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CRISPR/Cas9:超越基因编辑的卵巢癌管理的分子工具。

CRISPR/Cas9: A Molecular Tool for Ovarian Cancer Management beyond Gene Editing.

机构信息

Department of Biochemistry, All India Institute of Medical Sciences (AIIMS), Rajkot, Gujarat, India.

Department of Radiology, Pandit Dindayal Upadhyay (PDU) Medical College, Rajkot, Gujarat, India.

出版信息

Crit Rev Oncog. 2022;27(4):1-22. doi: 10.1615/CritRevOncog.2022043814.

Abstract

Ovarian cancer manifests with early metastases and has an adverse outcome, impacting the health of women globally. Currently, this malignancy is often treated with cytoreductive surgery and platinum-based chemotherapy. This treatment option has a limited success rate due to tumor recurrence and chemoresistance. Consequently, the fundamental objective of ovarian cancer treatment is the development of novel treatment approaches. As a new robust tool, the CRISPR/Cas9 gene-editing system has shown immense promise in elucidating the molecular basis of all the facets of ovarian cancer. Due to the precise gene editing capabilities of CRISPR-Cas9, researchers have been able to conduct a more comprehensive investigation of the genesis of ovarian cancer. This gained knowledge can be translated into the development of novel diagnostic approaches and newer therapeutic targets for this dreadful malignancy. There is encouraging preclinical evidence that suggests that CRISPR/Cas9 is a powerful versatile tool for selectively targeting cancer cells and inhibiting tumor growth, establishing new signaling pathways involved in carcinogenesis, and verifying biomolecules as druggable targets. In this review, we analyzed the current research and progress made using CRISPR/Cas9-based engineering strategies in the diagnosis and treatment, as well as the challenges in bringing this method to clinics. This comprehensive analysis will lay the basis for subsequent research in the future for the treatment of ovarian cancer.

摘要

卵巢癌早期转移,预后不良,影响全球女性健康。目前,这种恶性肿瘤常采用细胞减灭术和铂类化疗治疗。由于肿瘤复发和化疗耐药,这种治疗方案的成功率有限。因此,卵巢癌治疗的根本目标是开发新的治疗方法。作为一种新的强大工具,CRISPR/Cas9 基因编辑系统在阐明卵巢癌所有方面的分子基础方面显示出了巨大的潜力。由于 CRISPR-Cas9 具有精确的基因编辑能力,研究人员能够更全面地研究卵巢癌的发生。这些新知识可以转化为开发新的诊断方法和针对这种可怕恶性肿瘤的新治疗靶点。有令人鼓舞的临床前证据表明,CRISPR/Cas9 是一种强大的多功能工具,可用于选择性靶向癌细胞和抑制肿瘤生长,建立参与癌变的新信号通路,并验证生物分子作为可用药靶。在这篇综述中,我们分析了使用基于 CRISPR/Cas9 的工程策略在诊断和治疗方面的当前研究和进展,以及将该方法推向临床所面临的挑战。这种全面的分析将为未来治疗卵巢癌的后续研究奠定基础。

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