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肝癌的生物标志物:在早期诊断、预后和个体化治疗方面的进展。

Biomarkers for hepatocellular carcinoma: progression in early diagnosis, prognosis, and personalized therapy.

机构信息

Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.

出版信息

Biomark Res. 2013 Feb 5;1(1):10. doi: 10.1186/2050-7771-1-10.

DOI:10.1186/2050-7771-1-10
PMID:24252133
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4177612/
Abstract

Hepatocellular carcinoma (HCC) is one of the most common malignant tumors in the world. Currently, surgical resection, liver transplantation, and local ablation are considered curative therapeutic practices for HCC. The diagnosis of HCC without pathologic confirmation is achieved by analyzing serum alpha-fetoprotein (AFP) levels combined with imaging techniques, including ultrasonography, magnetic resonance imaging, and computerized tomography. Although progress has been made in the diagnosis and management of HCC, its prognosis remains dismal. Various new technologies have identified numerous novel biomarkers with potential diagnostic as well as prognostic value, including Dickkopf-1 and Golgi protein 73. These biomarkers not only help in the early diagnosis and prediction of prognosis, but also assist in identifying potential targets for therapeutic interventions. In this article, we provide an up-to-date review of the biomarkers that are used for early diagnosis, prognosis prediction, and personalized treatment of HCC.

摘要

肝细胞癌(HCC)是世界上最常见的恶性肿瘤之一。目前,手术切除、肝移植和局部消融被认为是 HCC 的根治性治疗方法。HCC 的诊断未经病理证实,通过分析血清甲胎蛋白(AFP)水平并结合影像学技术,包括超声、磁共振成像和计算机断层扫描来实现。尽管 HCC 的诊断和管理取得了进展,但预后仍然不佳。各种新技术已经确定了许多具有潜在诊断和预后价值的新型生物标志物,包括 Dickkopf-1 和高尔基糖蛋白 73。这些生物标志物不仅有助于早期诊断和预测预后,还有助于确定治疗干预的潜在靶点。本文就用于 HCC 的早期诊断、预后预测和个体化治疗的生物标志物进行了综述。

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本文引用的文献

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Circulating stem cell-like epithelial cell adhesion molecule-positive tumor cells indicate poor prognosis of hepatocellular carcinoma after curative resection.循环干细胞样上皮细胞黏附分子阳性肿瘤细胞预示肝癌根治性切除术后不良预后。
Hepatology. 2013 Apr;57(4):1458-68. doi: 10.1002/hep.26151. Epub 2013 Mar 4.
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Power of metabolomics in diagnosis and biomarker discovery of hepatocellular carcinoma.代谢组学在肝细胞癌诊断和生物标志物发现中的作用。
Hepatology. 2013 May;57(5):2072-7. doi: 10.1002/hep.26130. Epub 2013 Feb 15.
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Targeted drug delivery for cancer therapy: the other side of antibodies.靶向药物输送在癌症治疗中的应用:抗体的另一面。
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High expression of Dickkopf-related protein 1 is related to lymphatic metastasis and indicates poor prognosis in intrahepatic cholangiocarcinoma patients after surgery.Dickkopf 相关蛋白 1 的高表达与肝内胆管癌患者术后的淋巴转移相关,并提示不良预后。
Cancer. 2013 Mar 1;119(5):993-1003. doi: 10.1002/cncr.27788. Epub 2012 Nov 6.
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Alpha-foetoprotein and/or liver ultrasonography for screening of hepatocellular carcinoma in patients with chronic hepatitis B.甲胎蛋白和/或肝脏超声检查用于慢性乙型肝炎患者肝细胞癌的筛查。
Cochrane Database Syst Rev. 2012 Sep 12;2012(9):CD002799. doi: 10.1002/14651858.CD002799.pub2.
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Cancer genetics and epigenetics: two sides of the same coin?癌症遗传学与表观遗传学:同一枚硬币的两面?
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