coté John Joseph, Edwards Adrienne Perfilio, Harper-Harrison Gina, Casey Murray Joseph, Hirai Traci-Lynn, Schultz Sarah, Stines Lynnea, Vora Roma, Boudreau Dominique, Burgart Jennifer, Shama Meredith, Watson Trevor, Strasheim Lisa, Thompson Rachel, Lawlor Rachel, Joyce Kayleen, Magnuson Claire M, Driano Jane, Elger Breanna, Lentino Anne, Driscoll Margaret, Tidwell Elise, Sharma Apoorva, Walker Sarah R, Jones Gretchen, Sharma Poonam, Stessman Holly, Wu Yanyuan, Vadgama Jay, Chase Dana, Conrad Lesley, Reddy Srinivasa T, Farias-Eisner Robin

机构信息

Creighton University School of Medicine, Omaha, NE, United States.

Creighton University School of Medicine; Charles Drew University; David Geffen School of Medicine at the University of California at Los Angeles, Los Angeles, CA, United States.

出版信息

J Cancer Res Ther Oncol. 2020 Apr;8(2). doi: 10.17303/jcrto.2020.8.206. Epub 2020 Dec 29.

DOI:10.17303/jcrto.2020.8.206
PMID:33644256
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7909468/
Abstract

BACKGROUND

Endometriosis is complex, but identifying the novel biomarkers, inflammatory molecules, and genetic links holds the key to the enhanced detection, prediction and treatment of both endometriosis and endometriosis related malignant neoplasia. Here we review the literature relating to the specific molecular mechanism(s) mediating tumorigenesis arising within endometriosis.

METHODS

Guidance (e.g. Cochrane) and published studies were identified. The Published studies were identified through PubMed using the systematic review methods filter, and the authors' topic knowledge. These data were reviewed to identify key and relevant articles to create a comprehensive review article to explore the molecular fingerprint associated with in endometriosis-driven tumorigenesis.

RESULTS

An important focus is the link between C3aR1, PGR, ER1, SOX-17 and other relevant gene expression profiles and endometriosis-driven tumorigenesis. Further studies should also focus on the combined use of CA-125 with HE-4, and the role for OVA1/MIA as clinically relevant diagnostic biomarkers in the prediction of endometriosis-driven tumorigenesis.

CONCLUSIONS

Elucidating endometriosis' molecular fingerprint is to understand the molecular mechanisms that drive the endometriosis-associated malignant phenotype. A better understanding of the predictive roles of these genes and the value of the biomarker proteins will allow for the derivation of unique molecular treatment algorithms to better serve our patients.

摘要

背景

子宫内膜异位症情况复杂,但识别新的生物标志物、炎症分子和基因联系是提高子宫内膜异位症及其相关恶性肿瘤检测、预测和治疗水平的关键。在此,我们综述了与介导子宫内膜异位症相关肿瘤发生的特定分子机制有关的文献。

方法

确定指南(如Cochrane指南)和已发表的研究。通过使用系统评价方法过滤器并借助作者的主题知识,在PubMed上检索已发表的研究。对这些数据进行综述,以确定关键和相关文章,从而撰写一篇全面的综述文章,探讨与子宫内膜异位症驱动的肿瘤发生相关的分子指纹。

结果

一个重要的关注点是C3aR1、PGR、ER1、SOX - 17及其他相关基因表达谱与子宫内膜异位症驱动的肿瘤发生之间的联系。进一步的研究还应聚焦于CA - 125与HE - 4的联合应用,以及OVA1/MIA作为临床相关诊断生物标志物在预测子宫内膜异位症驱动的肿瘤发生中的作用。

结论

阐明子宫内膜异位症的分子指纹有助于了解驱动子宫内膜异位症相关恶性表型的分子机制。更好地理解这些基因的预测作用以及生物标志物蛋白的价值,将有助于推导独特的分子治疗算法,从而更好地为患者服务。

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本文引用的文献

1
Genetic links between endometriosis and cancers in women.子宫内膜异位症与女性癌症之间的遗传联系。
PeerJ. 2019 Dec 20;7:e8135. doi: 10.7717/peerj.8135. eCollection 2019.
2
Endometriosis-related pathology: a discussion of selected uncommon benign, premalignant and malignant lesions.子宫内膜异位症相关病变:部分少见的良性、癌前病变和恶性病变的讨论。
Histopathology. 2020 Jan;76(1):76-92. doi: 10.1111/his.13970.
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Successful treatment of platinum refractory ovarian clear cell carcinoma with secondary cytoreductive surgery and implantable transponder placement to facilitate targeted volumetric arc radiation therapy.采用二次减瘤手术及植入式应答器放置以促进靶向容积弧形放射治疗成功治疗铂难治性卵巢透明细胞癌。
Gynecol Oncol Rep. 2018 Nov 17;27:11-14. doi: 10.1016/j.gore.2018.11.004. eCollection 2019 Feb.
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Adnexal mass with extremely high levels of CA-125 and CA19-9 but normal Human Epididymis Protein 4 (HE4) and Risk of Ovarian Malignancy Algorithm (ROMA): Endometriosis or ovarian malignancy? A case report.附件包块伴CA - 125和CA19 - 9水平极高,但人附睾蛋白4(HE4)正常及卵巢恶性肿瘤风险算法(ROMA):子宫内膜异位症还是卵巢恶性肿瘤?一例病例报告。
Int J Reprod Biomed. 2018 Jun;16(6):413-416.
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Clear cell carcinoma of the ovary: Clinicopathologic features and outcomes in a Chinese cohort.卵巢透明细胞癌:中国队列中的临床病理特征及预后
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Int J Gynaecol Obstet. 2018 Aug;142(2):131-142. doi: 10.1002/ijgo.12521. Epub 2018 May 28.
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Endometriosis and endometriosis-associated cancers: new insights into the molecular mechanisms of ovarian cancer development.子宫内膜异位症及与子宫内膜异位症相关的癌症:卵巢癌发生分子机制的新见解
Ecancermedicalscience. 2018 Jan 25;12:803. doi: 10.3332/ecancer.2018.803. eCollection 2018.
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Informing women with endometriosis about ovarian cancer risk.告知患有子宫内膜异位症的女性卵巢癌风险。
Lancet. 2017 Dec 2;390(10111):2433-2434. doi: 10.1016/S0140-6736(17)33049-0. Epub 2017 Dec 1.
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Novel frameshift mutations in endometrial cancer are functionally distinct from recurrent missense mutations.子宫内膜癌中的新型移码突变在功能上与复发性错义突变不同。
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