在接受化疗的肺癌患者中,与核心症状集群相关的代谢失调
Yanxuan Xiao1,2, Yuanyuan Luo2, Dongmei Mao2
1Department of Obstetrics and Gynecology, Guangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology, Guangdong-Hong Kong-Macao Greater Bay Area Higher Education Joint Laboratory of Maternal-Fetal Medicine, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
接受化疗的肺癌患者经历了疲劳,疼痛和睡眠障碍的核心症状集群. 这项研究将这些症状与代谢障碍,特别是胆代谢联系起来,并确定诊断的潜在生物标志物.
科学领域:
- 在瘤学瘤学.
- 代谢学 代谢学 代谢学
- 症状科学 症状科学
背景情况:
- 副作用显著影响正在接受化疗的肺癌患者,导致住院.
- 核心症状集群 (疲劳,疼痛,睡眠障碍) 是普遍存在的,并影响临床结果.
- 这种核心症状集群背后的机制尚不清楚,但可能涉及代谢失调.
研究的目的:
- 调查与肺癌患者核心症状集群相关的代谢概况.
- 为了确定核心症状集群的潜在代谢生物标志物.
- 阐明将代谢障碍与症状负担联系在一起的机制.
主要方法:
- 100名接受化疗的肺癌患者的横截面研究.
- 使用问卷和K-means对症状严重程度进行集群的症状评估.
- 非向的血代谢和通路丰富分析 (KEGG).
- 趋势分析和ROC曲线分析用于代谢物组的有效性.
主要成果:
- 患者被分为低,中等和高核心症状集群组.
- 代谢分析显示了低和中度/高症状组之间的明显代谢概况.
- 胆代谢被确定为一个显著丰富的途径.
- 一个由24种代谢物组成的小组有效地区分了中度/高症状严重性的患者.
结论:
- 这是第一个将肺癌患者的核心症状群与特定的代谢概况联系起来的研究.
- 失调的胆代谢是核心症状集群的关键特征.
- 一个由24种代谢物组成的小组显示,作为核心症状集群的诊断生物标志物具有前景.
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