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肿瘤异常蛋白检测在头颈部肿瘤中的诊断价值及应用前景。

Diagnostic value and application prospect of tumor abnormal protein test in head and neck tumors.

机构信息

Department of Otorhinolaryngology, The First Hospital of Dalian Medical University, Dalian, China.

Department of Otorhinolaryngology, Shanghai General Hospital, Shanghai, China.

出版信息

Sci Prog. 2024 Oct-Dec;107(4):368504241300844. doi: 10.1177/00368504241300844.

Abstract

Tumor abnormal protein (TAP) test also called abnormal glycoprotein chain test assesses the level of abnormal glycosylation in the body by measuring the agglutination of 10 different agglutinins, including wheat germ agglutinin, cuttle bean agglutinin, and so on. The lectins are proteins containing one or more binding sites with a strong affinity for particular carbohydrate chains that can specifically identify and bind to abnormal glycan molecules on malignant cells. It has been widely used clinically in recent years for the early diagnosis of tumourigenesis. Numerous studies have been conducted to investigate the mechanisms by which lectins bind to a set of glycans. As the incidence of head and neck cancer is high, with squamous cell carcinoma being the most common type. The lack of highly specific and sensitive tests makes early screening difficult, and treatment is often delayed, resulting in organ loss or even death, and often has a negative psychological impact. This narrative review will analyze the principle and current status of clinical application of TAP detection to prove TAP test will offer more sensitive methods for the precancerous risk assessment of head and neck squamous cell carcinoma, as well as for tracking metastases and recurrence.

摘要

肿瘤异常蛋白(TAP)检测也称为异常糖链检测,通过测量 10 种不同凝集素(包括麦胚凝集素、刀豆凝集素等)的凝集反应来评估体内异常糖基化的水平。凝集素是含有一个或多个与特定糖链具有强亲和力的结合位点的蛋白质,可以特异性识别和结合恶性细胞上的异常糖分子。近年来,它已在临床广泛应用于肿瘤发生的早期诊断。已有大量研究探讨了凝集素与一组糖结合的机制。由于头颈部癌症的发病率较高,其中最常见的类型是鳞状细胞癌。缺乏高度特异性和敏感的检测方法使得早期筛查变得困难,治疗常常被延误,导致器官丧失甚至死亡,并且常常对心理产生负面影响。本综述分析了 TAP 检测的原理和临床应用现状,以证明 TAP 检测将为头颈部鳞状细胞癌的癌前风险评估提供更敏感的方法,并用于跟踪转移和复发。

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