Suppr超能文献

结直肠癌患者手术前后血清游离DNA浓度及完整性分析

Serum cell-free DNA concentrations and integrity analysis of colorectal cancer patients before and after surgery.

作者信息

Cao Guangxin, Xie Yu, Jiang Xiaohui, Tian Xiaofeng, Wang Ding, Sun Yan

机构信息

Department of General Surgery, Nantong Tumor Hospital. No.48, West Youth Road, 226361 Nantong, Jiangsu province, China.

Department of Geratology, the Affiliated Drum Tower Hospital of Nanjing University Medical School, 210008 Nanjing, Jiangsu Province, China.

出版信息

Cell Mol Biol (Noisy-le-grand). 2019 Jul 31;65(6):44-51.

Abstract

This study was carried out to investigate cell-free DNA (cfDNA) as a potential biomarker for colorectal cancer diagnosis.Patients with colorectal cancer (n = 25) who had not undergone surgery, and 35 patients with postoperative colorectal cancer were enrolled. Peripheral blood samples were collected from the colorectal cancer subjects (experimental group), and also from 30 healthy volunteers (control group). Quantitative PCR (qPCR) was used to determine cfDNA concentration and integrity in each group. The cfDNA levels of the two groups were analyzed to determine the relationship between the cfDNA and the clinical features of colorectal cancer patients. The receiver operator curve (ROC) was used to analyze sensitivity and specificity of cfDNA, carcinoembryonic antigen (CEA), cancer antigen 199 (CA199) and cancer antigen 125 (CA125). cfDNA concentration and cfDNA integrity in patients with colorectal cancer before surgery were significantly higher than those in patients with colorectal cancer after surgery, and cfDNA concentration of colorectal cancer patients after surgery was also significantly higher than that of the healthy control group, but the integrity was not significantly different from the control group. There was no significant correlation between cfDNA concentration/integrity and gender, age, disease stage, tumor location, tumor differentiation, and expressions of cancer antigen 153 (CA153), neuron specific enolase (NSE) and alpha fetoprotein (AFP) in colorectal cancer patients before or after surgery. However, there was a significant correlation between the expression levels of CEA/CA125 and concentration of cfDNA. The CA199 expression level was significantly correlated with cfDNA integrity. The sensitivity and specificity of cfDNA and integrity were higher than those used for traditional tumor biomarker detection. cfDNA concentration is significantly increased in serum of colorectal cancer patients. Thus, it may serve as a potential indicator of colorectal cancer.

摘要

本研究旨在探讨游离DNA(cfDNA)作为结直肠癌诊断潜在生物标志物的可能性。纳入了25例未接受手术的结直肠癌患者和35例结直肠癌术后患者。从结直肠癌患者(实验组)以及30名健康志愿者(对照组)采集外周血样本。采用定量聚合酶链反应(qPCR)测定每组的cfDNA浓度和完整性。分析两组的cfDNA水平,以确定cfDNA与结直肠癌患者临床特征之间的关系。采用受试者工作特征曲线(ROC)分析cfDNA、癌胚抗原(CEA)、癌抗原199(CA199)和癌抗原125(CA125)的敏感性和特异性。结直肠癌术前患者的cfDNA浓度和cfDNA完整性显著高于术后患者,结直肠癌术后患者的cfDNA浓度也显著高于健康对照组,但完整性与对照组无显著差异。结直肠癌患者术前或术后的cfDNA浓度/完整性与性别、年龄、疾病分期、肿瘤位置、肿瘤分化以及癌抗原153(CA153)、神经元特异性烯醇化酶(NSE)和甲胎蛋白(AFP)的表达之间无显著相关性。然而,CEA/CA125的表达水平与cfDNA浓度显著相关。CA199表达水平与cfDNA完整性显著相关。cfDNA及其完整性的敏感性和特异性高于传统肿瘤生物标志物检测。结直肠癌患者血清中的cfDNA浓度显著升高。因此,它可能作为结直肠癌的潜在指标。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验