Молекулярно-генетические маркеры опухолевых клеток рака яичника и их микроокружения, методы изучения и клиническая ценность
Молекулярно-генетические маркеры опухолевых клеток рака яичника и их микроокружения, методы изучения и клиническая ценность
Кальфа М.А., Головкин И.О., Лазарев А.Э., Голубинская Е.П., Грицкевич О.Ю., Зяблицкая Е.Ю. Молекулярно-генетические маркеры опухолевых клеток рака яичника и их микроокружения, методы изучения и клиническая ценность. Современная Онкология. 2023;25(3):308–312.
DOI: 10.26442/18151434.2023.3.202422
Kalfa MA, Golovkin IO, Lazarev AE, Golubinskaya LP, Gritskevich OYu, Zyablitskaya EYu. Molecular genetic markers of ovarian cancer tumor cells and their microenvironment, study methods, and clinical value: A review. Journal of Modern Oncology. 2023;25(3):308–312. DOI: 10.26442/18151434.2023.3.202422
Молекулярно-генетические маркеры опухолевых клеток рака яичника и их микроокружения, методы изучения и клиническая ценность
Кальфа М.А., Головкин И.О., Лазарев А.Э., Голубинская Е.П., Грицкевич О.Ю., Зяблицкая Е.Ю. Молекулярно-генетические маркеры опухолевых клеток рака яичника и их микроокружения, методы изучения и клиническая ценность. Современная Онкология. 2023;25(3):308–312.
DOI: 10.26442/18151434.2023.3.202422
Kalfa MA, Golovkin IO, Lazarev AE, Golubinskaya LP, Gritskevich OYu, Zyablitskaya EYu. Molecular genetic markers of ovarian cancer tumor cells and their microenvironment, study methods, and clinical value: A review. Journal of Modern Oncology. 2023;25(3):308–312. DOI: 10.26442/18151434.2023.3.202422
Одним из распространенных злокачественных новообразований женской репродуктивной системы является рак яичников (РЯ). У большинства больных РЯ диагностируется на поздних стадиях, а это делает прогноз заболевания крайне неблагоприятным. Стандартное лечение РЯ – хирургическое вмешательство и химиотерапия, однако часто происходит рецидив после лечения, особенно у пациенток с поздней стадией заболевания. Для улучшения результатов лечения необходимы новые варианты терапевтических средств, разрабатываемые на основании достижений в понимании генетики и молекулярной биологии опухолей. Воздействие на гены и экспрессируемые ими белки, которые влияют на онкогенез и резистентность к лечению, может стать перспективным, а выявленные молекулярными методами белки и фрагменты генов становятся ценными маркерами в сопроводительной фармакодиагностике и персонификации комплексной терапии. В данной статье описываются достижения в изучении генетических маркеров при РЯ.
Ключевые слова: злокачественные новообразования, микроокружение опухоли, яичник, молекулярная биология
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Ovarian cancer (OC) is a common malignancy of the female reproductive system. In most patients, OC is diagnosed in the later stages, leading to an abysmal prognosis. The standard treatment for OC is surgery and chemotherapy; however, relapse often occurs after treatment, especially in patients with advanced disease. New therapeutic options based on advances in tumor genetics and molecular biology are needed to improve treatment outcomes. Manipulations with genes and the proteins they express, affecting oncogenesis and treatment resistance, seem promising, and proteins and gene fragments identified using molecular methods become valuable markers in the supportive pharmacodiagnosis and tailoring of complex therapy. This article describes the research achievements in genetic markers in OC.
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30. Kupryjańczyk J, Madry R, Plisiecka-Hałasa J, et al. TP53 status determines clinical significance of ERBB2 expression in ovarian cancer. Br J Cancer. 2004;91(11):1916-23. DOI:10.1038/sj.bjc.6602238
31. Groothuizen FS, Sixma TK. The conserved molecular machinery in DNA mismatch repair enzyme structures. DNA Repair (Amst). 2016;38:14-23. DOI:10.1016/j.dnarep.2015.11.012
32. Amaral-Silva GK, Martins MD, Pontes HA, et al. Mismatch repair system proteins in oral benign and malignant lesions. J Oral Pathol Med. 2017;46(4):241-5. DOI:10.1111/jop.12484
33. Gupta D, Heinen CD. The mismatch repair-dependent DNA damage response: Mechanisms and implications. DNA Repair (Amst). 2019;78:60-9. DOI:10.1016/j.dnarep.2019.03.009
34. Erie DA, Weninger KR. Single molecule studies of DNA mismatch repair. DNA Repair (Amst). 2014;20:71-81. DOI:10.1016/j.dnarep.2014.03.007
35. Cilona M, Locatello LG, Novelli L, Gallo O. The mismatch repair system (MMR) in head and neck carcinogenesis and its role in modulating the response to immunotherapy: A critical review. Cancers. 2020;12(10):3006. DOI:10.3390/cancers12103006
36. Loeb LA. A mutator phenotype in cancer. Cancer Res. 2001;61(8):3230-9. PMID:11309271
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38. Rambau PF, Duggan MA, Ghatage P, et al. Significant frequency of MSH2/MSH6 abnormality in ovarian endometrioid carcinoma supports histotype-specific Lynch syndrome screening in ovarian carcinomas. Histopathology. 2016;69(2):288-97. DOI:10.1111/his.12934
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________________________________________________
1. Kurman RJ. WHO Classification of tumours of female reproductive organs. Lyon: International Agency for Research on Cancer, 2014.
2. Leung DTH, Fuller PJ, Chu S. Impact of FOXL2 mutations on signaling in ovarian granulosa cell tumors. Int J Biochem Cell Biol. 2016;72:51-4. DOI:10.1016/j.biocel.2016.01.003
3. Heravi-Moussavi A, Anglesio MS, Cheng SW, et al. Recurrent somatic DICER1 mutations in nonepithelial ovarian cancers. N Engl J Med. 2012;366(3):234-42. DOI:10.1056/NEJMoa1102903
4. Maeda D, Shibahara J, Sakuma T, et al. β-catenin (CTNNB1) S33C mutation in ovarian microcystic stromal tumors. Am J Surg Pathol. 2011;35(10):1429-40. DOI:10.1097/PAS.0b013e31822d6c71
5. Jelinic P, Mueller JJ, Olvera N, et al. Recurrent SMARCA4 mutations in small cell carcinoma of the ovary. Nat Genet. 2014;46(5):424-6. DOI:10.1038/ng.2922
6. Herzog TJ. Recurrent ovarian cancer. Clin Cancer Res. 2004;10(22):7439-49. DOI:10.1158/1078-0432.CCR-04-0683
7. Herzog TJ, Pothuri B. Ovarian cancer: A focus on management of recurrent disease. Nat Rev Clin Oncol. 2006;3(11):604-11. DOI:10.1038/ncponc0637
8. Khanson KP, Imianitov EN. Molekuliarnaia genetika raka iaichnikov. Prakticheskaia Onkologiia. 2000;1(4):3-6 (in Russian).
9. Khokhlova SV, Gorbunova VA, Lyubchenko LN, Imyanitov EN. BRCA-associated ovarian cancer (the experience of the Chemotherapy Department in N.N. Blokhin Russian Cancer Research Center of the Ministry of Health of Russia). Journal of Modern Oncology. 2016;18(1):37-44 (in Russian).
10. Lu H, Li S, Black MH, et al. Association of breast and ovarian cancers with predisposition genes identified by large-scale sequencing. JAMA Oncol. 2019;5(1):51-7. DOI:10.1001/jamaoncol.2018.2956
11. Laurini E, Marson D, Fermeglia A, et al. Role of Rad51 and DNA repair in cancer: A molecular perspective. Pharmacol Ther. 2020;208:107492. DOI:10.1016/j.pharmthera.2020.107492
12. Chun J, Buechelmaier ES, Powell SN. Rad51 paralog complexes BCDX2 and CX3 act at different stages in the BRCA1-BRCA2-dependent homologous recombination pathway. Mol Cell Biol. 2013;33(2):387-95. DOI:10.1128/MCB.00465-12
13. Prakash R, Zhang Y, Feng W, Jasin M. Homologous recombination and human health: The roles of BRCA1, BRCA2, and associated proteins. Cold Spring Harb Perspect Biol. 2015;7(4):a016600. DOI:10.1101/cshperspect.a016600
14. Sullivan MR, Bernstein KA. RAD-ical new insights into RAD51 regulation. Genes (Basel). 2018;9(12):629. DOI:10.3390/genes9120629
15. Orhan E, Velazquez C, Tabet I, et al. Regulation of RAD51 at the transcriptional and functional levels: What prospects for cancer therapy? Cancers (Basel). 2021;13(12):2930. DOI:10.3390/cancers13122930
16. Grundy MK, Buckanovich RJ, Bernstein KA. Regulation and pharmacological targeting of RAD51 in cancer. NAR Cancer. 2020;2(3):zcaa024. DOI:10.1093/narcan/zcaa024
17. Feng Y, Wang D, Xiong L, et al. Predictive value of RAD51 on the survival and drug responsiveness of ovarian cancer. Cancer Cell Int. 2021;21(1):249.
DOI:10.1186/s12935-021-01953-5
18. Hoppe MM, Jaynes P, Wardyn JD, et al. Quantitative imaging of RAD51 expression as a marker of platinum resistance in ovarian cancer. EMBO Mol Med. 2021;13(5):e13366. DOI:10.15252/emmm.202013366
19. Guffanti F, Alvisi MF, Anastasia A, et al. Basal expression of RAD51 foci predicts olaparib response in patient-derived ovarian cancer xenografts. Br J Cancer. 2022;126(1):120-8. DOI:10.1038/s41416-021-01609-1
20. Suszynska M, Ratajska M, Kozlowski P. BRIP1, RAD51C, and RAD51D mutations are associated with high susceptibility to ovarian cancer: mutation prevalence and precise risk estimates based on a pooled analysis of ~30,000 cases. J Ovarian Res. 2020;13(1):50. DOI:10.1186/s13048-020-00654-3
21. Meindl A, Hellebrand H, Wiek C, et al. Germline mutations in breast and ovarian cancer pedigrees establish RAD51C as a human cancer susceptibility gene. Nat Genet. 2010;42(5):410-4. DOI:10.1038/ng.569
22. Pelttari LM, Heikkinen T, Thompson D, et al. RAD51C is a susceptibility gene for ovarian cancer. Hum Mol Genet. 2011;20(16):3278-88. DOI:10.1093/hmg/ddr229
23. Thompson ER, Boyle SE, Johnson J, et al. Analysis of RAD51C germline mutations in high-risk breast and ovarian cancer families and ovarian cancer patients. Hum Mutat. 2012;33(1):95-9. DOI:10.1002/humu.21625
24. Yao H, Li N, Yuan H. Clinical characteristics and survival analysis of Chinese ovarian cancer patients with RAD51D germline mutations. BMC Cancer. 2022;22(1):1337. DOI:10.1186/s12885-022-10456-z
25. Rubin SC, Finstad CL, Federici MG, et al. Prevalence and significance of HER-2/neu expression in early epithelial ovarian cancer. Cancer. 1994;73(5):1456-9.
DOI:10.1002/1097-0142(19940301)73:5<1456::aid-cncr2820730522>3.0.co;2-l
26. Luo H, Xu X, Ye M, et al. The prognostic value of HER2 in ovarian cancer: A meta-analysis of observational studies. PLoS One. 2018;13(1):e0191972. DOI:10.1371/journal.pone.0191972
27. Swain SM, Clark E, Baselga J. Treatment of HER2-positive metastatic breast cancer. N Engl J Med. 2015;372(20):1964-5. DOI:10.1056/NEJMc1503446
28. Bookman MA, Darcy KM, Clarke-Pearson D, et al. Evaluation of monoclonal humanized anti-HER2 antibody, trastuzumab, in patients with recurrent or refractory ovarian or primary peritoneal carcinoma with overexpression of HER2: A phase II trial of the Gynecologic Oncology Group. J Clin Oncol. 2003;21(2):283-90. DOI:10.1200/JCO.2003.10.104
29. Satpathy M, Wang L, Zielinski RJ, et al. Targeted drug delivery and image-guided therapy of heterogeneous ovarian cancer using HER2-targeted theranostic nanoparticles. Theranostics. 2019;9(3):778-95. DOI:10.7150/thno.29964
30. Kupryjańczyk J, Madry R, Plisiecka-Hałasa J, et al. TP53 status determines clinical significance of ERBB2 expression in ovarian cancer. Br J Cancer. 2004;91(11):1916-23. DOI:10.1038/sj.bjc.6602238
31. Groothuizen FS, Sixma TK. The conserved molecular machinery in DNA mismatch repair enzyme structures. DNA Repair (Amst). 2016;38:14-23. DOI:10.1016/j.dnarep.2015.11.012
32. Amaral-Silva GK, Martins MD, Pontes HA, et al. Mismatch repair system proteins in oral benign and malignant lesions. J Oral Pathol Med. 2017;46(4):241-5. DOI:10.1111/jop.12484
33. Gupta D, Heinen CD. The mismatch repair-dependent DNA damage response: Mechanisms and implications. DNA Repair (Amst). 2019;78:60-9. DOI:10.1016/j.dnarep.2019.03.009
34. Erie DA, Weninger KR. Single molecule studies of DNA mismatch repair. DNA Repair (Amst). 2014;20:71-81. DOI:10.1016/j.dnarep.2014.03.007
35. Cilona M, Locatello LG, Novelli L, Gallo O. The mismatch repair system (MMR) in head and neck carcinogenesis and its role in modulating the response to immunotherapy: A critical review. Cancers. 2020;12(10):3006. DOI:10.3390/cancers12103006
36. Loeb LA. A mutator phenotype in cancer. Cancer Res. 2001;61(8):3230-9. PMID:11309271
37. Pećina-Šlaus N, Kafka A, Salamon I, Bukovac A. Mismatch repair pathway, genome stability and cancer. Front Mol Biosci. 2020;7:122. DOI:10.3389/fmolb.2020.00122
38. Rambau PF, Duggan MA, Ghatage P, et al. Significant frequency of MSH2/MSH6 abnormality in ovarian endometrioid carcinoma supports histotype-specific Lynch syndrome screening in ovarian carcinomas. Histopathology. 2016;69(2):288-97. DOI:10.1111/his.12934
39. Helder-Woolderink JM, Blok EA, Vasen HF, et al. Ovarian cancer in Lynch syndrome: A systematic review. Eur J Cancer. 2016;55:65-73. DOI:10.1016/j.ejca.2015.12.005
40. Samimi G, Fink D, Varki NM, et al. Analysis of MLH1 and MSH2 expression in ovarian cancer before and after platinum drug-based chemotherapy. Clin Cancer Res.
2000;6(4):1415-21. PMID:10778972
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