Abbaspour Ali, Casillas Andrea L, McGregor Stephanie M, Kreeger Pamela K
Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, Wisconsin.
University of Wisconsin Carbone Cancer Center, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Curr Opin Biomed Eng. 2022 Jun;22. doi: 10.1016/j.cobme.2022.100384. Epub 2022 Mar 30.
Gynecological cancers are diagnosed in over a million females worldwide, with ovarian, endometrial (uterine), and cervical the most common. Here, we highlight recent progress by bioengineers to improve screening and diagnosis for these diseases, including potential point-of-care approaches. We provide particular attention to the use of tissue engineering, biomaterials, microfluidics, and organoids to identify mechanisms regulating disease progression and predict therapeutic responses. We also highlight opportunities for engineers to address the racial/ethnic/geographic disparities that continue to impact gynecological cancer outcomes. A challenge to improve outcomes for all gynecological cancers will be to expand the diversity of patients included in basic/clinical research to better capture the confounding effects of social/economic variables on disease progression.
全球每年有超过100万女性被诊断出患有妇科癌症,其中卵巢癌、子宫内膜癌(子宫癌)和宫颈癌最为常见。在此,我们重点介绍生物工程师在改善这些疾病的筛查和诊断方面取得的最新进展,包括潜在的即时检测方法。我们特别关注组织工程、生物材料、微流体和类器官在识别疾病进展调控机制和预测治疗反应方面的应用。我们还强调了工程师应对种族/民族/地理差异的机会,这些差异继续影响着妇科癌症的治疗结果。改善所有妇科癌症治疗结果面临的一个挑战是扩大基础/临床研究中纳入患者的多样性,以更好地捕捉社会/经济变量对疾病进展的混杂影响。