Molecular Markers for the Diagnosis of High-Risk Human Papillomavirus Infection and Triage of Human Papillomavirus-Positive Women



Título del documento: Molecular Markers for the Diagnosis of High-Risk Human Papillomavirus Infection and Triage of Human Papillomavirus-Positive Women
Revista: Revista de investigación clínica
Base de datos: PERIÓDICA
Número de sistema: 000453213
ISSN: 0034-8376
Autores: 1
2
3
4
5
6
6
7
Instituciones: 1Instituto Nacional de Salud Pública, Centro de Investigación de Enfermedades Infecciosas, Cuernavaca, Morelos. México
2Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Ciudad de México. México
3Instituto Mexicano del Seguro Social, Centro de Investigación Biomédica de Oriente, Atlixco, Puebla. México
4Universidad Nacional Autónoma de México, Instituto de Investigaciones Biomédicas, Ciudad de México. México
5Instituto Nacional de Salud Pública, Centro de Investigación en Salud Poblacional, Cuernavaca, Morelos. México
6Instituto Nacional de Cancerología, Departamento de Investigación Clínica, Ciudad de México. México
7Instituto Nacional de Cancerología, Departamento de Investigación Básica, Ciudad de México. México
Año:
Periodo: Jul-Ago
Volumen: 72
Número: 4
Paginación: 198-212
País: México
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Aplicado, descriptivo
Resumen en inglés Infection with high-risk human papillomavirus (HPV) increases the likelihood of developing cervical cancer (CC). A plethora of cellular processes is required to produce pre-malignant lesions, which in turn may become malignant if left untreated. Those changes are induced by viral oncoproteins, which represent an ideal target to identify the viral presence, or by some particularities of the host that ultimately promote the establishment of CC. This article describes the different methods used for HPV detection and quantification, as well as the current trend of secondary screening approaches to detect premalignant lesions and CC. In addition, we analyzed validated biomarkers and those under clinical investigation for the classification (triage) of women at risk of developing CC after an initial positive HPV test and that could be used as prognostic biomarkers for CC. The use of molecular biomarkers, together with the detection of HPV DNA sequences, provides a high impact diagnostic and prognostic tool in the detection of patients at increased risk of developing CC and also may guide their clinical management. In addition, some of those biomarkers could represent pharmacological targets for the future design of therapeutic approaches to CC treatment
Disciplinas: Medicina
Palabras clave: Ginecología y obstetricia,
Oncología,
Diagnóstico,
Virus del papiloma humano,
Neoplasia cervical,
Marcadores moleculares,
Biomarcadores,
Triage
Keyword: Gynecology and obstetrics,
Oncology,
Diagnosis,
Human papillomavirus,
Cervical neoplasia,
Molecular markers,
Biomarkers,
Triage
Texto completo: Texto completo (Ver HTML) Texto completo (Ver PDF)