泌尿代谢学确定乳酸盐作为膀癌检测和进展的生物标志物
Ângela Carapito1,2, Tiago Vieira Sousa1,2, Ana Teixeira-Marques3,4
1Associate Laboratory i4HB - Institute for Health and Bioeconomy, University of Porto, Porto, Portugal.
Molecular omics
|February 9, 2026
概括
尿中的乳酸水平可以帮助检测膀癌 (BC) 并区分其亚型. 这一发现为诊断侵袭性膀癌提供了一个有希望的非侵入性生物标志物.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 生物化学 生物化学
背景情况:
- 膀癌 (BC) 是一种常见的恶性瘤,复发率高.
- 对于膀癌的非侵入性诊断工具有着至关重要的需要.
- 尿代谢学为生物标志物发现提供了一个有前途的途径,因为直接与尿路接触.
研究的目的:
- 确定尿路代谢物,使膀癌患者与对照患者有区别.
- 评估这些代谢物的诊断和监测潜力.
- 使用代谢模式区分非肌肉侵入性 (NMIBC) 和肌肉侵入性膀癌 (MIBC) 亚型.
主要方法:
- 在化学衍生物化后,使用气色谱-质谱法 (GC-MS) 分析的尿样.
- 单变量和多变量统计方法应用于GC-MS数据集.
- 用于评估诊断性能的接收器操作特征 (ROC) 分析.
主要成果:
- 确定了32种不同的代谢物,包括氨基酸,有机酸和酒精.
- 在膀癌患者中,乳糖水平显著上升,特别是在MIBC病例中.
- 对于整体BC检测和MIBC与NMIBC的歧视,ROC分析显示表现良好.
结论:
- 乳酸是一种有前途的非侵入性生物标志物,用于检测侵入性膀癌.
- 尿中的乳酸水平可以帮助区分MIBC和NMIBC.
- 这些发现独立于吸烟状态和性别,加强了乳酸作为生物标志物的潜力.
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