التفاصيل البيبلوغرافية
| العنوان: |
Genetic bases of pheochromocytoma and paraganglioma. |
| المؤلفون: |
Cascón, Alberto1,2, Calsina, Bruna1, Monteagudo, María1, Mellid, Sara1, Díaz-Talavera, Alberto1,2, Currás-Freixes, Maria1, Robledo, Mercedes1,2 mrobledo@cnio.es |
| المصدر: |
Journal of Molecular Endocrinology. Apr2023, Vol. 70 Issue 3, p1-13. 13p. |
| مصطلحات موضوعية: |
*PARAGANGLIOMA, *PHEOCHROMOCYTOMA, *MULTIPLE tumors, *FAMILY history (Medicine), *GENETICS |
| مستخلص: |
The genetics of pheochromocytoma and paraganglioma (PPGL) has become increasingly complex over the last two decades. The list of genes involved i n the development of these tumors has grown steadily, and there are currently more t han 20 driver genes implicated in either the hereditary or the sporadic nature of t he disease. Although genetic diagnosis is achieved in about 75-80% of patients, genetic etiology remains unexplained in a significant percentage of cases. Patients lacking a genetic diagnosis include not only those with apparently sporadic PPGL but also p atients with a family history of the disease or with multiple tumors, that meet the c riteria to be considered as candidates for carrying germline mutations in yet undiscovered genes. Mutations in known PPGL genes deregulate three main signaling pathways (hypoxia, kinase signaling, and Wnt-signaling pathways), which could be the starting point for the development of personalized treatment for PPGL patients. Furthermore, the integration of results from several genomic high-throughput platforms enables the discovery of regulatory mechanisms that cannot be identified by analyzing each piece of information separately. These strategies are powerful tools for elucidating optimal therapeutic options based on molecular biomarkers in PPGL and represent an important step toward the achievement of precision medicine for patients with metastatic PPGL. [ABSTRACT FROM AUTHOR] |
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