用于膀癌检测的糖蛋白生物标记物
Abida Khan1, Fadiyah Jadid Alanazi2, Saif Ahmed3
1Center For Health Research, Northern Border University, Arar 73213, Saudi Arabia; Department of Pharmaceutical Chemistry, College of Pharmacy, Northern Border University, Rafha, Saudi Arabia.
概括
尿液中的葡萄糖蛋白和葡萄糖因子作为膀癌 (BC) 检测和非肌肉侵入性 (NMIBC) 和肌肉侵入性 (MIBC) 形式之间的差异化的非侵入性生物标志物具有前景. 为了在患者监测和诊断中临床应用,需要进一步验证.
科学领域:
- 生物化学 生物化学
- 在瘤学瘤学.
- 生物标志物发现发现
背景情况:
- 囊镜是侵入性的;尿细胞学对低度膀癌 (BC) 的敏感性较低.
- 瘤相关的糖化变化 (N-和O-糖化,化,化) 是潜在的BC生物标志物.
- 尿液中的葡萄糖蛋白和葡萄糖,特别是在细胞外囊泡 (EVs) 中,正在作为非侵入性诊断指标进行研究.
研究的目的:
- 审查关于膀癌 (BC) 尿液糖蛋白和甘氨酸生物标志物的当前发现.
- 评估它们在区分非肌肉侵入性 (NMIBC) 和肌肉侵入性 (MIBC) 膀癌中的有效性.
- 探索它们在治疗后患者监测中的实用性.
主要方法:
- 用质谱法,基于莱克的测定和向免疫测定研究的文献综述.
- 分析多重尿液糖蛋白面板和EV衍生的N-甘氨酸签名.
- 评估分析前标准化挑战和分析可行性.
主要成果:
- 尿液糖蛋白板显示高的诊断准确度 (AUC 0.82-0.96) 和比细胞学更好的灵敏度低级BC.
- 来自EV的N-甘氨酸签名表明了初步的NMIBC-MIBC歧视 (AUC为0.86-0.88).
- 预分析标准化是临床翻译的关键障碍.
结论:
- 尿液中的葡萄糖蛋白和葡萄糖生物标志物为膀癌 (BC) 检测和分层提供了一个有希望的非侵入性方法.
- 这些生物标志物可以作为囊镜的辅助剂,用于血液分拣和监测.
- 未来的多中心验证,监管评估和健康经济分析对于临床实施至关重要.
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