犬骨肉瘤的预后和预测生物标志物。

Prognostic and predictive biomarkers of canine osteosarcoma.

机构信息

Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, 3584CM Utrecht, The Netherlands.

出版信息

Vet J. 2010 Jul;185(1):28-35. doi: 10.1016/j.tvjl.2010.04.010. Epub 2010 May 20.

Abstract

Canine osteosarcoma (OS) is an aggressive tumour that accounts for approximately 90% of primary bone tumours in the dog. Although the standard treatments (including limb amputation/sparing, chemotherapy and palliative radiotherapy) have significantly increased survival rates, almost 90% of animals will eventually develop predominantly pulmonary metastases. Despite advances in various therapies, prognosis remains poor, with median survival times ranging from 3 months to 1 year and <20% of dogs survive for >2 years following diagnosis. Various clinical and epidemiological markers have facilitated decision-making with respect to therapy but no single molecular biomarker has been shown to enhance prediction of disease progression. The publication of the canine genome in 2005 raised the possibility of increasing understanding of the genetic mechanisms underpinning canine OS. This review explores the use of biomarkers within the multi-disciplinary management of dogs with OS, and highlights the few known, potential prognostic/predictive molecular markers including their potential value as 'bridging biomarkers' for human OS. Although high-throughput profiling of canine OS remains in its infancy, research within the next decade using leading-edge screening technologies has the potential to identify biomarkers that may enhance diagnostic and prognostic accuracy and result in more effective, individually tailored, treatment and management protocols for affected dogs.

摘要

犬骨肉瘤(OS)是一种侵袭性肿瘤,约占犬原发性骨肿瘤的 90%。尽管标准治疗(包括肢体截肢/保留、化疗和姑息性放疗)显著提高了生存率,但近 90%的动物最终会出现主要的肺转移。尽管各种治疗方法取得了进展,但预后仍然不佳,中位生存时间从 3 个月到 1 年不等,<20%的狗在诊断后能存活>2 年。各种临床和流行病学标志物有助于治疗决策,但没有单一的分子生物标志物被证明可以增强对疾病进展的预测。2005 年犬基因组的公布增加了对犬骨肉瘤遗传机制的理解。本综述探讨了在犬骨肉瘤的多学科管理中使用生物标志物的情况,并强调了少数已知的、潜在的预后/预测分子标志物,包括它们作为人类骨肉瘤的“桥接生物标志物”的潜在价值。尽管犬骨肉瘤的高通量分析仍处于起步阶段,但未来十年使用领先的筛选技术进行的研究有可能识别出生物标志物,从而提高诊断和预后的准确性,并为受影响的犬制定更有效、个性化的治疗和管理方案。

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