Henan Luoyang Orthopedic Hospital (Henan Provincial Orthopedic Hospital)/Henan Institute of Orthopedic and Traumatology, Luoyang, China.
Transitional Medical Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Front Immunol. 2021 Apr 30;12:665106. doi: 10.3389/fimmu.2021.665106. eCollection 2021.
Osteosarcoma (OS) is the most common form of malignant bone tumor found in childhood and adolescence. Although its incidence rate is low among cancers, the prognosis of OS is usually poor. Although some biomarkers, such as p53, have been identified in OS, the association between the biomarkers and clinical outcome is not well understood. Thus, it is necessary to establish a method to identify patients diagnosed with OS at an early stage. It is becoming obvious that anti-tumor-associated antigens (TAAs) autoantibodies (TAAbs) in sera could be used as serological biomarkers in the detection of many different types of cancers. This notion indicates that TAAbs are considered as immunological "sentinels" associated with tumorigenesis underlying molecular events. It provides new insights into the molecular and cellular biology of the differential diagnosis of cancers. What's more, it is reported that a customized TAA array could significantly increase the sensitivity/specificity. TAA arrays also have great application prospects in detecting cancer at an early stage, monitoring cancer progression, discovering new therapeutic targets, and designing personalized treatment. In this review, we provide an overview of the TAAs identified in OS as well as the possibility that TAAs and TAAbs system be used as biomarkers in the immunodiagnosis and prognosis of OS.
骨肉瘤(OS)是儿童和青少年中最常见的恶性骨肿瘤。尽管其癌症发病率较低,但 OS 的预后通常较差。尽管已经确定了一些生物标志物,如 p53,但生物标志物与临床结果之间的关联尚不清楚。因此,有必要建立一种方法来识别早期诊断为 OS 的患者。很明显,血清中的抗肿瘤相关抗原(TAAs)自身抗体(TAAbs)可以用作许多不同类型癌症的血清生物标志物。这一观点表明,TAAbs 被认为是与肿瘤发生相关的分子事件的免疫“哨兵”。它为癌症的分子和细胞生物学提供了新的见解。此外,据报道,定制的 TAA 阵列可以显著提高敏感性/特异性。TAA 阵列在早期癌症检测、监测癌症进展、发现新的治疗靶点和设计个性化治疗方面也具有广阔的应用前景。在这篇综述中,我们概述了在 OS 中鉴定的 TAAs 以及 TAA 和 TAAbs 系统作为 OS 免疫诊断和预后标志物的可能性。