Tanvir Imrana, Hassan Amber, Albeladi Fatma
Pathology, King Abdulaziz University, Jeddah, SAU.
System Medicine (Molecular Oncology), European School of Molecular Medicine (SEMM) University of Milan, Milan, ITA.
Cureus. 2022 Oct 27;14(10):e30743. doi: 10.7759/cureus.30743. eCollection 2022 Oct.
Renal cell carcinoma (RCC) refers to a group of tumors that develop from the epithelium of the kidney tubes, including clear cell RCC, papillary RCC, and chromophobe RCC. Most clear cell renal carcinomas have a large histologic subtype, genetic or epigenetic von Hippel-Lindau (VHL). A comprehensive analysis of the genetic modification genome suggested that chromosome 3p loss and chromosome gains 5q and 7 may be significant copy defects in the development of clear RCC. A more potent RCC may develop if chromosome 1p, 4, 9, 13q, or 14q is also lost. Renal carcinogenesis is not associated with chronic inflammation or histological changes. However, if regional hypermethylation of DNA in CpG C-type islands has already accumulated in cancer-free kidney tissue, it implies that the presence of malignant kidney lesions may also be detected by modified DNA methylation. Modification of DNA methylation in cancerous kidney tissue may advance kidney tissue to epigenetic mutations and genes, leading to more serious cancers and even determining a patient's outcome. The genetic and epigenetic profile provides accurate predictors for patients with kidney cancer. New genetic and epigenetic analysis technologies will help to speed up the identification of vital cells for kidney cancer prevention, diagnosis, and treatment.
肾细胞癌(RCC)是指一组起源于肾小管上皮的肿瘤,包括透明细胞肾细胞癌、乳头状肾细胞癌和嫌色性肾细胞癌。大多数透明细胞肾细胞癌具有较大的组织学亚型、遗传性或表观遗传性冯·希佩尔-林道(VHL)。对基因修饰基因组的综合分析表明,3号染色体缺失以及5号和7号染色体增加可能是透明肾细胞癌发生过程中的重要拷贝缺陷。如果1号染色体短臂、4号、9号、13号染色体长臂或14号染色体长臂也缺失,则可能会发展出更具侵袭性的肾细胞癌。肾癌的发生与慢性炎症或组织学变化无关。然而,如果CpG C型岛中的DNA区域高甲基化已经在无癌肾组织中积累,这意味着恶性肾病变的存在也可以通过修饰的DNA甲基化检测出来。癌性肾组织中的DNA甲基化修饰可能会使肾组织发生表观遗传突变和基因改变,导致更严重的癌症,甚至决定患者的预后。基因和表观遗传特征为肾癌患者提供了准确的预测指标。新的基因和表观遗传分析技术将有助于加快识别对肾癌预防、诊断和治疗至关重要的细胞。