在不可切割的胰腺癌中检测循环瘤DNA中的KRAS突变预测系统
Hiroshi Shimizu1, Rei Suzuki2, Hiroyuki Asama1
1Department of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Anticancer research
|August 28, 2025
概括
一个新的模型预测了使用肝转移等临床因素检测不可切除的胰腺癌 (PC) 的KRAS突变. 该工具有助于选择患者进行循环瘤DNA (ctDNA) 液体活检,改善个性化治疗策略.
科学领域:
- 癌症学
- 分子诊断
- 遗传学
背景情况:
- 不切除的胰腺癌 (PC) 预后不佳,治疗选择有限.
- 循环瘤DNA (ctDNA) 液体活检提供了个性化的治疗潜力.
- 在PC中KRAS突变很常见,但通过液体活检检测是可变的.
研究的目的:
- 在不可切割的PC患者中开发KRAS突变检测的预测模型.
- 确定预测基于ctDNA成功检测KRAS突变的临床变量.
主要方法:
- 对32名无法切除的PC患者进行ctDNA检测的回顾性分析 (2019-2024年).
- 使用FoundationOne®液体CDx或Guardant360®CDx面板进行ctDNA分析.
- 多变量逻辑回归和名图开发,以确定KRAS检测的预测因素.
主要成果:
- 肝转移,多个转移部位和疾病进展显著预测KRAS突变的检测.
- 开发的诺米图显示出高预测精度 (AUC=0. 83).
- 预测模型的高灵敏度 (70%) 和特异性 (90.9%).
结论:
- 开发的预测系统有效地对患者进行液体活检.
- 提供一个实用的工具来指导个性化治疗选择在不可切割的PC.
- 表明ctDNA测试可能对缺乏确定的临床预测因子的患者没有好处.
相关概念视频
Tumor Progression
Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
The Ras Gene
The Ras-gene-encoded proteins are regulators of signaling pathways controlling cell proliferation, differentiation, or cell survival. The Ras-gene family in humans constitutes three primary members—the HRas, NRas, and KRas. These genes code for four functionally distinct yet closely related proteins—the HRas, NRas, KRas4A, and KRas4B. The involvement of mutant Ras genes in human cancer was first discovered in 1982 and is among the most common causes of human tumorigenesis.
Ras is a superfamily...
Ras is a superfamily...


