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血浆DNA完整性作为结直肠癌化疗的预后生物标志物

Plasma DNA Integrity as a Prognostic Biomarker for Colorectal Cancer Chemotherapy.

作者信息

Zhu Feng, Ma Jing, Ru Dongdong, Wu Ningning, Zhang Yunhua, Li Huiyuan, Liu Xiaoli, Li Jianfeng, Zhang Huiling, Xu Yue, Zhao Jiangman, Tang Hui, Wang Yusheng, Fu Weihua

机构信息

Department of General Surgery, Tianjin Medical University General Hospital, Tianjin 300052, China.

Department of General Surgery, Jincheng People's Hospital, Jincheng 048026, China.

出版信息

J Oncol. 2021 May 26;2021:5569783. doi: 10.1155/2021/5569783. eCollection 2021.

DOI:10.1155/2021/5569783
PMID:34135960
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8175143/
Abstract

OBJECTIVES

To verify whether the concentrations and integrity index of circulating cell-free DNA (cfDNA) in serum may be clinically useful for the progression monitoring of colorectal cancer (CRC) patients.

METHODS

Serum samples were collected from 76 primary CRC patients who underwent surgery, including 60 with chemotherapy and 43 with follow-up. Long (247 bp) and short (115 bp) DNA fragments in serum were detected by real-time quantitative PCR by amplifying the ALU repeats. Ten serum traditional biomarkers levels were detected by chemiluminescence immunoassay assay.

RESULTS

The median DNA integrity index (ALU247/ALU115) of serum DNA in the preoperative group was significantly higher than those in the postchemotherapy and the follow-up groups, while cfDNA concentration (ALU115) was significantly lower in the preoperative group compared with the postchemotherapy and the follow-up groups. CEA and CA242 were significantly lower in the postoperative group than in the preoperative group.

CONCLUSIONS

Serum DNA integrity index (ALU247/115) may prove to be a promising candidate biomarker for prognostic prediction of CRC who underwent chemotherapy and during short-term follow-up.

摘要

目的

验证血清中循环游离DNA(cfDNA)的浓度和完整性指数是否可用于临床监测结直肠癌(CRC)患者的病情进展。

方法

收集76例接受手术的原发性CRC患者的血清样本,其中60例接受化疗,43例接受随访。通过实时定量PCR扩增ALU重复序列,检测血清中的长(247bp)和短(115bp)DNA片段。采用化学发光免疫分析法检测10种血清传统生物标志物水平。

结果

术前组血清DNA的中位DNA完整性指数(ALU247/ALU115)显著高于化疗后组和随访组,而术前组的cfDNA浓度(ALU115)显著低于化疗后组和随访组。术后组的CEA和CA242显著低于术前组。

结论

血清DNA完整性指数(ALU247/115)可能是预测接受化疗的CRC患者预后及短期随访的有前景的候选生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6907/8175143/775e2acadf05/JO2021-5569783.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6907/8175143/a36290794a0d/JO2021-5569783.001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6907/8175143/fbfdc240b63f/JO2021-5569783.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6907/8175143/386d808f2034/JO2021-5569783.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6907/8175143/8569519d2f29/JO2021-5569783.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6907/8175143/7e448ac33247/JO2021-5569783.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6907/8175143/775e2acadf05/JO2021-5569783.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6907/8175143/a36290794a0d/JO2021-5569783.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6907/8175143/d20deca5ea25/JO2021-5569783.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6907/8175143/a346068707c1/JO2021-5569783.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6907/8175143/40ca9878fa54/JO2021-5569783.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6907/8175143/fbfdc240b63f/JO2021-5569783.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6907/8175143/386d808f2034/JO2021-5569783.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6907/8175143/8569519d2f29/JO2021-5569783.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6907/8175143/7e448ac33247/JO2021-5569783.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6907/8175143/775e2acadf05/JO2021-5569783.009.jpg

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Colorectal Cancer Incidence Trends by Age, Stage, and Racial/Ethnic Group in California, 1990-2014.
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