CDKN2A/B, cyclin-dependent kinase inhibitor 2A/B

  • 文章类型: Journal Article
    胆道癌(BTC)是侵袭性上皮恶性肿瘤,可在胆道树的任何部位出现。尽管很罕见,在过去的40年里,它们的发病率和死亡率一直在稳步上升,强调需要改进当前的诊断和治疗策略。BTC在形态和分子水平上都显示出高的肿瘤间和肿瘤内异质性。这种复杂的异质性对有效的干预措施构成了实质性障碍。人们普遍认为,观察到的异质性可能是不同元素复杂相互作用的结果,包括风险因素,不同的分子改变和多个潜在的起源细胞。在实验模型中使用遗传谱系追踪系统已经确定了胆管细胞,肝细胞和/或祖细胞样细胞作为BTC的起源细胞。支持不同起源细胞假说的基因组证据正在增加。在这次审查中,我们关注BTC组织病理学亚型的最新进展,讨论当前的基因组证据,并概述谱系追踪研究,这些研究有助于围绕这些肿瘤的起源细胞的当前知识。
    Biliary tract cancers (BTCs) are aggressive epithelial malignancies that can arise at any point of the biliary tree. Albeit rare, their incidence and mortality rates have been rising steadily over the past 40 years, highlighting the need to improve current diagnostic and therapeutic strategies. BTCs show high inter- and intra-tumour heterogeneity both at the morphological and molecular level. Such complex heterogeneity poses a substantial obstacle to effective interventions. It is widely accepted that the observed heterogeneity may be the result of a complex interplay of different elements, including risk factors, distinct molecular alterations and multiple potential cells of origin. The use of genetic lineage tracing systems in experimental models has identified cholangiocytes, hepatocytes and/or progenitor-like cells as the cells of origin of BTCs. Genomic evidence in support of the distinct cell of origin hypotheses is growing. In this review, we focus on recent advances in the histopathological subtyping of BTCs, discuss current genomic evidence and outline lineage tracing studies that have contributed to the current knowledge surrounding the cell of origin of these tumours.
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  • 文章类型: Journal Article
    黑素瘤的发展和进展已归因于独立或组合的遗传和表观遗传事件。就遗传改变而言,在理解黑色素瘤的发病机理方面取得了显着进展。然而,最近的研究揭示了表观遗传机制在基因表达调控中的复杂参与,包括甲基化,染色质修饰和重塑,以及非编码RNA的多种活性。基因甲基化和miRNAs在黑色素瘤中的作用已经得到了相对较好的研究,但其他研究表明,染色质状态和长链非编码RNA差异表达的变化可导致关键基因调控的改变。一起来看,它们影响相互影响的信号通路的功能,相交,并形成局部扰动干扰整个系统活动的网络。这里,我们关注的是表观遗传事件如何与这些途径交织在一起,并有助于黑素瘤的分子发病机制.
    The development and progression of melanoma have been attributed to independent or combined genetic and epigenetic events. There has been remarkable progress in understanding melanoma pathogenesis in terms of genetic alterations. However, recent studies have revealed a complex involvement of epigenetic mechanisms in the regulation of gene expression, including methylation, chromatin modification and remodeling, and the diverse activities of non-coding RNAs. The roles of gene methylation and miRNAs have been relatively well studied in melanoma, but other studies have shown that changes in chromatin status and in the differential expression of long non-coding RNAs can lead to altered regulation of key genes. Taken together, they affect the functioning of signaling pathways that influence each other, intersect, and form networks in which local perturbations disturb the activity of the whole system. Here, we focus on how epigenetic events intertwine with these pathways and contribute to the molecular pathogenesis of melanoma.
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