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Curr Opin Urol ; 30(2): 264-270, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31905176

RESUMO

PURPOSE OF REVIEW: Testicular germ cell tumours (TGCTs) exhibit, in contrast to other cancer types, a relatively low mutational burden. However, numerous epigenetic alterations have been shown to impact TGCT. In this review, we summarize the most relevant findings of the past 2 years. RECENT FINDINGS: Recent studies focused on the functions of microRNAs and the impact of aberrant DNA methylation. Moreover, several epigenetic drugs with antineoplastic effects in TGCTs were identified. SUMMARY: Aberrant DNA methylation and differentially expressed microRNAs have an important effect on TGCT pathogenesis. Moreover, differential DNA methylation patterns were found to be specific for different TGCT subtypes. Various microRNAs, such as miR-371a-3p, were found to be highly sensitive and specific biomarkers for TGCT. The epigenetic drugs guadecitabine, animacroxam, and JQ1 showed promising effects on TGCT in preclinical in-vivo and in-vitro studies.


Assuntos
Epigênese Genética/genética , MicroRNAs/genética , Neoplasias Embrionárias de Células Germinativas/genética , Neoplasias Testiculares/genética , Antineoplásicos/uso terapêutico , Azacitidina/análogos & derivados , Azacitidina/uso terapêutico , Azepinas/uso terapêutico , Biomarcadores Tumorais/genética , Cinamatos/uso terapêutico , Metilação de DNA/genética , Humanos , Imidazóis/uso terapêutico , Masculino , Neoplasias Embrionárias de Células Germinativas/tratamento farmacológico , RNA não Traduzido/genética , Neoplasias Testiculares/tratamento farmacológico , Triazóis/uso terapêutico
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