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早期卵巢癌检测和筛查:生物传感器技术的研究机遇与重大挑战。

Early stage detection and screening of ovarian cancer: A research opportunity and significant challenge for biosensor technology.

机构信息

Department of Chemistry, University of Toronto, 80 St. George Street, Toronto, Ontario, Canada M5S 3H6.

出版信息

Biosens Bioelectron. 2019 Jun 15;135:71-81. doi: 10.1016/j.bios.2019.03.041. Epub 2019 Mar 20.


DOI:10.1016/j.bios.2019.03.041
PMID:31003031
Abstract

Women diagnosed with late-stage ovarian cancer suffer a very high rate of mortality. Accordingly, it is imperative to detect and diagnose the disease as early as possible in its development. Achievement of this aim implies relatively large scale screening of women at an age of clinically significance through assay of biomarkers for disease present in blood or serum. Biosensor detection offers an attractive technology for the automated detection of such species. Among several biomarkers that have been identified that are present in patients with ovarian cancer, the only one that is commonly tested for in clinical use is cancer antigen 125, which is considered to be poor biomarker for the disease. Here, we describe alternative biomarkers which overcome many of the problems associated with cancer antigen 125 such as increased sensitivity and specificity especially in the early stages of the disease and which could be employed successfully in a biosensor format. In particular, we discuss the chemistry of probes for the biomarkers, heat shock protein 10 and lysophosphatidic acid. The challenges presented by the fabrication of biosensor devices for the detection of the cancer, and the limited number of biosensors that have been developed for this purpose are discussed.

摘要

被诊断患有晚期卵巢癌的女性死亡率非常高。因此,迫切需要在疾病发展的早期尽可能地进行检测和诊断。要实现这一目标,就需要通过检测血液或血清中存在的疾病标志物,对处于临床意义年龄的女性进行大规模筛查。生物传感器检测为这种物质的自动检测提供了一种有吸引力的技术。在已经确定的几种存在于卵巢癌患者中的生物标志物中,临床上唯一常用的检测标志物是癌抗原 125,它被认为是疾病的一个较差的生物标志物。在这里,我们描述了其他生物标志物,它们克服了癌抗原 125 相关的许多问题,例如在疾病的早期阶段提高了敏感性和特异性,并且可以在生物传感器格式中成功应用。特别是,我们讨论了用于生物标志物(热休克蛋白 10 和溶血磷脂酸)的探针化学。我们还讨论了用于癌症检测的生物传感器设备制造所带来的挑战,以及为此目的开发的有限数量的生物传感器。

相似文献

[1]
Early stage detection and screening of ovarian cancer: A research opportunity and significant challenge for biosensor technology.

Biosens Bioelectron. 2019-3-20

[2]
Ultrasensitive immunoassay of carcinoma antigen 125 in untreated human plasma samples using gold nanoparticles with flower like morphology: A new platform in early stage diagnosis of ovarian cancer and efficient management.

Int J Biol Macromol. 2018-8-4

[3]
Detection of the Ovarian Cancer Biomarker Lysophosphatidic Acid in Serum.

Biosensors (Basel). 2020-2-14

[4]
Ultrasensitive bioassay of epitope of Mucin-16 protein (CA 125) in human plasma samples using a novel immunoassay based on silver conductive nano-ink: A new platform in early stage diagnosis of ovarian cancer and efficient management.

Int J Biol Macromol. 2019-1-5

[5]
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Cancer Prev Res (Phila). 2015-1

[6]
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[7]
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[9]
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[10]
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[3]
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[4]
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Mikrochim Acta. 2024-10-9

[5]
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[8]
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Future Sci OA. 2023-7-29

[9]
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[10]
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