在整合PRS特异性和年龄特异性变异后,针对前列腺癌进行风险调整的PSA查的初步影响
Xiaomin Liu1, Hongyuan Duan1, Siwen Liu1
1Department of Epidemiology and Biostatistics, Key Laboratory of Molecular Cancer Epidemiology (Tianjin), National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
Frontiers in genetics
|August 16, 2024
概括
根据年龄和遗传风险 (多原风险评分 - PRS) 调整前列腺癌 (PCa) 查,使用前列腺特异性抗原 (PSA) 水平,提高了检测准确度. 这种风险调整的方法比传统的PSA查方法更有效.
科学领域:
- 遗传学和流行病学
- 癌症查和诊断 癌症查和诊断
- 尿道瘤学 尿道瘤学
背景情况:
- 前列腺癌 (PCa) 的风险因年龄和遗传倾向而异.
- 目前的前列腺特异性抗原 (PSA) 查指南缺乏遗传特异性.
- 将遗传风险和年龄纳入PSA查的影响尚不清楚.
研究的目的:
- 开发和评估一个适应风险的PCa查策略.
- 为了确定特定于年龄和特定于多基因风险评分 (PRS) 的PSA截止值.
- 为了比较新策略与传统PSA查的准确性.
主要方法:
- 从PLCO试验数据中构建加权和未加权的多基因风险得分 (PRS).
- 通过使用时间依赖的AUC来确定特定于年龄和PRS的PSA截止值.
- 将风险调整查与传统PSA查的性能进行了比较.
主要成果:
- 使用80个与PCa相关的SNP确定了最佳PRS.
- 低PRS和高PRS组的分层PSA截止值显示了不同的值.
- 根据风险调整的查减少了12.8%的遗漏PCa,具有可比的特异性和虚假阳性率.
结论:
- 整合PRS特异性和年龄特异性PSA截止值可以提高PCa查的有效性.
- 根据风险调整的查在检测PCa方面表现出卓越的准确性,包括高级病例.
- 这种个性化方法为传统的PSA查提供了更有效的替代方案.
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