Frontiers in Bladder Cancer Genomic Research.

Frontiers in Bladder Cancer Genomic Research.
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膀胱癌基因组研究的前沿。

DOI:
10.3389/fonc.2021.670729
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发表时间:
2021
影响因子:
4.7
通讯作者:
Li C
Li C
中科院分区:
医学3区
文献类型:
--
作者:
Li Y;Sun L;Guo X;Mo N;Zhang J;Li C

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膀胱癌的病因学研究大多集中于基因改变,主要包括癌基因的突变和激活、抑癌基因的突变和失活以及染色体的重排或杂合缺失。此外,膀胱癌具有高度异质性,主要是由于肿瘤细胞基因组和蛋白质组的异常变化。手术是膀胱癌的主要治疗方法,但由于手术后复发率高,且肌层浸润性膀胱癌大多发生远处转移。因此,需要结合化疗来巩固治疗效果。然而,患者之间的化疗敏感性存在差异。本文综述了膀胱癌发生、发展、转移及患者化疗敏感性的最新基因组研究,以期为膀胱癌的诊断和治疗策略提供一定的理论支持。
Most of the etiology studies of bladder cancer focus on genetic changes, mainly including mutation and activation of oncogenes, mutation and inactivation of tumor suppressor genes, and rearrangement or heterozygous deletion of chromosomes. Moreover, bladder cancer is highly heterogeneous mainly due to abnormal changes in the genome and proteome of tumor cells. Surgery is the main treatment for bladder cancer, but because the recurrence rate is high after surgery and most of the muscle-invasive bladder cancer acquires distant metastasis. Therefore, there is a need to combine with chemotherapy to consolidate the treatment effect. However, there are differences in chemosensitivity among patients. In this article, we review the up-to-date genomic researches on bladder cancer occurrence, development, metastasis, and chemosensitivity in patients, in order to provide some theoretical support for the diagnosis and treatment strategy for bladder cancer.
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