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病毒诱导的肝细胞癌(HCC)的生物标志物

Biomarkers for virus-induced hepatocellular carcinoma (HCC).

作者信息

Mathew Shilu, Ali Ashraf, Abdel-Hafiz Hany, Fatima Kaneez, Suhail Mohd, Archunan Govindaraju, Begum Nargis, Jahangir Syed, Ilyas Muhammad, Chaudhary Adeel G A, Al Qahtani Mohammad, Mohamad Bazarah Salem, Qadri Ishtiaq

机构信息

Post Graduate Department of Biotechnology, Jamal Mohamed College, Tiruchirappalli 620 020, India; Center of Excellence in Genomic Medicine Research, King AbdulAziz University, P.O. Box 80216, Jeddah 21589, Saudi Arabia; Department of Animal Science, Bharathidasan University, Tiruchirappalli 620 024, India.

King Fahd Medical Research Center, King AbdulAziz University, P.O. Box 80216, Jeddah 21589, Saudi Arabia.

出版信息

Infect Genet Evol. 2014 Aug;26:327-39. doi: 10.1016/j.meegid.2014.06.014. Epub 2014 Jun 21.

Abstract

Hepatocellular carcinoma (HCC) is one of the most common cancers worldwide, and is advanced by severe viral hepatitis B or C (HBV or HCV) as well as alcoholic liver disease. Many patients with early disease are asymptomatic therefore HCC is frequently diagnosed late requiring costly surgical resection or transplantation. The available non-invasive detections systems are based on the clinical utility of alpha fetoprotein (AFP) measurement, together with ultrasound and other more sensitive imaging techniques. The hallmark of liver disease and its propensity to develop into fully blown HCC is depended on several factors including the host genetic make-up and immune responses. While common symptoms involve diarrhea, bone pain, dyspnea, intraperitoneal bleeding, obstructive jaundice, and paraneoplastic syndrome, the evolution of cell and immune markers is important to understand viral induced liver cancers in humans. The circulating miRNA, cell and immune based HCC biomarkers are imperative candidates to successfully develop strategies to restrain liver injury. The current molecular genetics and proteomic analysis have lead to the identification of number of key biomarkers for HCC for earlier diagnosis and more effective treatment of HCC patients. In this review article, we provide latest updates on the biomarkers of HBV or HCV-associated HCC and their co-evolutionary relationship with liver cancer.

摘要

肝细胞癌(HCC)是全球最常见的癌症之一,由严重的乙型或丙型病毒性肝炎(HBV或HCV)以及酒精性肝病发展而来。许多早期患者没有症状,因此HCC常常在晚期才被诊断出来,这需要昂贵的手术切除或移植。现有的非侵入性检测系统基于甲胎蛋白(AFP)测量的临床效用,以及超声和其他更敏感的成像技术。肝病的特征及其发展为完全成熟的HCC的倾向取决于几个因素,包括宿主的基因构成和免疫反应。虽然常见症状包括腹泻、骨痛、呼吸困难、腹腔内出血、阻塞性黄疸和副肿瘤综合征,但细胞和免疫标志物的演变对于理解人类病毒诱导的肝癌很重要。循环miRNA、基于细胞和免疫的HCC生物标志物是成功制定抑制肝损伤策略的重要候选物。目前的分子遗传学和蛋白质组学分析已经导致鉴定出许多用于HCC早期诊断和更有效治疗HCC患者的关键生物标志物。在这篇综述文章中,我们提供了关于HBV或HCV相关HCC生物标志物及其与肝癌共同进化关系的最新进展。

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