摘要
背景:神经母细胞瘤是婴儿期最常见的颅外实体瘤。大多数儿童在诊断时都有弥漫性疾病,骨髓是最常见的转移部位。虽然已经定义了几种预后因素(即年龄,分期,组织学,复发性遗传异常),但确定用于疾病随访和治疗监测的非侵入性生物标志物确实仍然是临床需求。 microRNAs(miRNAs)表达的异常调控已经牵连到几种恶性肿瘤中。 目标:在这篇小型综述中,我们描述了肿瘤和循环中神经母细胞瘤中miRNA的最新发现,特别关注那些涉及肿瘤进展和耐药性的研究。此外,我们将讨论使用特定的miRNA作为这种肿瘤的潜在治疗工具。 结果:已经鉴定出几种miRNA在原发性肿瘤中下调或上调,并与MYCN扩增,分化,传播和化疗耐药性有关。有关循环miRNA的文献中很少有证据可以作为液体活检的潜在生物标志物。 结论:鉴别用于无创诊断,危险分层,治疗监测和肿瘤随访的体液标记正在获得越来越多的兴趣,特别是在儿科领域。 miRNAs是神经母细胞瘤生物标记物的合适候选物,但需要进一步的研究来拓展有关它们在这种恶性肿瘤中的作用的知识,以设计miRNAs介导的治疗方法.
关键词: 神经母细胞瘤,microRNAs,外来体,生物标志物,治疗,液体活组织检查。
Current Medicinal Chemistry
Title:MicroRNAs in Neuroblastoma: Biomarkers with Therapeutic Potential
Volume: 25 Issue: 5
关键词: 神经母细胞瘤,microRNAs,外来体,生物标志物,治疗,液体活组织检查。
摘要: Background: Neuroblastoma is the most common extracranial solid tumor in infancy. The majority of children have a disseminated disease at diagnosis with bone marrow as the most common site of metastasis. Although several prognostic factors have been defined (i.e. age, stage, histology, recurrent genetic anomalies), the identification of non-invasive biomarkers for disease follow-up and therapy monitoring is indeed still a clinical need. Aberrant regulation of microRNAs (miRNAs) expression has been implicated in several malignancies.
Objectives: In this mini-review, we describe the recent findings about miRNAs in neuroblastoma, both in the tumor and circulation, with particular focus on those involved in tumor progression and drug resistance. Furthermore, we will discuss the use of specific miRNAs as potential therapeutic tools in this tumor.
Results: Several miRNAs have been identified to be down- or up-regulated in primary tumors and have been associated with MYCN amplification, differentiation, dissemination and chemoresistance. Little evidence is available in the literature about circulating miRNAs which are of particular interest as potential biomarkers for liquid biopsy.
Conclusion: Identification of body-fluid markers for non-invasive diagnosis, risk stratification, treatment monitoring and tumor follow-up, is gaining growing interest, especially in the pediatric field. miRNAs are suitable candidates as biomarkers in neuroblastoma but further investigations are needed to expand knowledge regarding their role in this malignancy to design specific approaches of miRNAs-mediated therapies.
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MicroRNAs in Neuroblastoma: Biomarkers with Therapeutic Potential, Current Medicinal Chemistry 2018; 25 (5) . https://dx.doi.org/10.2174/0929867324666171003120335
DOI https://dx.doi.org/10.2174/0929867324666171003120335 |
Print ISSN 0929-8673 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-533X |
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