Page 32 - 78_02
P. 32

….Y	
  MARCADORES	
  TUMORALES	
  GLICÁNICOS	
  

	
  
estructural	
  con	
  antígenos	
  de	
  algunos	
  grupos	
  sanguíneos,	
  que	
  (sin	
  ser	
  estrictamente	
  
específicos)	
   resultan	
   de	
   gran	
   utilidad	
   para	
   el	
   diagnóstico,	
   pronóstico	
   y,	
   sobre	
   todo,	
  
para	
   el	
   seguimiento	
   del	
   estado	
   de	
   salud	
   de	
   pacientes	
   de	
   diversos	
   tipos	
   de	
   cáncer.	
  
También,	
   ciertas	
   lectinas	
   pueden	
   considerarse	
   como	
   indicadores	
   de	
   estos	
  
trastornos,	
  aunque	
  no	
  como	
  auténticos	
  marcadores	
  tumorales.	
  

Palabras	
   clave:	
   Glicopatología;	
   Glicoterapéutica;	
   Marcadores	
   tumorales;	
  
Marcadores	
   tumorales	
   glicánicos;	
   Glicoconjugados;	
   Anomalías	
   por	
  
almacenamiento	
   causadas	
   por	
   enzimas	
   lisosómicas;	
   Desórdenes	
   congénitos	
   de	
  
glicosilación;	
  Glicosilación	
  y	
  Terapéutica.	
  

ABSTRACT	
  

Glicopatology,	
  Glycotherapeutic	
  and	
  Glycan	
  Tumor	
  Markers	
  	
  

The	
   disregulation	
   (due	
   to	
   genetic	
   or	
   acquired	
   factors)	
   of	
   the	
   activity	
   of	
   certain	
  
glycosyltransferases,	
   glicosidases	
   or	
   isomerases	
   which	
   catalyse	
   the	
   metabolic	
  
processes	
   related	
   to	
   the	
   glycoconjugates	
   –molecules	
   resulting	
   of	
   the	
   link	
   between	
  
carbohydrates	
   and	
   proteins	
   or	
   between	
   carbohydrates	
   and	
   lipids-­-	
   produces	
  
anomalies	
   in	
   the	
   chemical	
   structure	
   of	
   these	
   compounds	
   (generally	
   truncated	
  
structures	
   or	
   aberrant	
   chain	
   branching)	
   who	
   preclude	
   their	
   normal	
   biological	
  
functions.	
   So,	
   Lysosomal	
   Storage	
   Disorders	
   (by	
   abnormalities	
   in	
   the	
   catabolic	
   way)	
  
or	
  Congenital	
  Disorders	
  of	
  Glycosylation	
  (by	
  abnormalities	
  in	
  the	
  biosynthetic	
  route)	
  
arise.	
   Infectious	
   processes,	
   either	
   by	
   viruses	
   (influenza,	
   AIDS,	
   etc.)	
   or	
   bacteria	
   (E.	
  
coli,	
   Streptococcus	
   sp.,	
   Helicobacter	
   pylori,	
   etc.)	
   or	
   fungi	
   or	
   protozoa,	
   as	
   well	
   as	
  
cancer	
  or	
  immune	
  processes,	
  belong	
  to	
  the	
  chapter	
  of	
  the	
  Glycopathology.	
  

Fortunately,	
   several	
   efficient	
   agents	
   (which	
   are	
   glycoconjugates)	
   are	
   now	
   available	
  
to	
   prevent	
   or	
   heal	
   the	
   above-­-mentioned	
   illness	
   or	
   to	
   maintain	
   the	
   health	
   state	
   of	
  
humans.	
   So,	
   aminoglycosidic	
   antibiotics,	
   enzymatic	
   inhibitors,	
   enzymes	
   (such	
   as	
  
glucocerebrosidase),	
   polysaccharide	
   conjugate	
   vaccines,	
   anticoagulants	
   (heparin),	
  
chondroitin-­-sulphate	
   or	
   hormones	
   (erytropoetin),	
   etc.	
   Lately,	
   the	
   biotechnological	
  
techniques	
  are	
  employed	
  for	
  the	
  preparation	
  or	
  the	
  improvement	
  of	
  these	
  drugs.	
  

Furthermore,	
   there	
   are	
   several	
   Glycan	
   Tumor	
   Markers,	
   with	
   structures	
   related	
   to	
  
those	
   of	
   certain	
   antigens	
   of	
   blood	
   groups,	
   which	
   are	
   very	
   useful	
   for	
   the	
   diagnostic,	
  
prognostic	
   and,	
   mainly,	
   for	
   the	
   follow-­-up	
   of	
   cancer	
   patients	
   (even	
   if	
   they	
   are	
   not	
  
strictly	
   specific	
   for	
   this	
   illness).	
   Also,	
   certain	
   lectins	
   might	
   be	
   considered	
   as	
  
indicative	
  of	
  this	
  disorder,	
  although	
  not	
  true	
  markers.	
  

Keywords:	
   Glicopathology;	
   Glycotherapeutics;	
   Tomo(u)r	
   Markers;	
   Glycan	
  
Tumo(u)r	
   markers;	
   Lysosomal	
   Storage	
   Disorders;	
   Congenital	
   Disorders	
   of	
  
Glicosylation;	
  Glicosylation	
  and	
  Therapeutics.	
  

                                                                                                                            169	
  

	
  
   27   28   29   30   31   32   33   34   35   36   37