HTLV-1: fatores genéticos e epigenéticos associados ao desenvolvimento de leucemia/linfoma de células t do adulto
DOI:
https://doi.org/10.33448/rsd-v11i7.29781Palavras-chave:
HTLV-1; Oncoproteínas; Epigenética.Resumo
Objetivo: Identificar possíveis fatores genéticos e epigenéticos associados ao desenvolvimento da leucemia/linfoma de células T do adulto. Metodologia: Trata-se de trabalho baseado na revisão integrativa da literatura. A busca por artigos foi realizada mediante o uso dos descritores indexados no DeCS (Descritores em Ciências de saúde) e MeSH (Medical Subject Headings), foram incluídos artigos publicados nos últimos 5 anos. Resultados e Discussão: O processo de carcinogênese que culmina na progressão a ATLL possui várias fases em um longo período de tempo. O início do processo neoplásico está relacionado à expressão da oncoproteína viral Tax, que induz a replicação e início do processo de expansão clonal. A oncoproteína HBZ e o RNA HBZ são continuamente transcritos nas células neoplásicas e influenciam no processo de proliferação celular e persistência viral. Além de fatores genéticos que geralmente são mediadas pelas proteínas Tax e HBZ também é necessário alterações epigenéticas, como a acetilação de histonas e metilação do DNA. Conclusão: conclui-se então que fatores genéticos como o Tax, HBZ, FYN, PLCG1, CD247, DLG1, VAV1, ERC1, PRKCQ, CARD11, RELA, IKBKB, TET1, TET2, MLL2, MLL3 DNMT1 e IRF4. E vias epigenéticas que atuam na metilação do DNA e na acetilação de histonas estão envolvidos no processo de carcinogênese mediado pelo HTLV-1.
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