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胆汁生物标志物及其在胆道肿瘤中的免疫调节作用的研究进展。

Research progress of bile biomarkers and their immunoregulatory role in biliary tract cancers.

机构信息

Department of General Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.

出版信息

Front Immunol. 2022 Oct 28;13:1049812. doi: 10.3389/fimmu.2022.1049812. eCollection 2022.

Abstract

Biliary tract cancers (BTCs), including cholangiocarcinoma and gallbladder carcinoma, originate from the biliary epithelium and have a poor prognosis. Surgery is the only choice for cure in the early stage of disease. However, most patients are diagnosed in the advanced stage and lose the chance for surgery. Early diagnosis could significantly improve the prognosis of patients. Bile has complex components and is in direct contact with biliary tract tumors. Bile components are closely related to the occurrence and development of biliary tract tumors and may be applied as biomarkers for BTCs. Meanwhile, arising evidence has confirmed the immunoregulatory role of bile components. In this review, we aim to summarize and discuss the relationship between bile components and biliary tract cancers and their ability as biomarkers for BTCs, highlighting the role of bile components in regulating immune response, and their promising application prospects.

摘要

胆道癌(BTCs)包括胆管癌和胆囊癌,起源于胆道上皮,预后不良。手术是疾病早期治愈的唯一选择。然而,大多数患者在晚期被诊断出来,失去了手术机会。早期诊断可以显著改善患者的预后。胆汁具有复杂的成分,并与胆道肿瘤直接接触。胆汁成分与胆道肿瘤的发生发展密切相关,可能作为 BTCs 的生物标志物应用。同时,越来越多的证据证实了胆汁成分的免疫调节作用。在这篇综述中,我们旨在总结和讨论胆汁成分与胆道癌之间的关系及其作为 BTCs 生物标志物的能力,重点阐述胆汁成分在调节免疫反应中的作用及其有前途的应用前景。

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