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通过多重血液检测对胰腺癌风险进行分层

Stratifying Risk for Pancreatic Cancer by Multiplexed Blood Test.

作者信息

Digiacomo Luca, Quagliarini Erica, Pozzi Daniela, Coppola Roberto, Caracciolo Giulio, Caputo Damiano

机构信息

NanoDelivery Lab, Department of Molecular Medicine, Sapienza University of Rome, Viale Regina Elena, 291, 00161 Rome, Italy.

Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Rome, Italy.

出版信息

Cancers (Basel). 2023 May 30;15(11):2983. doi: 10.3390/cancers15112983.

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is a highly lethal disease, for which mortality closely parallels incidence. So far, the available techniques for PDAC detection are either too invasive or not sensitive enough. To overcome this limitation, here we present a multiplexed point-of-care test that provides a "" for each subject under investigation, by combining systemic inflammatory response biomarkers, standard laboratory tests, and the most recent nanoparticle-enabled blood (NEB) tests. The former parameters are routinely evaluated in clinical practice, whereas NEB tests have been recently proven as promising tools to assist in PDAC diagnosis. Our results revealed that PDAC patients and healthy subjects can be distinguished accurately (i.e., 88.9% specificity, 93.6% sensitivity) by the presented multiplexed point-of-care test, in a quick, non-invasive, and highly cost-efficient way. Furthermore, the test allows for the definition of a "", which can help clinicians to trace the optimal diagnostic and therapeutic care pathway for each patient. For these reasons, we envision that this work may accelerate progress in the early detection of PDAC and contribute to the design of screening programs for high-risk populations.

摘要

胰腺导管腺癌(PDAC)是一种致死率很高的疾病,其死亡率与发病率密切相关。到目前为止,现有的PDAC检测技术要么侵入性太强,要么灵敏度不够。为克服这一局限性,我们在此展示一种多重即时检测方法,通过结合全身炎症反应生物标志物、标准实验室检测以及最新的基于纳米颗粒的血液(NEB)检测,为每个受调查对象提供一个“”。前几个参数在临床实践中常规评估,而NEB检测最近已被证明是有助于PDAC诊断的有前景的工具。我们的结果显示,通过所展示的多重即时检测方法,可以快速、无创且极具成本效益地准确区分PDAC患者和健康受试者(即特异性为88.9%,灵敏度为93.6%)。此外,该检测方法能够定义一个“”,这有助于临床医生为每位患者追踪最佳的诊断和治疗护理路径。基于这些原因,我们设想这项工作可能会加速PDAC早期检测的进展,并有助于设计针对高危人群的筛查项目。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a1f/10251844/353c7fca79fe/cancers-15-02983-g001.jpg

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