Liang Haoyue, Shi Ruxue, Wang Haoyu, Zhou Yuan
State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin, China.
Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Front Bioeng Biotechnol. 2023 Jan 10;10:1103785. doi: 10.3389/fbioe.2022.1103785. eCollection 2022.
Hematologic malignancies are a diverse collection of cancers that affect the blood, bone marrow, and organs. They have a very unpredictable prognosis and recur after treatment. Leukemia, lymphoma, and myeloma are the most prevalent symptoms. Despite advancements in chemotherapy and supportive care, the incidence rate and mortality of patients with hematological malignancies remain high. Additionally, there are issues with the clinical diagnosis because several hematological malignancies lack defined, systematic diagnostic criteria. This work provided an overview of the fundamentals, benefits, and limitations of Raman spectroscopy and its use in hematological cancers. The alterations of trace substances can be recognized using Raman spectroscopy. High sensitivity, non-destructive, quick, real-time, and other attributes define it. Clinicians must promptly identify disorders and keep track of analytes in biological fluids. For instance, surface-enhanced Raman spectroscopy is employed in diagnosing gene mutations in myelodysplastic syndromes due to its high sensitivity and multiple detection benefits. Serum indicators for multiple myeloma have been routinely used for detection. The simultaneous observation of DNA strand modifications and the production of new molecular bonds by tip-enhanced Raman spectroscopy is of tremendous significance for diagnosing lymphoma and multiple myeloma with unidentified diagnostic criteria.
血液系统恶性肿瘤是一类影响血液、骨髓和器官的多种癌症。它们的预后非常不可预测,治疗后会复发。白血病、淋巴瘤和骨髓瘤是最常见的症状。尽管化疗和支持性护理有所进展,但血液系统恶性肿瘤患者的发病率和死亡率仍然很高。此外,临床诊断存在问题,因为几种血液系统恶性肿瘤缺乏明确、系统的诊断标准。这项工作概述了拉曼光谱的基本原理、优点和局限性及其在血液系统癌症中的应用。使用拉曼光谱可以识别微量物质的变化。它具有高灵敏度、非破坏性、快速、实时等特性。临床医生必须及时识别疾病并跟踪生物体液中的分析物。例如,表面增强拉曼光谱因其高灵敏度和多种检测优势而被用于诊断骨髓增生异常综合征中的基因突变。多发性骨髓瘤的血清指标已常规用于检测。通过针尖增强拉曼光谱同时观察DNA链修饰和新分子键的产生,对于诊断诊断标准不明的淋巴瘤和多发性骨髓瘤具有重大意义。