HE4 Tissue Expression as A Putative Prognostic Marker in Low-Risk/Low-Grade Endometrioid Endometrial Cancer: A Review

Low-grade stage I endometrioid endometrial carcinomas should have an excellent prognosis, but a small subset of these cancers can relapse. The search for putative immunohistochemical prognostic markers for relapse in low-risk/low-grade endometrioid endometrial cancers remains open. Among the candida...

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Main Authors: Valerio Mais, Maria Luisa Fais, Michele Peiretti, Daniela Fanni, Elena Massa, Giulia Carboni, Giuseppina Fais, Giuseppe Deo, Stefano Angioni
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Current Oncology
Subjects:
Online Access:https://www.mdpi.com/1718-7729/29/11/673
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author Valerio Mais
Maria Luisa Fais
Michele Peiretti
Daniela Fanni
Elena Massa
Giulia Carboni
Giuseppina Fais
Giuseppe Deo
Stefano Angioni
author_facet Valerio Mais
Maria Luisa Fais
Michele Peiretti
Daniela Fanni
Elena Massa
Giulia Carboni
Giuseppina Fais
Giuseppe Deo
Stefano Angioni
author_sort Valerio Mais
collection DOAJ
description Low-grade stage I endometrioid endometrial carcinomas should have an excellent prognosis, but a small subset of these cancers can relapse. The search for putative immunohistochemical prognostic markers for relapse in low-risk/low-grade endometrioid endometrial cancers remains open. Among the candidate molecules that may implicate the roles of immunohistochemical risk markers, we focused our attention on human epididymis protein 4 (HE4) after a review of the literature. Few authors have devoted themselves to this topic, and none have found a correlation between the tissue expression of HE4 and the molecular classification of endometrial cancer. Five different variants of HE4 mRNA and multiple protein isoforms of HE4 were identified many years ago, but current HE4 assays only measure the total HE4 expression and do not distinguish the different proteins encoded by different mRNA variants. It is important to have an approach to distinguish specific variants in the future.
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spelling doaj.art-0be9f66cde6d467eb6f660f8a201f3862023-11-24T04:16:44ZengMDPI AGCurrent Oncology1198-00521718-77292022-11-0129118540855510.3390/curroncol29110673HE4 Tissue Expression as A Putative Prognostic Marker in Low-Risk/Low-Grade Endometrioid Endometrial Cancer: A ReviewValerio Mais0Maria Luisa Fais1Michele Peiretti2Daniela Fanni3Elena Massa4Giulia Carboni5Giuseppina Fais6Giuseppe Deo7Stefano Angioni8Department of Surgical Sciences, University of Cagliari Medical School, 09042 Cagliari, ItalyDepartment of Surgical Sciences, University of Cagliari Medical School, 09042 Cagliari, ItalyDivision of Gynecology and Obstetrics (AOU di Cagliari), Department of Surgical Sciences, University of Cagliari, 09042 Cagliari, ItalyDivision of Pathology (AOU di Cagliari), Department of Medical Sciences and Public Health, University of Cagliari, 09042 Cagliari, ItalyDivision of Oncology (AOU di Cagliari), Department of Medical Sciences and Public Health, University of Cagliari, 09042 Cagliari, ItalyDepartment of Surgical Sciences, University of Cagliari Medical School, 09042 Cagliari, ItalyDepartment of Surgical Sciences, University of Cagliari Medical School, 09042 Cagliari, ItalyDepartment of Surgical Sciences, University of Cagliari Medical School, 09042 Cagliari, ItalyDepartment of Surgical Sciences, University of Cagliari Medical School, 09042 Cagliari, ItalyLow-grade stage I endometrioid endometrial carcinomas should have an excellent prognosis, but a small subset of these cancers can relapse. The search for putative immunohistochemical prognostic markers for relapse in low-risk/low-grade endometrioid endometrial cancers remains open. Among the candidate molecules that may implicate the roles of immunohistochemical risk markers, we focused our attention on human epididymis protein 4 (HE4) after a review of the literature. Few authors have devoted themselves to this topic, and none have found a correlation between the tissue expression of HE4 and the molecular classification of endometrial cancer. Five different variants of HE4 mRNA and multiple protein isoforms of HE4 were identified many years ago, but current HE4 assays only measure the total HE4 expression and do not distinguish the different proteins encoded by different mRNA variants. It is important to have an approach to distinguish specific variants in the future.https://www.mdpi.com/1718-7729/29/11/673endometrial cancerendometrial hyperplasiacancer genome atlashuman epididymis protein 4HE4immunohistochemistry
spellingShingle Valerio Mais
Maria Luisa Fais
Michele Peiretti
Daniela Fanni
Elena Massa
Giulia Carboni
Giuseppina Fais
Giuseppe Deo
Stefano Angioni
HE4 Tissue Expression as A Putative Prognostic Marker in Low-Risk/Low-Grade Endometrioid Endometrial Cancer: A Review
Current Oncology
endometrial cancer
endometrial hyperplasia
cancer genome atlas
human epididymis protein 4
HE4
immunohistochemistry
title HE4 Tissue Expression as A Putative Prognostic Marker in Low-Risk/Low-Grade Endometrioid Endometrial Cancer: A Review
title_full HE4 Tissue Expression as A Putative Prognostic Marker in Low-Risk/Low-Grade Endometrioid Endometrial Cancer: A Review
title_fullStr HE4 Tissue Expression as A Putative Prognostic Marker in Low-Risk/Low-Grade Endometrioid Endometrial Cancer: A Review
title_full_unstemmed HE4 Tissue Expression as A Putative Prognostic Marker in Low-Risk/Low-Grade Endometrioid Endometrial Cancer: A Review
title_short HE4 Tissue Expression as A Putative Prognostic Marker in Low-Risk/Low-Grade Endometrioid Endometrial Cancer: A Review
title_sort he4 tissue expression as a putative prognostic marker in low risk low grade endometrioid endometrial cancer a review
topic endometrial cancer
endometrial hyperplasia
cancer genome atlas
human epididymis protein 4
HE4
immunohistochemistry
url https://www.mdpi.com/1718-7729/29/11/673
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