Metallothionein expression in human neoplasia

Histopathology - Tập 45 Số 2 - Trang 103-118 - 2004
Stamatis Theocharis1, Alexandra Margeli1, Jerzy Klijanienko1, Gregory Kouraklis2
1Department of Tumour Biology, Institut Curie, Paris, France, Department of Clinical Biochemistry, ‘Aghia Sophia’ Children's Hospital
22nd Department of Propedeutic Surgery, School of Medicine, University of Athens, Athens, Greece

Tóm tắt

The metallothionein family is a class of low‐molecular‐weight, cysteine‐rich proteins with high affinity for metal ions. Four major isoforms (metallothionein‐1, ‐2, ‐3, and ‐4) have been identified in mammals, involved in many pathophysiological processes, including metal ion homeostasis and detoxification, protection against oxidative damage, cell proliferation and apoptosis, drug and radiotherapy resistance and several aspects of the carcinogenic process. In the present review we examine the expression of metallothionein in different human tumours and its correlation with histopathological variables, tumour cell proliferation or apoptosis, resistance to radiation or chemotherapy, patient survival and prognosis. A variable profile of metallothionein and its isoforms' expression has been observed in different cancer types. Although metallothionein expression has been implicated in carcinogenic evolution, its use as a marker of tumour differentiation, cell proliferation and prognosis predictor remains unclear. Detailed studies focused on the expression of metallothionein isoforms and isotypes in different tumour types could elucidate the role of this group of proteins in the carcinogenic process, delineating its possible clinical significance for the management of patients.

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