胸腺上皮肿瘤的表观遗传学
Epigenetics of Thymic Epithelial Tumors.
作者信息
Nicolì Vanessa, Coppedè Fabio
机构信息
Department of Translational Research and of New Surgical and Medical Technologies, University of Pisa, 56126 Pisa, Italy.
Interdepartmental Research Center of Biology and Pathology of Aging, University of Pisa, 56126 Pisa, Italy.
出版信息
Cancers (Basel). 2023 Jan 5;15(2):360. doi: 10.3390/cancers15020360.
Thymic epithelial tumors (TETs) arise from the epithelial cells of the thymus and consist in the 1% of all adult malignancies, despite the fact that they are the most common lesions of the anterior mediastinum. TETs can be divided mainly into thymomas, thymic carcinomas, and the rarest ad aggressive neuroendocrine forms. Despite the surgical resection is quite resolving, the diagnosis of TETs is complicated by the absence of symptoms and the clinical presentation aggravated by several paraneoplastic disorders, including myasthenia gravis. Thus, the heterogeneity of TETs prompts the search for molecular biomarkers that could be helpful for tumor characterization and clinical outcomes prediction. With these aims, several researchers investigated the epigenetic profiles of TETs. In this manuscript, we narratively review the works investigating the deregulation of epigenetic mechanisms in TETs, highlighting the need for further studies combining genetic, epigenetic, and expression data to better characterize the different molecular subtypes and identify, for each of them, the most relevant epigenetic biomarkers of clinical utility.
胸腺上皮肿瘤(TETs)起源于胸腺的上皮细胞,尽管它们是前纵隔最常见的病变,但在所有成人恶性肿瘤中仅占1%。TETs主要可分为胸腺瘤、胸腺癌以及最罕见且侵袭性的神经内分泌型。尽管手术切除通常能解决问题,但TETs的诊断因无症状以及包括重症肌无力在内的几种副肿瘤性疾病加重临床表现而变得复杂。因此,TETs的异质性促使人们寻找有助于肿瘤特征描述和临床结果预测的分子生物标志物。出于这些目的,几位研究人员研究了TETs的表观遗传谱。在本手稿中,我们叙述性地回顾了研究TETs表观遗传机制失调的相关研究,强调需要进一步结合遗传、表观遗传和表达数据进行研究,以更好地描述不同的分子亚型,并为每种亚型确定最相关的具有临床应用价值的表观遗传生物标志物。