基于Omics的生物标志物作为代谢功能障碍相关的脂肪性肝病中有用的工具临床实践:我们还有多远?
Julieta Trinks1,2, María F Mascardi1,3, Adrián Gadano4,5
1Instituto de Medicina Traslacional e Ingeniería Biomédica - Consejo Nacional de Investigaciones Científicas y Técnicas - Instituto Universitario del Hospital Italiano - Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires C1199ACL, Argentina.
World journal of gastroenterology
|April 29, 2024
概括
鉴定患有代谢功能障碍相关的肥胖性肝病 (MASLD) 的患者,这些患者的纤维化已经晚期,仍然具有挑战性. 本综述探讨了用于发现MASLD生物标志物的omics技术,并讨论了临床验证和改进风险分层的途径.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 生物标志物发现发现
- 欧米克斯技术技术 (Omics Technologies) 是一个非常重要的技术.
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 缺乏有效的风险分层工具,特别是用于识别晚期纤维化和不良结果.
- 目前用于预测MASLD进展和并发症的方法有限,这突显了未满足的临床需求.
研究的目的:
- 审查omics技术在发现MASLD生物标志物的现状.
- 讨论将基于OMIC的发现转化为临床验证的MASLD诊断测试的机会和挑战.
- 为推进MASLD生物标志物研究提出路线图.
主要方法:
- 审查关于omics技术 (基因组学,蛋白质组学,代谢组学等) 的当前文献. 适用于MASLD生物标志物发现.
- 分析临床验证和实施基于omics的签名所面临的挑战.
- 综合现有研究,概述未来的研究路线图.
主要成果:
- 欧米克技术已经显著提升了MASLD生物标志物发现,但研究往往是分散的,依赖于单一的欧米克数据和便利样本.
- 已经确定了许多候选生物标志物,但许多缺乏严格的临床验证和证明的实用性.
- 将omics签名翻译为MASLD的临床适用测试是一个复杂而苛刻的过程.
结论:
- 在MASLD中,急需改善风险分层.
- 奥米克技术为生物标志物发现提供了前景,但临床转化需要结构化的方法.
- 清晰的路线图对于克服挑战和实现基于OMIC的诊断对MASLD管理的潜力至关重要.
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