Chromosomal instability in adult-type diffuse gliomas.

Chromosomal instability in adult-type diffuse gliomas.
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DOI:
10.1186/s40478-022-01420-w
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发表时间:
2022-08-17
影响因子:
7.1
通讯作者:
--
中科院分区:
医学2区
文献类型:
--
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染色体不稳定性(CIN)是癌症的基本性质,并且是肿瘤发生和恶性进展的关键潜在机制,并且已经在多种癌症中被记录,包括具有基因突变的结直肠癌,例如APC。最近的报告表明,CIN,部分由基因突变驱动,维持整体基因组的稳定性,被发现在所有组织学和分子分级的成人型弥漫性浸润性胶质瘤的子集,导致总拷贝数负担升高,chromothripsis,和不良的临床结果。尽管如此,相对较少的研究已经检查了这一过程的影响,部分原因是临床上常规测量CIN的困难。在此,我们回顾CIN的潜在机制,染色体不稳定性和恶性肿瘤之间的关系,预后意义和治疗潜力在各种癌症,系统性疾病,更具体地说,在弥漫性浸润胶质瘤亚型。虽然与CIN是恶性肿瘤的已知驱动因素的其他实体瘤类型相比,CIN仍处于发现的早期阶段,但CIN作为神经胶质瘤中的早期因素的存在可能部分解释了这些肿瘤对标准治疗产生耐药性的能力,同时也为未来治疗提供了潜在的分子靶点。
Chromosomal instability (CIN) is a fundamental property of cancer and a key underlying mechanism of tumorigenesis and malignant progression, and has been documented in a wide variety of cancers, including colorectal carcinoma with mutations in genes such as APC. Recent reports have demonstrated that CIN, driven in part by mutations in genes maintaining overall genomic stability, is found in subsets of adult-type diffusely infiltrating gliomas of all histologic and molecular grades, with resulting elevated overall copy number burden, chromothripsis, and poor clinical outcome. Still, relatively few studies have examined the effect of this process, due in part to the difficulty of routinely measuring CIN clinically. Herein, we review the underlying mechanisms of CIN, the relationship between chromosomal instability and malignancy, the prognostic significance and treatment potential in various cancers, systemic disease, and more specifically, in diffusely infiltrating glioma subtypes. While still in the early stages of discovery compared to other solid tumor types in which CIN is a known driver of malignancy, the presence of CIN as an early factor in gliomas may in part explain the ability of these tumors to develop resistance to standard therapy, while also providing a potential molecular target for future therapies.
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