Emerging targets in upper tract urothelial carcinomas: the TERT gene

Andrés Ortíz Restrepo1, Jeffrey S Ross2, Philippe E Spiess3,4,5

  • 1UROGIV Research Group, School of Medicine, Universidad del Valle, Cali, Colombia.

Abstract

Insights

Telomerase reverse transcriptase (TERT) gene mutations are common in upper tract urothelial carcinoma (UTUC). Specific TERT mutations, C228T and C250T, show potential as non-invasive diagnostic markers in urine for UTUC.

Area of Science:

  • Oncology
  • Genetics
  • Molecular Biology

Background:

  • Urothelial carcinoma (UC) is a significant cause of cancer-related mortality.
  • Telomerase reverse transcriptase (TERT) gene activation is crucial for cancer development and progression.

Purpose of the Study:

  • To identify frequent telomerase reverse transcriptase (TERT) gene mutations in upper tract urothelial carcinoma (UTUC).
  • To investigate the association between TERT mutations and UTUC prognosis and treatment.

Main Methods:

  • Literature search in Medline and Embase databases.
  • Inclusion of reviews and observational studies on TERT gene and upper tract UC.

Main Results:

  • TERT mutations are the most frequent genomic alterations in advanced upper tract UC.
  • C228T mutations correlate with distant metastasis in renal pelvis and ureteral cancers.
  • TERT mutations (C228T, C250T) in urine DNA demonstrate high sensitivity and specificity for UTUC detection.

Conclusions:

  • TERT gene promoter mutations are prevalent in upper tract UC.
  • C250T and C228T mutations are promising diagnostic biomarkers for UTUC, detectable via urine tests.

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