不同唾液腺肿瘤中的基因重排:一项系统综述

Genetic Rearrangements in Different Salivary Gland Tumors: A Systematic Review.

作者信息

Albalawi Elham

机构信息

Pathology, University of Tabuk, Tabuk, SAU.

出版信息

Cureus. 2024 Jun 4;16(6):e61639. doi: 10.7759/cureus.61639. eCollection 2024 Jun.

Abstract

Salivary gland tumors (SGT) encompass a wide range of neoplasms, each with its own unique histological type and clinical presentation. This review hones in on prevalent subtypes of SGTs, including adenoid cystic carcinoma (ACC), salivary duct carcinoma (SDC), and polymorphous adenocarcinoma (PAC). The articles, identified through specific keywords, were meticulously screened in databases like PubMed, Scopus, Google Scholar, and Web of Science from 2018 to 2023. Eight articles delved into genetic modifications among the selected SGT types. A fusion protein known as MYB-NF1B is typically associated with ACC, promoting cell proliferation while inhibiting apoptosis. The presence of MYB modifications in ACCs is a beacon of hope, as it is linked to a more favorable prognosis. In contrast, SDCs often exhibit HER2 expression. The invasive nature of SGTs contributes to their resistance to treatment. In the case of PAC, the role of PRKD1 is particularly noteworthy. PRKD1, integrated with other genes from the PRKD1/2/3 cluster, helps to differentiate PAC from other diseases. Furthermore, the genetic profiles of KTN1-PRKD1) and PPP2R2A:PRKD1 are distinct. The significant genetic variability among SGTs necessitates meticulous examination. This field is in a constant state of evolution, with new discoveries reshaping our understanding. Genetics is a key player in deciphering SGTs and tailoring treatments. This complex neoplasm demands ongoing research to uncover all genetic influences, thereby enhancing diagnostic methodologies, therapeutic strategies, and patient outcomes.

摘要

唾液腺肿瘤(SGT)涵盖了广泛的肿瘤类型,每种肿瘤都有其独特的组织学类型和临床表现。本综述聚焦于SGT的常见亚型,包括腺样囊性癌(ACC)、涎腺导管癌(SDC)和多形性腺癌(PAC)。通过特定关键词检索到的文章,在2018年至2023年期间于PubMed、Scopus、谷歌学术和科学网等数据库中进行了精心筛选。八篇文章深入研究了所选SGT类型中的基因改变。一种名为MYB-NF1B的融合蛋白通常与ACC相关,它促进细胞增殖同时抑制细胞凋亡。ACC中MYB改变的存在是一个希望的信号,因为它与更有利的预后相关。相比之下,SDC通常表现出HER2表达。SGT的侵袭性导致其对治疗产生耐药性。在PAC的情况下,PRKD1的作用尤其值得注意。PRKD1与PRKD1/2/3簇中的其他基因整合,有助于将PAC与其他疾病区分开来。此外,KTN1-PRKD1和PPP2R2A:PRKD1的基因图谱是不同的。SGT之间显著的基因变异性需要仔细研究。这个领域处于不断发展的状态,新的发现正在重塑我们的理解。遗传学是解读SGT和制定治疗方案的关键因素。这种复杂的肿瘤需要持续的研究来揭示所有的基因影响,从而改进诊断方法、治疗策略和患者预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a1f/11223175/c81e999384e3/cureus-0016-00000061639-i01.jpg

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