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慢性乙型肝炎、慢性丙型肝炎、原发性胆汁性肝硬化、自身免疫性肝炎、非酒精性脂肪性肝炎或药物性肝损伤患者的血清微小RNA谱。

Serum microRNA profiles in patients with chronic hepatitis B, chronic hepatitis C, primary biliary cirrhosis, autoimmune hepatitis, nonalcoholic steatohepatitis, or drug-induced liver injury.

作者信息

Yamaura Yu, Tatsumi Naoyuki, Takagi Shingo, Tokumitsu Shinsaku, Fukami Tatsuki, Tajiri Kazuto, Minemura Masami, Yokoi Tsuyoshi, Nakajima Miki

机构信息

Drug Metabolism and Toxicology, Faculty of Pharmaceutical Sciences, Kanazawa University, Kakuma-machi, Kanazawa 920-1192, Japan.

Graduate School of Medicine and Pharmaceutical Science, University of Toyama, Sugitani, Toyama 930-0194, Japan.

出版信息

Clin Biochem. 2017 Dec;50(18):1034-1039. doi: 10.1016/j.clinbiochem.2017.08.010. Epub 2017 Aug 18.

Abstract

PURPOSE

Some blood biomarkers or histological examination by liver biopsy are used for the diagnosis of liver diseases in clinics. However, conventional blood biomarkers show poor specificity and sensitivity, and liver biopsy is highly invasiveness. Therefore, to overcome such disadvantages, specific/sensitive and noninvasive options are desirable. In recent years, circulating microRNAs (miRNAs) have been acknowledged for their potential as disease markers. Actually, several miRNAs have been reported to be biomarker candidates of liver diseases. However, these earlier studies were performed for one disease. Therefore, the specificity as biomarkers was not guaranteed, because they didn't study for the other types of liver injury. In this study, we examined if circulating miRNA could distinguish different types of liver diseases.

METHODS

Serum miRNA profiles in 28 patients with chronic hepatitis B, chronic hepatitis C, primary biliary cirrhosis, autoimmune hepatitis, nonalcoholic steatohepatitis or drug-induced liver injury as well as 4 control subjects were determined by TaqMan MicroRNA Array analysis. Principal component analysis (PCA) of selected miRNAs was performed.

RESULTS

We identified 37 miRNAs whose levels were significantly different between any of the groups. Although individual miRNAs could not distinguish different types of liver diseases, probably because of similar liver pathology, their profiling by PCA could classify different liver disease groups.

CONCLUSIONS

The profiling of the selected miRNAs can be useful to distinguish different types of liver diseases.

摘要

目的

临床上一些血液生物标志物或肝活检组织学检查用于肝病诊断。然而,传统血液生物标志物特异性和敏感性较差,肝活检具有高度侵入性。因此,为克服这些缺点,需要特异性/敏感性高且非侵入性的方法。近年来,循环微小RNA(miRNA)作为疾病标志物的潜力已得到认可。实际上,已有几种miRNA被报道为肝病的生物标志物候选物。然而,这些早期研究仅针对一种疾病进行。因此,由于未对其他类型的肝损伤进行研究,其作为生物标志物的特异性无法得到保证。在本研究中,我们检测了循环miRNA是否能够区分不同类型的肝病。

方法

通过TaqMan微小RNA阵列分析确定28例慢性乙型肝炎、慢性丙型肝炎、原发性胆汁性肝硬化、自身免疫性肝炎、非酒精性脂肪性肝炎或药物性肝损伤患者以及4例对照者的血清miRNA谱。对选定的miRNA进行主成分分析(PCA)。

结果

我们鉴定出37种miRNA,其在任何组之间的水平均有显著差异。尽管单个miRNA可能无法区分不同类型的肝病,这可能是由于肝脏病理相似,但通过PCA对它们进行分析可对不同肝病组进行分类。

结论

选定miRNA的分析有助于区分不同类型的肝病。

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