Advances in the molecular genetics of endometrial cancer (Review)

M Esteller1, J Xercavins, J Reventos

  • 1Centre d'Investigacions en Bioquimica i Biologia Molecular Vall d'Hebron, Hospitals Vall d'Hebron, Barcelona, Spain.

Oncology Reports
|October 19, 1999
PubMed

Insights

Genetic alterations in endometrial carcinoma include oncogenes and tumor suppressor genes. Understanding these molecular changes and chemoresistance markers may lead to targeted therapies for endometrial cancer.

Area of Science:

  • Oncology
  • Genetics
  • Molecular Biology

Background:

  • Endometrial carcinoma development involves specific genetic alterations.
  • Key genes implicated include oncogenes (K-ras, c-erbB2/neu) and tumor suppressors (p53, PTEN, hMLH1).
  • Chemoresistance markers like MDR-1 and MRP are highly expressed in these cancers.

Purpose of the Study:

  • To summarize the genetic alterations in endometrial carcinoma.
  • To discuss the role of genetic background, including high- and low-penetrance genes.
  • To propose a model for endometrial tumorigenesis based on molecular lesions.

Main Methods:

  • Review of recent studies on genetic alterations in endometrial carcinoma.
  • Identification of frequently altered oncogenes and tumor suppressor genes.
  • Analysis of chemoresistance markers and their association with cancer development.

Main Results:

  • Commonly altered genes in endometrial cancer include K-ras, c-erbB2/neu, p53, PTEN, and hMLH1.
  • Endometrial carcinomas exhibit high expression of MDR-1 and MRP genes.
  • Genetic factors like DNA mismatch repair genes and estrogen-metabolism genes contribute to patient susceptibility.
  • A two-pathway model for endometrial tumorigenesis is suggested by the molecular data.

Conclusions:

  • The identified genetic alterations and chemoresistance markers are crucial for understanding endometrial carcinoma.
  • The genetic background of patients plays a significant role in disease development.
  • A proposed two-pathway model for tumorigenesis may guide the development of targeted therapeutic agents for endometrial cancer.