国际妇产科学杂志 ›› 2019, Vol. 46 ›› Issue (5): 568-571.

• 综述 • 上一篇    下一篇

表观遗传学与子宫内膜异位症相关性卵巢癌发生机制的研究进展

杨盼盼,刘畅,柴宜红,王晓慧   

  1. 730000 兰州大学第一临床医学院(杨盼盼,刘畅,柴宜红);兰州大学第一医院妇产科,甘肃省妇科肿瘤重点实验室(王晓慧)
  • 收稿日期:2019-04-10 修回日期:2019-05-31 出版日期:2019-10-15 发布日期:2019-10-21
  • 通讯作者: 王晓慧,E-mail:xiaohuiwang2015@163.com E-mail:xiaohuiwang2015@163.com
  • 基金资助:
     

Advances in Epigenetics and the Mechanism of Endometriosis Associated Ovarian Cancer

YANG Pan-pan,LIU Chang,CHAI Yi-hong,WANG Xiao-hui   

  1. The First School of Clinical Medicine,Lanzhou University,Lanzhou 730000,China(YANG Pan-pan,LIU Chang,CHAI Yi-hong);Department of Obstetrics and Gynecology,First Hospital of Lanzhou University,Gansu Provincial Key Laboratory of Gynecologic Oncology,Lanzhou 730000,China(WANG Xiao-hui)
  • Received:2019-04-10 Revised:2019-05-31 Published:2019-10-15 Online:2019-10-21
  • Contact: WANG Xiao-hui,E-mail:xiaohuiwang2015@163.com E-mail:xiaohuiwang2015@163.com
  • Supported by:
     

摘要: 子宫内膜异位症(endometriosis,EMs)指子宫内膜组织在子宫腔外的存在,是一种慢性的、激素依赖性的妇科疾病,影响着全球数百万女性。虽然EMs在形态学上表现为良性,但其在临床行为学上却表现为增生、浸润、复发等恶性肿瘤的特点。已有充分证据表明EMs可通过多种机制增加恶性转化的风险,但目前关于EMs发生恶性转化的具体机制尚不明确。越来越多证据表明,表观遗传修饰不仅参与EMs的发生,而且在EMs恶性转化的发病机制中发挥重要作用,包括DNA甲基化和去甲基化、组蛋白修饰、微小RNA(microRNAs,miRNAs)异常表达等。综述表观遗传学与子宫内膜异位症相关性卵巢癌(endometriosis associated ovarian cancer,EAOC)发生机制的研究进展,以期寻找可能与EMs恶性转化相关的一些危险因素。

关键词: 子宫内膜异位症, 后成说, 遗传, 卵巢肿瘤, 基因, 微RNAs

Abstract: Endometriosis (EMs) refers to the presence of endometrial tissue outside the uterine cavity. It is a chronic, hormone-dependent gynecological disease affecting millions of women worldwide. Although EMs is benign in morphology, it is characterized by proliferation, infiltration and recurrence of malignant tumors in clinical behavior. There is sufficient evidence to indicate that it can increase the risk of malignant transformation through various mechanisms, but the specific mechanism of the malignant transformation of EMs is unclear currently. There is increasing evidence that epigenetic modification is not only involved in the development of EMs, but also plays an important role in the pathogenesis of malignant transformation of endometriosis, including DNA methylation and demethylation, histone modification, abnormal expression of microRNAs (miRNAs), etc. This paper reviews the research progress on the mechanism of epigenetics and endometriosis associated ovarian cancer (EAOC) in order to find out some risk factors that may be related to the malignant transformation of endometriosis.

Key words: Endometriosis, Epigenesis, genetic, Ovarian neoplasms, Genes, MicroRNAs

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