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配对盒基因8(PAX8)及其与上皮癌的关联。

Paired-Box Gene 8 (PAX8) and Its Association With Epithelial Carcinomas.

作者信息

Khizer Khalid, Padda Jaskamal, Khedr Anwar, Tasnim Fahriba, Al-Ewaidat Ola A, Patel Vinay, Ismail Dina, Campos Victor Yosef Melt, Jean-Charles Gutteridge

机构信息

Internal Medicine, JC Medical Center, Orlando, USA.

Internal Medicine, AdventHealth Orlando Hospital, Orlando, USA.

出版信息

Cureus. 2021 Aug 16;13(8):e17208. doi: 10.7759/cureus.17208. eCollection 2021 Aug.

Abstract

Cancer is the second most common culprit of mortality in the United States and epithelial carcinomas are considered as one of the most predominant types of cancer. The association between epithelial cancers and paired-box gene 8 (PAX8) has been studied significantly before. PAX8 belongs to the paired-box gene family, which plays an important role in the organogenesis of different body organ systems, especially the thyroid gland, the renal system, and the Müllerian system. Immunohistochemical staining is being used to detect PAX8 expression in different epithelial cancers and differentiate them from PAX8-negative tumors. In follicular, papillary, and anaplastic thyroid carcinomas, targeting the PAX8/peroxisome proliferator-activated receptors (PPARs) fusion protein is being considered as a potential mechanism for therapy. Moreover, because of its high expression in primary ovarian cancers, PAX8 is being considered as a target for ovarian cancer treatment as well. More studies are needed to test the possibility of using PAX8 as a possible target for managing endometrial carcinomas. In this article, we review the functions of the PAX8 gene, how its mutations lead to the development of certain epithelial carcinomas, how it can be used as a diagnostic or a prognostic marker, and its potential as a therapeutic target for these cancers.

摘要

癌症是美国第二大常见死因,上皮癌被认为是最主要的癌症类型之一。此前已对上皮癌与配对盒基因8(PAX8)之间的关联进行了大量研究。PAX8属于配对盒基因家族,在不同身体器官系统的器官发生过程中发挥着重要作用,尤其是甲状腺、肾脏系统和苗勒氏系统。免疫组织化学染色正用于检测不同上皮癌中PAX8的表达,并将它们与PAX8阴性肿瘤区分开来。在滤泡状、乳头状和间变性甲状腺癌中,靶向PAX8/过氧化物酶体增殖物激活受体(PPAR)融合蛋白被认为是一种潜在的治疗机制。此外,由于PAX8在原发性卵巢癌中高表达,它也被认为是卵巢癌治疗的一个靶点。需要更多研究来测试将PAX8用作管理子宫内膜癌潜在靶点的可能性。在本文中,我们综述了PAX8基因的功能、其突变如何导致某些上皮癌的发生、它如何用作诊断或预后标志物以及其作为这些癌症治疗靶点的潜力。

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