Division of Thoracic and Esophageal Surgery the Cardiovascular Center, Tzafon Medical Center, Affiliated to Azrieli Faculty of Medicine, Bar-Ilan University, Poriya 1520800, Israel.
Department of Thoracic and Cardiovascular Surgery, Ewha Womens University Seoul Hospital, 260 Gonghang-daero, Gangseo-gu, Seoul 07804, Republic of Korea.
Biosensors (Basel). 2023 Jun 6;13(6):627. doi: 10.3390/bios13060627.
Lung cancer is the leading cause of cancer-related mortality worldwide. Early detection is essential to achieving a better outcome and prognosis. Volatile organic compounds (VOCs) reflect alterations in the pathophysiology and body metabolism processes, as shown in various types of cancers. The biosensor platform (BSP) urine test uses animals' unique, proficient, and accurate ability to scent lung cancer VOCs. The BSP is a testing platform for the binary (negative/positive) recognition of the signature VOCs of lung cancer by trained and qualified Long-Evans rats as biosensors (BSs). The results of the current double-blind study show high accuracy in lung cancer VOC recognition, with 93% sensitivity and 91% specificity. The BSP test is safe, rapid, objective and can be performed repetitively, enabling periodic cancer monitoring as well as an aid to existing diagnostic methods. The future implementation of such urine tests as routine screening and monitoring tools has the potential to significantly increase detection rate as well as curability rates with lower healthcare expenditure. This paper offers a first instructive clinical platform utilizing VOC's in urine for detection of lung cancer using the innovative BSP to deal with the pressing need for an early lung cancer detection test tool.
肺癌是全球癌症相关死亡的主要原因。早期发现对于获得更好的结果和预后至关重要。挥发性有机化合物(VOCs)反映了生理病理和身体代谢过程的变化,在各种类型的癌症中都有体现。生物传感器平台(BSP)尿液检测利用了动物独特、熟练和准确的嗅探肺癌 VOCs 的能力。BSP 是一种测试平台,用于训练有素和合格的长耳大仓鼠作为生物传感器(BS)对肺癌特征 VOC 进行二进制(阴性/阳性)识别。当前双盲研究的结果表明,该测试在肺癌 VOC 识别方面具有很高的准确性,灵敏度为 93%,特异性为 91%。BSP 测试安全、快速、客观,并且可以重复进行,能够进行定期的癌症监测,并辅助现有的诊断方法。未来将此类尿液检测作为常规筛查和监测工具实施,有可能在降低医疗支出的同时,显著提高检测率和治愈率。本文提供了一个使用创新的 BSP 利用尿液中 VOC 检测肺癌的临床指导平台,以应对对早期肺癌检测工具的迫切需求。