抗氧化酶是否为癌症患者诊断和监测的必要标志物——综述。

Are antioxidant enzymes essential markers in the diagnosis and monitoring of cancer patients - A review.

机构信息

Department of Laboratory Medicine, Pomeranian Medical University of Szczecin, Powstancow Wielkopolskich 72, 70-111 Szczecin, Poland.

Department of Laboratory Medicine, Pomeranian Medical University of Szczecin, Powstancow Wielkopolskich 72, 70-111 Szczecin, Poland.

出版信息

Clin Biochem. 2021 Jul;93:1-8. doi: 10.1016/j.clinbiochem.2021.03.008. Epub 2021 Mar 25.

Abstract

Reactive oxygen species (ROS) play a significant role in human cells. Excessive ROS production damages important macromolecules such as nucleic acids and can initiate and develop the carcinogenesis process. Antioxidant enzymes such as superoxide dismutase (SOD), catalase (CAT), glutathione reductase (GR), glutathione peroxidase (GPx), and xanthine oxidoreductase (XOR) are responsible for maintaining the balance between the functions of free radical formation and eliminating their excessive amounts. Based on the analyzed literature, the following conclusions can be made: 1. Antioxidant enzymes activity are important for diagnosing neoplastic diseases such as non-small-cell lung cancer, bladder cancer, ovarian cancer, and colon cancer. 2. Non-small-cell lung cancer is usually characterized by decreased SOD and CAT activity and increased glutathione GST activity. Lowered SOD, CAT, and GPx activity is characteristic of bladder cancer. XOR, CAT, SOD and GPx expression is decreased in patients with ovarian cancer. Colorectal cancer is characterized by increased MnSOD expression (in vitro studies) and SOD expression while CAT, GPx, and GR are decreased (in vivo study). 3. SOD, CAT, and XOR are promising prognostic markers in cancer of the lung, bladder, ovarian, and colon.

摘要

活性氧(ROS)在人类细胞中起着重要作用。过量的 ROS 产生会损害核酸等重要大分子,并可能引发和发展致癌过程。超氧化物歧化酶(SOD)、过氧化氢酶(CAT)、谷胱甘肽还原酶(GR)、谷胱甘肽过氧化物酶(GPx)和黄嘌呤氧化还原酶(XOR)等抗氧化酶负责维持自由基形成功能和消除其过量之间的平衡。基于分析的文献,可以得出以下结论:

  1. 抗氧化酶活性对于诊断非小细胞肺癌、膀胱癌、卵巢癌和结肠癌等肿瘤疾病非常重要。

  2. 非小细胞肺癌通常表现为 SOD 和 CAT 活性降低以及谷胱甘肽 GST 活性增加。膀胱癌的特征是 SOD、CAT 和 GPx 活性降低。卵巢癌患者的 XOR、CAT、SOD 和 GPx 表达降低。结直肠癌的特点是 MnSOD 表达增加(体外研究)和 SOD 表达增加,而 CAT、GPx 和 GR 表达降低(体内研究)。

  3. SOD、CAT 和 XOR 是肺癌、膀胱癌、卵巢癌和结肠癌有前途的预后标志物。

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