感染、瘤前病变和癌症对尿路上皮和宫颈细胞微核形成的影响:系统综述

IF 6.4 2区 医学 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY
T. Setayesh , A. Nersesyan , M. Kundi , M. Mišík , M. Fenech , C. Bolognesi , H. Stopper , G. Parsadanyan , B. Ernst , S. Knasmueller
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引用次数: 7

摘要

每年大约有165,000人和311,000人死于尿路上皮(UC)和子宫颈癌(CC)。这些癌症的治疗成功很大程度上取决于它们的早期发现,并且可以通过使用额外的诊断工具来改善。我们评估了目前对尿细胞(UDC)和宫颈源性细胞(CDC)微核(MN)检测(检测结构和数字染色体异常)用于识别UC和CC风险增加的人以及诊断UC和CC的知识。一些研究结果表明,在患有炎症和血吸虫病的个体中,UDC中的MN率更高,这与UC患病率增加有关;此外,感染HPV、念珠菌病和滴虫病的女性在CDC中MN率也较高,这增加了患CC的风险。关于UC患者UDS中MN率的研究很少,其中两项研究涉及复发性膀胱肿瘤的检测。在巴氏试验和组织病理学异常的CC细胞异常个体中发现了强相关性。总共发表了16项涉及这些主题的研究。MN率依次升高:炎症<ASC-US / ASC-H & lt;LSIL & lt;HSIL & lt;很明显,MNi值随着发生CC的风险和恶性转化程度的增加而增加。总的来说,对文献的评估表明,MNi是对CC的预后和检测有用的额外生物标志物,也可能用于UC。关于UC的诊断/监测,需要进一步的调查来得出明确的结论,但目前可用的数据是有希望的。一般来说,在MN试验可以在常规筛选中实施之前,需要进一步标准化检测方法(即定义最佳细胞数量和合适的染色剂,以及阐明反映细胞毒性和有丝分裂活性的参数的有用性)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of infections, preneoplasia and cancer on micronucleus formation in urothelial and cervical cells: A systematic review

Approximately 165,000 and 311,000 individuals die annually from urothelial (UC) and cervical (CC) cancer. The therapeutic success of these cancers depends strongly on their early detection and could be improved by use of additional diagnostic tools. We evaluated the current knowledge of the use of micronucleus (MN) assays (which detect structural and numerical chromosomal aberrations) with urine- (UDC) and cervix-derived (CDC) cells for the identification of humans with increased risks and for the diagnosis of UC and CC. Several findings indicate that MN rates in UDC are higher in individuals with inflammation and schistosomiasis that are associated with increased prevalence of UC; furthermore, higher MN rates were also found in CDC in women with HPV, Candidiasis and Trichomonas infections which increase the risks for CC. Only few studies were published on MN rates in UDS in patients with UC, two concern the detection of recurrent bladder tumors. Strong correlations were found in individuals with abnormal CC cells that are scored in Pap tests and histopathological abnormalities. In total, 16 studies were published which concerned these topics. MN rates increased in the order: inflammation < ASC-US/ASC-H < LSIL < HSIL < CC. It is evident that MNi numbers increase with the risk to develop CC and with the degree of malignant transformation. Overall, the evaluation of the literature indicates that MNi are useful additional biomarkers for the prognosis and detection of CC and possibly also for UC. In regard to the diagnosis/surveillance of UC, further investigations are needed to draw firm conclusions, but the currently available data are promising. In general, further standardization of the assays is needed (i.e. definition of optimal cell numbers and of suitable stains as well as elucidation of the usefulness of parameters reflecting cytotoxicity and mitotic activity) before MN trials can be implemented in routine screening.

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来源期刊
CiteScore
12.20
自引率
1.90%
发文量
22
审稿时长
15.7 weeks
期刊介绍: The subject areas of Reviews in Mutation Research encompass the entire spectrum of the science of mutation research and its applications, with particular emphasis on the relationship between mutation and disease. Thus this section will cover advances in human genome research (including evolving technologies for mutation detection and functional genomics) with applications in clinical genetics, gene therapy and health risk assessment for environmental agents of concern.
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