Mitosis is a source of potential markers for screening and survival and therapeutic targets in cervical cancer
Autor: | Nicolás Villegas, Jose de Jesus Curiel-Valdez, Ingrid Medina, Mariano Guardado-Estrada, Cyntia Serralde, Patricia Alonso, Ana Alfaro, Manuel Borges-Ibañez, Edgar Roman-Basaure, Avissai Alcántara-Vázquez, Icela Palma, Edna Marquez, Miriam Bermúdez, Sergio Muñoz-Cortez, Ana María Espinosa, Eligia Juárez, Susana Kofman, Jaime Berumen |
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Jazyk: | angličtina |
Rok vydání: | 2013 |
Předmět: |
Oncology
Viral Diseases Epidemiology Uterine Cervical Neoplasms lcsh:Medicine Cervix Uteri Bioinformatics Cervical Cancer Papillomaviridae lcsh:Science Early Detection of Cancer Oligonucleotide Array Sequence Analysis Cervical cancer Multidisciplinary Reverse Transcriptase Polymerase Chain Reaction Genomics Middle Aged Real-time polymerase chain reaction Infectious Diseases Carcinoma Squamous Cell Adenocarcinoma Medicine Female Cancer Screening Research Article Adult medicine.medical_specialty Human Papillomavirus Infection Mitosis CDC20 Biology Cervical intraepithelial neoplasia Real-Time Polymerase Chain Reaction Sensitivity and Specificity Young Adult Internal medicine medicine Carcinoma Biomarkers Tumor Cancer Detection and Diagnosis Humans Neoplasm Invasiveness RNA Messenger Aged Gene Expression Profiling Papillomavirus Infections lcsh:R Cancers and Neoplasms medicine.disease biology.organism_classification Uterine Cervical Dysplasia Gene expression profiling Biomarker Epidemiology lcsh:Q Neoplasm Grading Genome Expression Analysis Gynecological Tumors |
Zdroj: | PLoS ONE, Vol 8, Iss 2, p e55975 (2013) PLoS ONE |
ISSN: | 1932-6203 |
Popis: | The effect of preventive human papillomavirus (HPV) vaccination on the reduction of the cervical cancer (CC) burden will not be known for 30 years. Therefore, it’s still necessary to improve the procedures for CC screening and treatment. The objective of this study was to identify and characterize cellular targets that could be considered potential markers for screening or therapeutic targets. A pyramidal strategy was used. Initially the expression of 8,638 genes was compared between 43 HPV16-positive CCs and 12 healthy cervical epitheliums using microarrays. A total of 997 genes were deregulated, and 21 genes that showed the greatest deregulation were validated using qRT-PCR. The 6 most upregulated genes (CCNB2, CDC20, PRC1, SYCP2, NUSAP1, CDKN3) belong to the mitosis pathway. They were further explored in 29 low-grade cervical intraepithelial neoplasias (CIN1) and 21 high-grade CIN (CIN2/3) to investigate whether they could differentiate CC and CIN2/3 (CIN2+) from CIN1 and controls. CCNB2, PRC1, and SYCP2 were mostly associated with CC and CDC20, NUSAP1, and CDKN3 were also associated with CIN2/3. The sensitivity and specificity of CDKN3 and NUSAP1 to detect CIN2+ was approximately 90%. The proteins encoded by all 6 genes were shown upregulated in CC by immunohistochemistry. The association of these markers with survival was investigated in 42 CC patients followed up for at least 42 months. Only CDKN3 was associated with poor survival and it was independent from clinical stage (HR = 5.9, 95%CI = 1.4–23.8, p = 0.01). CDKN3 and NUSAP1 may be potential targets for the development of screening methods. Nevertheless, further studies with larger samples are needed to define the optimal sensitivity and specificity. Inhibition of mitosis is a well-known strategy to combat cancers. Therefore, CDKN3 may be not only a screening and survival marker but a potential therapeutic target in CC. However, whether it’s indispensable for tumor growth remains to be demonstrated. |
Databáze: | OpenAIRE |
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