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ARID1A 变异在结直肠癌中的作用:合作综述。

Roles of ARID1A variations in colorectal cancer: a collaborative review.

机构信息

Department of Urology, Taizhou Central Hospital (Taizhou University Hospital), Taizhou, 318000, Zhejiang, China.

Department of Urology, Maoming People's Hospital, Maoming, 525000, Guangdong, China.

出版信息

Mol Med. 2022 Apr 14;28(1):42. doi: 10.1186/s10020-022-00469-6.

Abstract

Colorectal cancer (CRC), a common malignancy, is one of the leading cause of cancer death in adults. AT-rich interaction domain 1A (ARID1A), a critical portion of the SWItch/sucrose non-fermentation (SWI/SNF) chromatin remodeling complexes, shows one of the most frequent mutant genes across different human cancer types. Deleterious variations of ARID1A has been recognized to be correlated the tumorigenesis and the poor prognosis of CRC. Here, we summarize recent advances in the clinical implications and molecular pathogenesis of ARID1A variations in CRC. According to independent data of 23 included studies, ARID1A is mutated in 3.6-66.7%. Consistently, all of the 23 relevant studies report that ARID1A functions as a specific tumor suppressor in CRC. Clinically, ARID1A variation status serves as a biomarker for survival prognosis and various therapies for CRC. Mechanistically, the pathophysiologic impacts of ARID1A variations on CRC may be associated with the co-occurrence variations of other genes (i.e., TP53, KRAS, APC, FBXW7, and PIK3CA) and the regulation of several signaling pathways being affected (i.e., WNT signaling, Akt signaling, and MEK/ERK pathway), leading to cell cycle arrest, chromatin remodeling, chromosome organization, and DNA hypermethylation of the cancer cells. The present review highlights ARID1A serving as a potent tumor suppressor and an important prognostic factor in CRC. ARID1A variations hint towards a promising tool for diagnostic tumor profiling and individualized therapeutic targets for CRC in the future.

摘要

结直肠癌(CRC)是一种常见的恶性肿瘤,是成年人癌症死亡的主要原因之一。富含 AT 的相互作用结构域 1A(ARID1A)是 SWItch/sucrose 非发酵(SWI/SNF)染色质重塑复合物的关键部分,在不同的人类癌症类型中显示出最常见的突变基因之一。已经认识到 ARID1A 的有害变异与 CRC 的肿瘤发生和不良预后相关。在这里,我们总结了 ARID1A 变异在 CRC 中的临床意义和分子发病机制的最新进展。根据 23 项纳入研究的独立数据,ARID1A 的突变率为 3.6-66.7%。一致地,所有 23 项相关研究均报告 ARID1A 在 CRC 中作为特定的肿瘤抑制因子发挥作用。临床上,ARID1A 变异状态可作为 CRC 生存预后和各种治疗的生物标志物。从机制上讲,ARID1A 变异对 CRC 的病理生理影响可能与其他基因(即 TP53、KRAS、APC、FBXW7 和 PIK3CA)的共同发生变异以及受影响的几个信号通路的调节有关(即 WNT 信号、Akt 信号和 MEK/ERK 通路),导致细胞周期停滞、染色质重塑、染色体组织和癌细胞的 DNA 超甲基化。本综述强调 ARID1A 作为 CRC 中的有效肿瘤抑制因子和重要预后因素。ARID1A 变异提示它可能成为未来 CRC 诊断性肿瘤分析和个体化治疗靶点的有前途的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/563c/9009033/bb09eb2cdef6/10020_2022_469_Fig1_HTML.jpg

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