Department of Oncology, First Hospital of Qinhuangdao, Qinhuangdao 066000, China.
Graduate School, Hebei Chengde Medical College, Chengde 067000, China.
J Healthc Eng. 2021 Oct 20;2021:6929971. doi: 10.1155/2021/6929971. eCollection 2021.
Lung cancer is a lethal disease, and early diagnosis with the aid of biomarkers such as HSP90 protein can certainly assist the doctors to start treatment of patient at the earliest and can save their lives. To analyse the diagnostic value of HSP90 expression in lung cancer patients by collecting data of patients through IoT devices to avoid delay in treatments, a study has been presented in this paper where the significance of HSP90 biomarker is highlighted in early diagnosis of patients suffering from lung cancer. The second objective of the research study is to examine the correlation between the appearance level of HSP90 biomarker and the clinicopathological features of lung cancer. It is also evaluated whether the changes in HSP90 index are indicative or noteworthy before and after surgery of lung cancer patients. An observatory study of 78 patients with lung cancer in Qinhuangdao Hospital is presented in this paper where the samples were collected from June 2018 to March 2020. Their data were collected through IoT devices used in the latest healthcare facilities of the hospital. The ELISA method was utilized to identify the level of plasma HSP90 and to analyse HSP90 levels between the lung cancer group and healthy group of people. The relationship between HSP90 and the clinical pathological features of 78 patients suffering from lung cancer was analysed. An electrochemical luminescence method was used to detect CEA, NSE, SCC, and CYFRA21-1 levels. ROC curve and box plots were used to determine the analytic value of HSP90 and other biomarkers used in lung cancer diagnosis. Forty-two patients with moderate to early stage lung cancer with surgical correction were selected, and paired sample test was used to analyse HSP90 levels before and after surgery. The plasma HSP90 level of lung cancer patients was quite higher as compared to the group of healthy people as per the values depicted in the research study. Second, HSP90 levels are substantially higher in pathologic type, differentiation degree, stage, and the existence of the lung, liver, and bone metastases ( < 0.05). The level of HSP90 expression was largely impacted by a few factors such as sex, age, smoking, and tumour location ( > 0.05). The ROC value for HSP90 was 0.599, while the area under the curve of HSP90 combined with other four tumour markers was 0.915 in the presented case study, indicating the presence of lung cancer. Patients with lung cancer had statistically significant differences in HSP90 expression levels before and after surgery ( < 0.05). It is concluded that the expression level of plasma HSP90 in lung cancer patients increases remarkably; therefore, HSP90 can be used to monitor presence of lung cancer before and after surgery in the patients.
肺癌是一种致命的疾病,借助 HSP90 蛋白等生物标志物进行早期诊断,无疑可以帮助医生尽早开始对患者进行治疗,从而挽救他们的生命。为了通过物联网设备收集患者数据来分析 HSP90 表达在肺癌患者中的诊断价值,以避免治疗延误,本文提出了一项研究,其中强调了 HSP90 生物标志物在肺癌患者早期诊断中的重要性。本研究的第二个目标是检查 HSP90 生物标志物的出现水平与肺癌的临床病理特征之间的相关性。还评估了肺癌患者手术前后 HSP90 指数的变化是否具有指示意义或值得注意。本文介绍了一项在秦皇岛医院对 78 例肺癌患者进行的观察性研究,样本采集时间为 2018 年 6 月至 2020 年 3 月。他们的数据是通过医院最新医疗设施中的物联网设备收集的。利用 ELISA 法鉴定血浆 HSP90 的水平,并分析肺癌组与健康人群 HSP90 水平之间的差异。分析 HSP90 与 78 例肺癌患者临床病理特征的关系。采用电化学发光法检测 CEA、NSE、SCC 和 CYFRA21-1 水平。ROC 曲线和箱线图用于确定 HSP90 及其他用于肺癌诊断的生物标志物的分析价值。选择了 42 例中晚期肺癌患者进行手术矫正,并采用配对样本 t 检验分析手术前后 HSP90 水平。根据研究结果,肺癌患者的血浆 HSP90 水平明显高于健康人群。其次,HSP90 水平在病理类型、分化程度、分期以及肺、肝、骨转移的存在方面显著升高(<0.05)。HSP90 表达水平受性别、年龄、吸烟和肿瘤部位等少数因素的显著影响(>0.05)。在本案例研究中,HSP90 的 ROC 值为 0.599,而 HSP90 与其他四个肿瘤标志物联合的曲线下面积为 0.915,表明存在肺癌。肺癌患者手术前后 HSP90 表达水平差异有统计学意义(<0.05)。因此,我们得出结论,肺癌患者血浆 HSP90 表达水平显著升高;因此,HSP90 可用于监测患者手术前后肺癌的发生。