Fleischhacker Michael, Arslan Erkan, Reinicke Dana, Eisenmann Stefan, Theil Gerit, Kollmeier Jens, Schäper Christoph, Grah Christian, Klawonn Frank, Holdenrieder Stefan, Schmidt Bernd
Klinik für Innere Medizin-Schwerpunkt Pneumologie und Schlafmedizin, DRK Kliniken Berlin/Mitte, 13359 Berlin, Germany.
Lungenarztpraxis Berlin-Reinickendorf, 13403 Berlin, Germany.
Diagnostics (Basel). 2023 Jun 21;13(13):2131. doi: 10.3390/diagnostics13132131.
Notwithstanding some improvement in the earlier detection of patients with lung cancer, most of them still present with a late-stage disease at the time of diagnosis. Next to the most frequently utilized factors affecting the prognosis of lung cancer patients (stage, performance, and age), the recent application of biomarkers obtained by liquid profiling has gained more acceptance. In our study, we aimed to answer these questions: (i) Is the quantification of free-circulating methylated and plasma DNA a useful method for therapy monitoring, and is this also possible for patients treated with different therapy regimens? (ii) Is this approach possible when blood-drawing tubes, which allow for a delayed processing of blood samples, are utilized? Baseline values for and do not allow for clear discrimination between different response groups. In contrast, the combination of the methylation values for both genes shows a clear difference between responders vs. non-responders at the time of re-staging. Furthermore, blood drawing into tubes stabilizing the sample allows researchers more flexibility.
尽管肺癌患者的早期检测有了一些改善,但大多数患者在诊断时仍处于晚期。除了影响肺癌患者预后的最常用因素(分期、体能状态和年龄)外,通过液体分析获得的生物标志物最近的应用已得到更多认可。在我们的研究中,我们旨在回答以下问题:(i)游离循环甲基化和血浆DNA的定量分析是否是一种有用的治疗监测方法,对于接受不同治疗方案的患者是否也可行?(ii)当使用允许延迟处理血样的采血管时,这种方法是否可行? 和 的基线值无法在不同反应组之间进行明确区分。相比之下,两个基因甲基化值的组合在重新分期时显示出反应者与无反应者之间的明显差异。此外,将血样采集到能稳定样本的采血管中使研究人员有更大的灵活性。