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失调的 microRNAs 作为乙型肝炎病毒相关性肝细胞癌诊断和预后的生物标志物。

Dysregulated microRNAs as a biomarker for diagnosis and prognosis of hepatitis B virus-associated hepatocellular carcinoma.

机构信息

Department of Hepatobiliary & Pancreatic Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.

State Key Laboratory of Virology, Department of Medical Microbiology, School of Basic Medical Sciences, Wuhan University, Wuhan 430071, Hubei Province, China.

出版信息

World J Gastroenterol. 2023 Aug 21;29(31):4706-4735. doi: 10.3748/wjg.v29.i31.4706.

Abstract

Hepatocellular carcinoma (HCC) is a malignancy with a high incidence and fatality rate worldwide. Hepatitis B virus (HBV) infection is one of the most important risk factors for its occurrence and development. Early detection of HBV-associated HCC (HBV-HCC) can improve clinical decision-making and patient outcomes. Biomarkers are extremely helpful, not only for early diagnosis, but also for the development of therapeutics. MicroRNAs (miRNAs), a subset of non-coding RNAs approximately 22 nucleotides in length, have increasingly attracted scientists' attention due to their potential utility as biomarkers for cancer detection and therapy. HBV profoundly impacts the expression of miRNAs potentially involved in the development of hepatocarcinogenesis. In this review, we summarize the current progress on the role of miRNAs in the diagnosis and treatment of HBV-HCC. From a molecular standpoint, we discuss the mechanism by which HBV regulates miRNAs and investigate the exact effect of miRNAs on the promotion of HCC. In the near future, miRNA-based diagnostic, prognostic, and therapeutic applications will make their way into the clinical routine.

摘要

肝细胞癌 (HCC) 是一种发病率和死亡率都很高的恶性肿瘤。乙型肝炎病毒 (HBV) 感染是其发生和发展的最重要危险因素之一。早期发现 HBV 相关 HCC (HBV-HCC) 可以改善临床决策和患者预后。生物标志物非常有帮助,不仅可用于早期诊断,还可用于治疗药物的开发。微小 RNA(miRNA)是一组大约 22 个核苷酸长的非编码 RNA,由于其作为癌症检测和治疗的生物标志物的潜在用途,越来越受到科学家的关注。HBV 会显著影响可能参与肝癌发生的 miRNA 的表达。在这篇综述中,我们总结了 miRNA 在诊断和治疗 HBV-HCC 方面的最新进展。从分子角度来看,我们讨论了 HBV 调节 miRNA 的机制,并研究了 miRNA 对 HCC 促进的确切作用。在不久的将来,基于 miRNA 的诊断、预后和治疗应用将进入临床常规。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c298/10473924/38c155513706/WJG-29-4706-g001.jpg

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