Environmental factors and genetic susceptibility promote urinary bladder cancer

Cancer of the urinary bladder is the second most common malignancy of the genitourinary tract, currently accounting for up to 5% of all newly diagnosed tumours in the western world. Urinary bladder carcinogenesis seems to develop from the interaction of environmental exposure and genetic susceptibil...

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Veröffentlicht in:Toxicology letters 2010-03, Vol.193 (2), p.131-137
Hauptverfasser: Volanis, Dimitrios, Kadiyska, Tanya, Galanis, Alex, Delakas, Dimitrios, Logotheti, Stella, Zoumpourlis, Vassilis
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container_end_page 137
container_issue 2
container_start_page 131
container_title Toxicology letters
container_volume 193
creator Volanis, Dimitrios
Kadiyska, Tanya
Galanis, Alex
Delakas, Dimitrios
Logotheti, Stella
Zoumpourlis, Vassilis
description Cancer of the urinary bladder is the second most common malignancy of the genitourinary tract, currently accounting for up to 5% of all newly diagnosed tumours in the western world. Urinary bladder carcinogenesis seems to develop from the interaction of environmental exposure and genetic susceptibility. Smoking, specific industrial chemicals, dietary nitrates and arsenic represent the most important exogenous risk factors. Chromosomal abnormalities, silencing of certain genes by abnormal methylation of their promoter region, alterations in tumour suppressor genes and proto-oncogenes that induce uncontrolled cell proliferation and reduced apoptosis, are molecular mechanisms that have been reported in bladder carcinogenesis. In this article, we discuss the environmental risk factors of bladder cancer and we review the genetic and epigenetic alterations, including aberrant DNA methylation and deregulation of microRNAs expression. We also discuss the role of p53 and retinoblastoma suppressor genes in disease progression. Finally, we present recent reports on the use of molecular profiling to predict disease stage and grade and direct targeted therapy.
doi_str_mv 10.1016/j.toxlet.2009.12.018
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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Biological and medical sciences
Bladder cancer
Chromosome Aberrations
Disease Progression
DNA Methylation
Environment. Living conditions
Environmental Exposure
Environmental risk factor
Gene Expression Profiling
Genes, p53
Genes, Retinoblastoma
Genetic polymorphism
Genetic Predisposition to Disease - genetics
Humans
Medical sciences
MicroRNAs - metabolism
miRNAs
Molecular profiling
Nephrology. Urinary tract diseases
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk Factors
Toxicology
Tumors of the urinary system
Urinary Bladder Neoplasms - diagnosis
Urinary Bladder Neoplasms - etiology
Urinary Bladder Neoplasms - genetics
Urinary system involvement in other diseases. Miscellaneous
Urinary tract. Prostate gland
title Environmental factors and genetic susceptibility promote urinary bladder cancer
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