Key Molecular Events in Cervical Cancer Development

Cervical cancer is the fourth most common cancer among women. Infection by high-risk human papillomavirus (HPV) is the main aetiology for the development of cervical cancer. Infection by high-risk human papillomavirus (HPV) and the integration of the HPV genome into the host chromosome of cervical e...

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Main Authors: Shandra Devi Balasubramaniam, Venugopal Balakrishnan, Chern Ein Oon, Gurjeet Kaur
Format: Article
Language:English
Published: MDPI AG 2019-07-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/55/7/384
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author Shandra Devi Balasubramaniam
Venugopal Balakrishnan
Chern Ein Oon
Gurjeet Kaur
author_facet Shandra Devi Balasubramaniam
Venugopal Balakrishnan
Chern Ein Oon
Gurjeet Kaur
author_sort Shandra Devi Balasubramaniam
collection DOAJ
description Cervical cancer is the fourth most common cancer among women. Infection by high-risk human papillomavirus (HPV) is the main aetiology for the development of cervical cancer. Infection by high-risk human papillomavirus (HPV) and the integration of the HPV genome into the host chromosome of cervical epithelial cells are key early events in the neoplastic progression of cervical lesions. The viral oncoproteins, mainly E6 and E7, are responsible for the initial changes in epithelial cells. The viral proteins inactivate two main tumour suppressor proteins, p53, and retinoblastoma (pRb). Inactivation of these host proteins disrupts both the DNA repair mechanisms and apoptosis, leading to rapid cell proliferation. Multiple genes involved in DNA repair, cell proliferation, growth factor activity, angiogenesis, as well as mitogenesis genes become highly expressed in cervical intraepithelial neoplasia (CIN) and cancer. This genomic instability encourages HPV-infected cells to progress towards invasive carcinoma. The key molecular events involved in cervical carcinogenesis will be discussed in this review.
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spelling doaj.art-07c693456ede4ee382d4d47ea967ae212023-09-02T02:28:33ZengMDPI AGMedicina1010-660X2019-07-0155738410.3390/medicina55070384medicina55070384Key Molecular Events in Cervical Cancer DevelopmentShandra Devi Balasubramaniam0Venugopal Balakrishnan1Chern Ein Oon2Gurjeet Kaur3Institute for Research in Molecular Medicine, Universiti Sains Malaysia, 11800 Minden, Pulau Pinang, MalaysiaInstitute for Research in Molecular Medicine, Universiti Sains Malaysia, 11800 Minden, Pulau Pinang, MalaysiaInstitute for Research in Molecular Medicine, Universiti Sains Malaysia, 11800 Minden, Pulau Pinang, MalaysiaInstitute for Research in Molecular Medicine, Universiti Sains Malaysia, 11800 Minden, Pulau Pinang, MalaysiaCervical cancer is the fourth most common cancer among women. Infection by high-risk human papillomavirus (HPV) is the main aetiology for the development of cervical cancer. Infection by high-risk human papillomavirus (HPV) and the integration of the HPV genome into the host chromosome of cervical epithelial cells are key early events in the neoplastic progression of cervical lesions. The viral oncoproteins, mainly E6 and E7, are responsible for the initial changes in epithelial cells. The viral proteins inactivate two main tumour suppressor proteins, p53, and retinoblastoma (pRb). Inactivation of these host proteins disrupts both the DNA repair mechanisms and apoptosis, leading to rapid cell proliferation. Multiple genes involved in DNA repair, cell proliferation, growth factor activity, angiogenesis, as well as mitogenesis genes become highly expressed in cervical intraepithelial neoplasia (CIN) and cancer. This genomic instability encourages HPV-infected cells to progress towards invasive carcinoma. The key molecular events involved in cervical carcinogenesis will be discussed in this review.https://www.mdpi.com/1010-660X/55/7/384cervical cancercervical intraepithelial neoplasiahuman papillomaviruscarcinogenesisviral oncoproteintumour suppressor gene
spellingShingle Shandra Devi Balasubramaniam
Venugopal Balakrishnan
Chern Ein Oon
Gurjeet Kaur
Key Molecular Events in Cervical Cancer Development
Medicina
cervical cancer
cervical intraepithelial neoplasia
human papillomavirus
carcinogenesis
viral oncoprotein
tumour suppressor gene
title Key Molecular Events in Cervical Cancer Development
title_full Key Molecular Events in Cervical Cancer Development
title_fullStr Key Molecular Events in Cervical Cancer Development
title_full_unstemmed Key Molecular Events in Cervical Cancer Development
title_short Key Molecular Events in Cervical Cancer Development
title_sort key molecular events in cervical cancer development
topic cervical cancer
cervical intraepithelial neoplasia
human papillomavirus
carcinogenesis
viral oncoprotein
tumour suppressor gene
url https://www.mdpi.com/1010-660X/55/7/384
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AT venugopalbalakrishnan keymoleculareventsincervicalcancerdevelopment
AT cherneinoon keymoleculareventsincervicalcancerdevelopment
AT gurjeetkaur keymoleculareventsincervicalcancerdevelopment