piARNs y proteínas similares a PIWI en el cáncer y su futuro como biomarcadores y objetivos terapéuticos en el cáncer de mama

piRNAs and PIWI-like proteins in cancer and their future as biomarkers and therapy targets in breast cancer

Contenido principal del artículo

Jheremy Sebastian Reyes Barreto
Cristian Sebastián Cabezas Varela
Leidy Viviana Girón Jurado
Ana Margarita Baldión Elorza
Resumen

A nivel global, el cáncer de mama (CM) es el tipo de cáncer más común, con 2.261.419 nuevos casos en 2020 y casi 700.000 muertes relacionadas. Debido a la alta carga que esto representa, es imperativo expandir horizontes para poder encontrar nuevos biomarcadores y objetivos terapéuticos que puedan utilizarse para mejorar el pronóstico, el tratamiento y la supervivencia de las pacientes con cáncer de mama. En los últimos años, se han llevado a cabo numerosos estudios buscando la asociación entre los piARNs (ARNs que interactúan con PIWI) y el desarrollo, la patogénesis, la metástasis y la progresión de diferentes tipos de cáncer, incluido el CM. Los piARNs son moléculas pequeñas (24-31 nucleótidos) que interactúan con el complejo proteico PIWI (proteínas similares a PIWI - HIWI/HILI en humanos) realizando funciones regulatorias al inducir cambios epigenéticos transcripcionales, post-transcripcionales, traduccionales y post-traduccionales, lo que se ha observado que contribuye al desarrollo del cáncer mediante modificaciones en la proliferación celular, silenciamiento de transposones, reordenamiento del genoma, regulación epigenética, regulación de proteínas y mantenimiento de células madre. En el cáncer de mama, se ha encontrado una fuerte asociación entre la expresión de algunos piARNs, proteínas similares a PIWI y el desarrollo tumoral. Si un piARN específico pudiera asociarse con un tipo específico de cáncer, entonces podría utilizarse como un biomarcador temprano que permitiría un mejor pronóstico. Los hallazgos en torno a estos mecanismos moleculares también podrían despertar interés en estudios que se centren en la modificación de la expresión de piARNs en células cancerosas. En este artículo, pretendemos revisar de manera sencilla la información actual sobre los piARNs/proteínas similares a PIWI, centrándonos en su expresión en el CM.

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Biografía del autor/a (VER)

Jheremy Sebastian Reyes Barreto, Universidad de Los Andes

Médico, Universidad de Los Andes, Colombia.

Cristian Sebastián Cabezas Varela, Universidad de Los Andes

Médico, Universidad de Los Andes, Colombia.

Leidy Viviana Girón Jurado, University of Santander

Médica, Universidad de Santander, Colombia.

Ana Margarita Baldión Elorza, Fundación Santa Fe de Bogotá

Médica, Patóloga.

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