结直肠癌的诊断和预后生物标志物的最新发展:叙述性审查
Nefeli Giannopoulou1, Constantina Constantinou1
1Department of Basic and Clinical Sciences, University of Nicosia Medical School, Nicosia, Cyprus.
Oncology
|June 26, 2023
概括
结肠直肠癌是全球主要的健康问题. 本综述强调了诊断和预后生物标志物的最新进展,以提前检测和改善结果.
科学领域:
- 在瘤学瘤学.
- 分子生物学分子生物学
- 遗传学 是一个遗传学.
背景情况:
- 结肠直肠癌 (CRC) 是全球癌症死亡的主要原因.
- 高发病率和高死亡率凸显了它对公共卫生的重要性.
- 遗传和表观遗传改变驱动CRC的发展.
研究的目的:
- 审查最近在结直肠癌的诊断和预后生物标志物的进展.
- 专注于便,血液和瘤组织中的生物标志物.
- 更新包括microRNAs,cfDNA和微生物群签名在内的新生物标志物.
主要方法:
- 对当前文学进行叙述性回顾.
- 专注于分子机制,如APC/β-catenin通路和微卫星的不稳定性.
- 检查新兴的生物标志物,如microRNAs,Piwi交互RNAs和微生物群.
主要成果:
- 生物标志物对于早期CRC检测和预后至关重要.
- 涉及到特定的分子通路 (APC/β-catenin,微卫星,CpG岛超甲基化).
- 微生物群的组成可能会影响结肠癌发生.
结论:
- 早期检测和有效的生物标志物显著改善了CRC的预后.
- 由于晚期诊断和治疗耐药性,转移性CRC的预后仍然很差.
- 新兴的生物标志物如microRNAs,cfDNA和微生物群签名显示出CRC管理的前景.
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