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检测唾液、口咽拭子、口腔拭子和漱口水样本中作为鼻咽癌患者肿瘤标志物的爱泼斯坦-巴尔病毒DNA甲基化。

Detection of Epstein‒Barr virus DNA methylation as tumor markers of nasopharyngeal carcinoma patients in saliva, oropharyngeal swab, oral swab, and mouthwash.

作者信息

Zheng Xiao-Hui, Li Xi-Zhao, Tang Cao-Li, Zhang Yu-Meng, Zhou Ting, Yang Xiao-Jing, Liao Ying, He Yong-Qiao, Wang Tong-Min, Xue Wen-Qiong, Jia Wei-Hua

机构信息

State Key Laboratory of Oncology in South China Guangdong Key Laboratory of Nasopharyngeal Carcinoma Diagnosis and Therapy Guangdong Provincial Clinical Research Center for Cancer Sun Yat-Sen University Cancer Center Guangzhou China.

School of Public Health Sun Yat-Sen University Guangzhou China.

出版信息

MedComm (2020). 2024 Aug 19;5(9):e673. doi: 10.1002/mco2.673. eCollection 2024 Sep.

Abstract

Saliva biopsy of nasopharyngeal carcinoma (NPC) has been developed in our latest study, indicating the application of oral sampling in NPC detection. Further exploration of the potential for self-sampling from the oral cavity is necessary. A total of 907 various samples from oral cavity, including saliva ( = 262), oropharyngeal swabs ( = 250), oral swabs ( = 210), and mouthwash ( = 185), were collected. Epstein‒Barr virus (EBV) DNA methylation at the 12,420 bp CpG site in EBV genome from the repeat-copy W promoter (Wp) region and at the 11,029 bp CpG site in the single-copy C promoter (Cp) region were simultaneously detected in these samples. A significant increase in EBV methylation, no matter at Wp or Cp region, was found in all types of samples from NPC patients. However, EBV DNA methylation in saliva and oropharyngeal swab showed a better diagnostic performance in detecting NPC. The combination of these two sample types and two markers could help to improve the detection of NPC. Our study further explored the optimal self-sampling methods and detection target in the detection of NPC and may facilitate the application of EBV DNA methylation detection in a home-based large-scale screening of NPC.

摘要

我们的最新研究开发了鼻咽癌(NPC)的唾液活检,表明口腔采样在鼻咽癌检测中的应用。有必要进一步探索口腔自我采样的潜力。共收集了907份来自口腔的各种样本,包括唾液(n = 262)、口咽拭子(n = 250)、口腔拭子(n = 210)和漱口水(n = 185)。在这些样本中同时检测了爱泼斯坦-巴尔病毒(EBV)基因组中重复拷贝W启动子(Wp)区域12420 bp CpG位点和单拷贝C启动子(Cp)区域11029 bp CpG位点的EBV DNA甲基化。在鼻咽癌患者的所有类型样本中,无论在Wp还是Cp区域,EBV甲基化均显著增加。然而,唾液和口咽拭子中的EBV DNA甲基化在检测鼻咽癌方面表现出更好的诊断性能。这两种样本类型和两种标志物的组合有助于提高鼻咽癌的检测率。我们的研究进一步探索了鼻咽癌检测中的最佳自我采样方法和检测靶点,可能有助于EBV DNA甲基化检测在鼻咽癌家庭大规模筛查中的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8d4/11331033/46544e1d3131/MCO2-5-e673-g002.jpg

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