PRAME途径在口腔癌变中的作用:一项系统综述

Ruby Dwivedi, Rahul Pandey, D. Mehrotra, S. Chandra, D. Parmar
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摘要

与口腔癌相关的高发病率和死亡率及其高发病率和流行率需要早期诊断和有效管理。尽管口腔癌在形态学上很容易获得,但主要由于缺乏有效和廉价的筛查工具,口腔癌仍然大多在晚期被诊断出来。寻找一种合适的生物标志物,既能有效地诊断口腔癌,又能准确地预测口腔潜在恶性疾病(oral potential malignant Disorders, OMPD)向口腔癌的发展,仍然是一个有待探索的问题。黑色素瘤优先表达抗原(PRAME)就是这样一种生物标志物,它是维生素a (Vit a)的主要抑制因子。维生素a,主要是视黄酸(RA),由于其在细胞生长和分化中的作用,目前被广泛用于化学预防。RA作为一种廉价且可接受的化学预防剂出现,因为RA以维生素a食品补充剂的形式很容易获得,维生素a被用于各种级别的opmd和口腔癌患者,但由于其在各种癌症中的混合结果,其有效性仍存在争议。有效结果的不一致导致了对PRAME等多种分子的研究,PRAME参与RA代谢途径,从而调节视黄酸化学预防的结局和疗效。*通信:Rahul Pandey,科学家,DHR-MRU,乔治国王医科大学,Lucknow226003, U.P,印度,电话:9889175042;电子邮件:pandey.rahul.dr@gmail.com
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PRAME pathway in oral carcinogenesis: A systematic review
High morbidity and mortality associated with oral cancers and its high incidence and prevalence necessitates earlier diagnosis and effective management. Despite of ease in morphological accessibility, oral cancers are still diagnosed mostly in advanced stages chiefly due to lack of effective and cheap screening tools.The search of a suitable biomarker, which can diagnose, oral cancer effectively and can predict the progression of Oral Potentially malignant Disorders (OMPD) to Oral Cancer with accuracy, still exists. PRAME (Preferentially Expressed Antigen of Melanoma) is one such biomarker, which is a dominant repressor of Vitamin A (Vit A). Vit A, chiefly Retinoic Acid (RA) is extensively used these days for chemoprevention owing to its role in cell growth and differentiation. RA emerged as a cheap and acceptable chemo preventive agent since RA is readily available in the form of Vit A food supplements, Vit A is being used in patients with various grades of OPMDs and oral cancer, but its efficiency is still debatable owing to its mixed results in various cancers. Inconsistency in efficient results led to study of various molecules like PRAME, which is involved in RA metabolic pathway thereby modulating the outcome and efficacy of Retinoic Acid chemoprevention. *Correspondence to: Rahul Pandey, Scientist, DHR-MRU,King George Medical University, Lucknow226003, U.P, India, Tel: 9889175042; E-mail: pandey.rahul.dr@gmail.com
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