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Published on: February 2, 2024
DNA mismatch repair system expression in salivary gland tumors: A Systematic Review
G-M-T-T Alves1, R-J Severino-Lazo, G-K Amaral-Silva
1Integrated Anatomic Pathology Center Oswaldo Cruz University Hospital University of Pernambuco (UPE) R. Arnóbio Marques, 310 Santo Amaro Recife - PE, 50100-130, Brazil marianne.carvalho@upe.br.
Background:
The DNA mismatch repair (MMR) system serves as a sophisticated guardian of the precise functioning of the human genome. Dysregulation within this system is linked to the oncogenesis process. Reduced expression of MMR system proteins identified in salivary gland tumors (SGTs) suggests an increased risk of tumoral occurrence. This study aims to analyze the expression of MMR proteins in SGTs and discuss the relevance of this association to the development of these neoplasms.
Material And Methods:
This review was conducted following the PRISMA guidelines and was registered in PROSPERO (CRD42023465590). A comprehensive search of the PubMed/MEDLINE, Web of Science, Scopus, Embase, and ProQuest (non-peer reviewed platform) was performed to answer the question "Do DNA MMR system proteins exhibit expression in SGTs?". The methodological quality of the selected studies was assessed using the JBI's Critical Appraisal Tool.
Results:
A total of 142 patients with benign SGTs and 84 with malignant SGTs were included in this review. The literature analysis showed a notable reduction in the expression of DNA MMR system proteins (hHMS2, hMLH1, hMSH3 and hMSH6) in the percentage of marked cells.
Conclusions:
The reduction in the expression of the DNA MMR system proteins suggests an interesting correlation with the development of malignant and benign SGTs. Nevertheless, further investigations are warranted to better clarify the precision of measuring biomarker protein expression.
Insights
Reduced expression of DNA mismatch repair (MMR) proteins is linked to salivary gland tumors (SGTs). This suggests a correlation between MMR protein levels and the development of both benign and malignant SGTs.
Area of Science:
- Genomics
- Oncology
- Molecular Biology
Background:
- The DNA mismatch repair (MMR) system is crucial for genomic stability.
- Dysregulation of MMR is implicated in oncogenesis.
- Reduced MMR protein expression is observed in salivary gland tumors (SGTs).
Purpose of the Study:
- To analyze the expression of MMR proteins in SGTs.
- To discuss the association between MMR protein expression and SGT development.
Main Methods:
- Systematic review following PRISMA guidelines.
- Comprehensive literature search across multiple databases (PubMed, Web of Science, Scopus, Embase, ProQuest).
- Methodological quality assessed using JBI's Critical Appraisal Tool.
Main Results:
- Included 142 patients with benign SGTs and 84 with malignant SGTs.
- Literature analysis revealed reduced expression of MMR proteins (hHMS2, hMLH1, hMSH3, hMSH6).
- Reduction observed in the percentage of marked cells.
Conclusions:
- Reduced MMR protein expression correlates with the development of SGTs.
- Further research is needed to precisely measure biomarker protein expression.
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