POTENSI MICRORNA10-B DAN MICRORNA-155 SEBAGAI MODALITAS MUTAKHIR DALAM DETEKSI MIKROMETASTASIS/ISOLATED TUMOR CELLS (ITC) PADA KANKER PAYUDARA STADIUM DINI

  • Feliani Sanjaya Program Studi Pendidikan Dokter, Fakultas Kedokteran, Universitas Udayana, Bali
  • Ivana Beatrice Paulus Program Studi Pendidikan Dokter, Fakultas Kedokteran, Universitas Udayana, Bali
  • Felicia Puspita Sari Program Studi Pendidikan Dokter, Fakultas Kedokteran, Universitas Udayana, Bali

Abstract

Pendahuluan: Metastasis merupakan penyebab kematian utama pada kasus kanker payudara. Metastasis diawali dengan mikrometastasis/isolated tumor cells (ITC) yang dapat terekspresi pada sirkulasi darah tepi (Circulating Tumor Cells/CTC) atau sumsum tulang (Disseminated Tumor Cells/DTC). Identifikasi mikrometastasis penting dilakukan sebagai upaya mendeteksi distant metastasis pada masa mendatang. Sampai saat ini belum ada pemeriksaan mikrometastasis yang efektif. Untuk itu, perlu adanya modalitas screening metastasis kanker payudara dengan biomarker miR-10b dan miR-155.


Metode: Tinjauan pustaka disusun berdasarkan literatur seperti jurnal dan website. Kata kunci yang digunakan yaitu “EMT”, “kanker payudara”, “mikrometastasis”, “miR-10b”  dan “miR-155”  pada search engine scholar.google.com ,www.nature.com dan Pubmed. Dari 80 jurnal yang ditelaah, 70 jurnal ditemukan sesuai dengan topik bahasan dan digunakan sebagai referensi karya ini.


Pembahasan: Proses metastasis kanker payudara didahului oleh mikrometastasis yang berkaitan  dengan  epithelial-mesenchymal transition (EMT).  Proses EMT mengekspresikan beberapa faktor yakni  SNAI1 , SNAI2 dan Twist yang berkorelasi dengan peningkatan ekspresi miR-10b secara signifikan.  MiR-155 sebagai  biomarker  yang memilliki  peran penting dalam regulasi transforming growth factor ? (TGF-?). TGF-? merupakan regulator dari EMT, sehingga miR-155 berkorelasi dengan proses EMT. MiR-155 dan miR-10b memiliki keunggulan baik sensitivitas maupun spesifisitas serta dengan prosedur invasif minimal sehingga jika dikombinasikan dapat menjadi agen potensial biomarker  metastasis kanker payudara. Simpulan: MiR-10b dan miR-155 merupakan agen  potensial dalam deteksi metastasis kanker payudara.  Penelitian lebih lanjut diperlukan untuk mengetahui  efektivitas kombinasi miR-10b dan miR-155  dalam mendeteksi metastasis kanker payudara untuk menambah bukti ilmiah.

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Published
2018-08-30
How to Cite
SANJAYA, Feliani; PAULUS, Ivana Beatrice; SARI, Felicia Puspita. POTENSI MICRORNA10-B DAN MICRORNA-155 SEBAGAI MODALITAS MUTAKHIR DALAM DETEKSI MIKROMETASTASIS/ISOLATED TUMOR CELLS (ITC) PADA KANKER PAYUDARA STADIUM DINI. Essential: Essence of Scientific Medical Journal, [S.l.], v. 16, n. 1, p. 12-20, aug. 2018. ISSN 2655-6472. Available at: <https://ojs.unud.ac.id/index.php/essential/article/view/44564>. Date accessed: 22 nov. 2024.