胸腺上皮肿瘤的分子特征:全面综述。

The Molecular Landscape of Thymic Epithelial Tumors: A Comprehensive Review.

机构信息

Department of Pathology, Nuremberg Clinic, Paracelsus Medical University, 90419 Nuremberg, Germany.

出版信息

Int J Mol Sci. 2024 Jan 26;25(3):1554. doi: 10.3390/ijms25031554.

Abstract

Thymic epithelial tumors (TETs) are characterized by their extreme rarity and variable clinical presentation, with the inadequacy of the use of histological classification alone to distinguish biologically indolent from aggressive cases. The utilization of Next Generation Sequencing (NGS) to unravel the intricate genetic landscape of TETs could offer us a comprehensive understanding that is crucial for precise diagnoses, prognoses, and potential therapeutic strategies. Despite the low tumor mutational burden of TETS, NGS allows for exploration of specific genetic signatures contributing to TET onset and progression. Thymomas exhibit a limited mutational load, with prevalent and mutations. On the other hand, thymic carcinomas (TCs) exhibit an elevated mutational burden, marked by frequent mutations in and genes associated with epigenetic regulation. Moreover, signaling pathway analyses highlight dysregulation in crucial cellular functions and pathways. Targeted therapies, and ongoing clinical trials show promising results, addressing challenges rooted in the scarcity of actionable mutations and limited genomic understanding. International collaborations and data-sharing initiatives are crucial for breakthroughs in TETs research.

摘要

胸腺上皮肿瘤(TETs)的特点是极其罕见和临床表现多样,仅使用组织学分类不足以区分生物学惰性和侵袭性病例。利用下一代测序(NGS)揭示 TET 的复杂遗传景观,可以为我们提供全面的理解,这对于精确诊断、预后和潜在的治疗策略至关重要。尽管 TETS 的肿瘤突变负担较低,但 NGS 允许探索导致 TET 发生和进展的特定遗传特征。胸腺瘤突变负荷有限,常见 和 突变。另一方面,胸腺癌(TCs)突变负担较高,常出现 和 基因与表观遗传调控相关的突变。此外,信号通路分析突出了关键细胞功能和途径的失调。靶向治疗和正在进行的临床试验显示出有希望的结果,解决了源于可操作突变缺乏和基因组理解有限的挑战。国际合作和数据共享计划对于 TETs 研究的突破至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e7d/10855681/6f7fb3f34d3e/ijms-25-01554-g001.jpg

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