Chen Chen, Liu Yanlong, Han Peng, Cui Binbin
Department of Colorectal Surgery, Harbin Medical University Cancer Hospital, Harbin, 150081, Heilongjiang Province, People's Republic of China.
Cancer Manag Res. 2021 Feb 22;13:1791-1801. doi: 10.2147/CMAR.S292605. eCollection 2021.
Research has confirmed that plasma albumin (Alb), prealbumin (PA) and fibrinogen (Fib) are involved in regulating the occurrence and development of various tumors. Their levels in peripheral blood are related to the survival outcome and treatment response of patients, but the accuracy and specificity of single application have yet to be fully realized. A growing amount of evidence indicates that predictors such as preoperative fibrinogen to prealbumin ratio (FPR), fibrinogen to albumin ratio (FAR) or albumin to fibrinogen ratio (AFR) are emerging as comprehensive indicators. Indeed, their components play a key regulatory role in the progression of colorectal cancer (CRC). Preoperative FPR, FAR or AFR levels, therefore, are expected to become new biomarkers for prognosis evaluation and curative effect prediction for CRC patients and are significant in the guidance they could provide for the development of individualized treatment strategies.
研究证实,血浆白蛋白(Alb)、前白蛋白(PA)和纤维蛋白原(Fib)参与调节各种肿瘤的发生和发展。它们在外周血中的水平与患者的生存结果和治疗反应相关,但单一应用的准确性和特异性尚未得到充分认识。越来越多的证据表明,术前纤维蛋白原与前白蛋白比值(FPR)、纤维蛋白原与白蛋白比值(FAR)或白蛋白与纤维蛋白原比值(AFR)等预测指标正成为综合指标。事实上,它们的组成成分在结直肠癌(CRC)的进展中起关键调节作用。因此,术前FPR、FAR或AFR水平有望成为CRC患者预后评估和疗效预测的新生物标志物,对制定个体化治疗策略具有重要指导意义。