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前列腺癌中的单核苷酸多态性(SNPs):其在诊断和治疗中的意义。

Single nucleotide polymorphisms (SNPs) in prostate cancer: its implications in diagnostics and therapeutics.

作者信息

Allemailem Khaled S, Almatroudi Ahmad, Alrumaihi Faris, Makki Almansour Nahlah, Aldakheel Fahad M, Rather Rafiq Ahmad, Afroze Dil, Rah Bilal

机构信息

Department of Medical Laboratories, College of Applied Medical Sciences, Qassim University Buraydah, Saudi Arabia.

Department of Biology, College of Science, University of Hafr Al Batin Hafr Al Batin, Saudi Arabia.

出版信息

Am J Transl Res. 2021 Apr 15;13(4):3868-3889. eCollection 2021.

Abstract

Prostate cancer is one of the most frequently diagnosed malignancies in developed countries and approximately 248,530 new cases of prostate cancer are likely to be diagnosed in the United States in 2021. During the late 1990s and 2000s, the prostate cancer-related death rate has decreased by 4% per year on average because of advancements in prostate-specific antigen (PSA) testing. However, the non-specificity of PSA to distinguish between benign and malignant forms of cancer is a major concern in the management of prostate cancer. Despite other risk factors in the pathogenesis of prostate cancer, recent advancement in molecular genetics suggests that genetic heredity plays a crucial role in prostate carcinogenesis. Approximately, 60% of heritability and more than 100 well-recognized single-nucleotide-polymorphisms (SNPs) have been found to be associated with prostate cancer and constitute a major risk factor in the development of prostate cancer. Recent findings revealed that a low to moderate effect on the progression of prostate cancer of individual SNPs was observed compared to a strong progressive effect when SNPs were in combination. Here, in this review, we made an attempt to critically analyze the role of SNPs and associated genes in the development of prostate cancer and their implications in diagnostics and therapeutics. A better understanding of the role of SNPs in prostate cancer susceptibility may improve risk prediction, enhance fine-mapping, and furnish new insights into the underlying pathophysiology of prostate cancer.

摘要

前列腺癌是发达国家最常被诊断出的恶性肿瘤之一,2021年美国可能有大约248,530例新的前列腺癌病例被诊断出来。在20世纪90年代末和21世纪初,由于前列腺特异性抗原(PSA)检测技术的进步,前列腺癌相关死亡率平均每年下降4%。然而,PSA区分良性和恶性癌症形式的非特异性是前列腺癌管理中的一个主要问题。尽管前列腺癌发病机制中存在其他风险因素,但分子遗传学的最新进展表明,遗传因素在前列腺癌发生中起着关键作用。大约60%的遗传力以及100多个公认的单核苷酸多态性(SNP)已被发现与前列腺癌相关,并构成前列腺癌发展的主要风险因素。最近的研究结果显示,与单个SNP对前列腺癌进展的低至中等影响相比,SNP组合时具有更强的进展性影响。在此综述中,我们试图批判性地分析SNP及其相关基因在前列腺癌发展中的作用及其在诊断和治疗中的意义。更好地理解SNP在前列腺癌易感性中的作用可能会改善风险预测、加强精细定位,并为前列腺癌的潜在病理生理学提供新的见解。

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