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长链非编码RNA在急性髓系白血病诊断、预后及治疗生物标志物中的作用

The role of long noncoding RNAs in the diagnosis, prognosis and therapeutic biomarkers of acute myeloid leukemia.

作者信息

Atnaf Aytenew, Akelew Yibeltal, Abebaw Desalegn, Muche Yalew, Getachew Melese, Mengist Hylemariam Mihiretie, Tsegaye Aster

机构信息

Department of Medical Laboratory Science, College of Medicine and Health Science, Debre Markos University, Debre Markos, Ethiopia.

Department of Medicine, Centre for Inflammatory Diseases, Monash University, Clayton, VIC, 3168, Australia.

出版信息

Ann Hematol. 2024 Dec;103(12):4931-4942. doi: 10.1007/s00277-024-05987-3. Epub 2024 Sep 12.

Abstract

Acute myeloid leukemia (AML) is the abnormal proliferation of immature myeloid blast cells in the bone marrow. Currently, there are no universally recognized biomarkers for the early diagnosis, prognosis and effective treatment of AML to improve the overall survival of patients. Recent studies, however, have demonstrated that long noncoding RNAs (lncRNAs) are promising targets for the early diagnosis, prognosis and treatment of AML. A critical review of available data would be important to identify study gaps and provide perspectives. In this review, we explored comprehensive information on the potential use of lncRNAs as targets for the diagnosis, prognosis, and treatment of AML. LncRNAs are nonprotein-coding RNAs that are approximately 200 nucleotides long and play important roles in the regulation, metabolism and differentiation of tissues. In addition, they play important roles in the diagnosis, prognosis and treatment of different cancers, including AML. LncRNAs play multifaceted roles as oncogenes or tumor suppressor genes. Recently, deregulated lncRNAs were identified as novel players in the development of AML, making them promising prognostic indicators. Given that lncRNAs could have potential diagnostic marker roles, the lack of sufficient evidence identifying specific lncRNAs expressed in specific cancers hampers the use of lncRNAs as diagnostic markers of AML. The complex roles of lncRNAs in the pathophysiology of AML require further scrutiny to identify specific lncRNAs. This review, despite the lack of sufficient literature, discusses the therapeutic, diagnostic and prognostic roles of lncRNAs in AML and provides future insights that will contribute to studies targeting lncRNAs in the diagnosis, treatment, and management of AML.

摘要

急性髓系白血病(AML)是骨髓中未成熟髓系母细胞的异常增殖。目前,尚无用于AML早期诊断、预后评估及有效治疗以提高患者总生存率的普遍认可的生物标志物。然而,近期研究表明,长链非编码RNA(lncRNAs)有望成为AML早期诊断、预后评估及治疗的靶点。批判性地回顾现有数据对于识别研究空白并提供观点很重要。在本综述中,我们探讨了lncRNAs作为AML诊断、预后及治疗靶点的潜在用途的全面信息。lncRNAs是长度约为200个核苷酸的非蛋白质编码RNA,在组织的调控、代谢及分化中发挥重要作用。此外,它们在包括AML在内的不同癌症的诊断、预后及治疗中也发挥重要作用。lncRNAs作为癌基因或肿瘤抑制基因发挥多方面作用。近期,失调的lncRNAs被确定为AML发生发展中的新参与者,使其成为有前景的预后指标。鉴于lncRNAs可能具有潜在的诊断标志物作用,但缺乏足够证据来确定在特定癌症中表达的特定lncRNAs,这阻碍了将lncRNAs用作AML的诊断标志物。lncRNAs在AML病理生理学中的复杂作用需要进一步研究以识别特定的lncRNAs。本综述尽管缺乏足够的文献,但讨论了lncRNAs在AML中的治疗、诊断及预后作用,并提供了未来的见解,这将有助于针对lncRNAs在AML诊断、治疗及管理方面的研究。

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