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E- and A-type cyclins as markers for cancer diagnosis and prognosis
Amber Yasmeen1, Wolfgang E Berdel, Hubert Serve
1Department of Medicine, Hematology and Oncology, University of Münster, Germany.
Abstract:
Cyclin-dependent kinase (CDK)2 interacting cyclins perform essential functions for DNA replication and cellular proliferation. The human genome encodes two E-type cyclins (E and E2) and two A-type cyclins (A1 and A2). Dysregulation of the CDK2-bound cyclins plays an important role in the pathogenesis of cancer. Cyclin A2 is associated with cellular proliferation and can be used for molecular diagnostics as a proliferation marker. In addition, cyclin A2 expression is associated with a poor prognosis in several types of cancer. Cyclin A1 is a tissue-specific cyclin that is highly expressed in acute myeloid leukemia and in testicular cancer. High levels of cyclin E expression are found in many types of cancer. Overexpression of cyclin E at the mRNA level can be based on gene amplification and transcriptional mechanisms. In addition, proteolytically cleaved forms of cyclin E that show oncogenic functions have been described. Cyclin E plays a critical role for G1/S transition. Its overexpression is not only associated with proliferation but rather indicates a more malignant phenotype which is likely to be linked to the induction of chromosomal instability. These biological functions of cyclin E relate to a poor prognosis when high cyclin E levels are found. The link between cyclin E and poor prognosis is well established in breast and lung cancer but is likely to be observed in other cancers as well. The second E-type cyclin, cyclin E2, has been shown to be overexpressed in breast cancers although the potential role as a diagnostic or prognostic marker is unknown. This review provides an overview of the potential of cyclins E and A as markers for diagnosis and prognosis in human cancer.
Insights
Cyclins A and E, interacting with CDK2, are crucial for cell division and cancer development. Their altered expression indicates poor prognosis and aids in cancer diagnosis and molecular diagnostics.
Area of Science:
- Molecular Biology
- Oncology
- Cell Cycle Regulation
Background:
- Cyclin-dependent kinase (CDK)2 interacting cyclins are vital for DNA replication and cell proliferation.
- Dysregulation of these cyclins, particularly E-type (E, E2) and A-type (A1, A2), is implicated in cancer pathogenesis.
Purpose of the Study:
- To review the role of cyclins E and A as potential diagnostic and prognostic markers in human cancers.
- To highlight the clinical significance of cyclin A2, cyclin A1, cyclin E, and cyclin E2 in various cancer types.
Main Methods:
- Literature review of studies investigating cyclins E and A in cancer.
- Analysis of the association between cyclin expression levels and cancer diagnosis, prognosis, and proliferation.
Main Results:
- Cyclin A2 is a proliferation marker linked to poor prognosis in several cancers.
- Cyclin A1 is highly expressed in acute myeloid leukemia and testicular cancer.
- Cyclin E overexpression, including cleaved forms, is common in cancers, indicating malignancy and poor prognosis, particularly in breast and lung cancer.
- Cyclin E2 is overexpressed in breast cancer, with its diagnostic/prognostic role under investigation.
Conclusions:
- Cyclins A and E are significant biomarkers for cancer diagnosis and prognosis.
- Further research into cyclin E2 may reveal its utility as a clinical marker.
- Understanding CDK2-interacting cyclins offers insights into cancer development and therapeutic strategies.
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