PIK3CA-Related Disorders: From Disease Mechanism to Evidence-Based Treatments.

IF 7.7 2区 生物学 Q1 GENETICS & HEREDITY Annual review of genomics and human genetics Pub Date : 2024-08-01 Epub Date: 2024-08-06 DOI:10.1146/annurev-genom-121222-114518
Gabriel M Morin, Lola Zerbib, Sophie Kaltenbach, Antoine Fraissenon, Estelle Balducci, Vahid Asnafi, Guillaume Canaud
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Abstract

Recent advances in genetic sequencing are transforming our approach to rare-disease care. Initially identified in cancer, gain-of-function mutations of the PIK3CA gene are also detected in malformation mosaic diseases categorized as PIK3CA-related disorders (PRDs). Over the past decade, new approaches have enabled researchers to elucidate the pathophysiology of PRDs and uncover novel therapeutic options. In just a few years, owing to vigorous global research efforts, PRDs have been transformed from incurable diseases to chronic disorders accessible to targeted therapy. However, new challenges for both medical practitioners and researchers have emerged. Areas of uncertainty remain in our comprehension of PRDs, especially regarding the relationship between genotype and phenotype, the mechanisms underlying mosaicism, and the processes involved in intercellular communication. As the clinical and biological landscape of PRDs is constantly evolving, this review aims to summarize current knowledge regarding PIK3CA and its role in nonmalignant human disease, from molecular mechanisms to evidence-based treatments.

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PIK3CA 相关疾病:从疾病机制到循证治疗。
基因测序技术的最新进展正在改变我们治疗罕见病的方法。PIK3CA基因的功能增益突变最初是在癌症中发现的,在被归类为PIK3CA相关疾病(PRDs)的畸形镶嵌疾病中也检测到了这种突变。在过去十年中,研究人员采用新方法阐明了 PIK3CA 相关疾病的病理生理学,并发现了新的治疗方案。短短几年间,在全球研究人员的努力下,PRD 已从不治之症转变为可接受靶向治疗的慢性疾病。然而,医疗工作者和研究人员都面临着新的挑战。我们对 PRD 的理解仍存在不确定性,尤其是在基因型和表型之间的关系、镶嵌机制以及细胞间通信过程等方面。由于 PRDs 的临床和生物学前景在不断变化,本综述旨在总结目前有关 PIK3CA 及其在人类非恶性疾病中作用的知识,包括分子机制和循证治疗。基因组学与人类遗传学年度综述》第 25 卷的最终在线出版日期预计为 2024 年 8 月。修订后的预计日期请参见 http://www.annualreviews.org/page/journal/pubdates。
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来源期刊
CiteScore
14.90
自引率
1.10%
发文量
29
期刊介绍: Since its inception in 2000, the Annual Review of Genomics and Human Genetics has been dedicated to showcasing significant developments in genomics as they pertain to human genetics and the human genome. The journal emphasizes genomic technology, genome structure and function, genetic modification, human variation and population genetics, human evolution, and various aspects of human genetic diseases, including individualized medicine.
期刊最新文献
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