Department of Clinical Immunology, Poznan University of Medical Sciences, 60-806, Poznan, Poland.
Department of Medical Genetics, Poznan University of Medical Sciences, 60-806, Poznan, Poland.
J Appl Genet. 2023 Sep;64(3):459-477. doi: 10.1007/s13353-023-00750-2. Epub 2023 Feb 23.
Lung cancer is the most common cause of cancer-related deaths in the world. One of the reasons of poor prognosis and high mortality of lung cancer patients is the diagnosis of the disease in its advanced stage. Despite innovative diagnostic methods and multiple completed and ongoing clinical trials aiming at therapy improvement, no significant increase in patients' long-term survival has been noted over last decades. Patients would certainly benefit from early detection of lung cancer. Therefore, it is crucial to find new biomarkers that can help predict outcomes and tumor responses in order to maximize therapy effectiveness and avoid over- or under-treating patients with lung cancer. Nowadays, scientists' attention is mainly dedicated to so-called liquid biopsy, which is fully non-invasive and easily available method based on simple blood draw. Among common liquid biopsy elements, circulating tumor nucleic acids are worth mentioning. Epigenetic biomarkers, particularly miRNA expression, have several distinct features that make them promising prognostic markers. In this review, we described miRNA's involvement in tumorigenesis and present it as a predictor of cancer development and progression, potential indicator of treatment efficacy, and most importantly promising therapeutic target.
肺癌是全球癌症相关死亡的最常见原因。肺癌患者预后不良和死亡率高的原因之一是在疾病晚期才被诊断出来。尽管有创新的诊断方法和多项已完成和正在进行的临床试验旨在改善治疗,但在过去几十年中,患者的长期生存率并没有显著提高。患者肯定会受益于肺癌的早期发现。因此,找到新的生物标志物来帮助预测治疗结果和肿瘤反应至关重要,以最大限度地提高治疗效果,避免过度或不足治疗肺癌患者。如今,科学家们的注意力主要集中在所谓的液体活检上,这是一种完全非侵入性的、易于获得的方法,只需简单地抽取血液即可。在常见的液体活检元素中,循环肿瘤核酸值得一提。表观遗传生物标志物,特别是 miRNA 的表达,具有几个不同的特征,使它们成为有前途的预后标志物。在这篇综述中,我们描述了 miRNA 在肿瘤发生中的作用,并将其作为癌症发展和进展的预测因子、治疗效果的潜在指标,以及最重要的有前途的治疗靶点。