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血液系统恶性肿瘤中的综合生物标志物谱:改善诊断、预后和治疗。

Comprehensive biomarker profiles in hematological malignancies: improving diagnosis, prognosis, and treatment.

作者信息

Golestan Ali, Zareinejad Mohammadrasul, Ramezani Amin

机构信息

Department of Medical Biotechnology, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran.

Shiraz Institute for Cancer Research, School of Medicine, Shiraz University of Medical Science, Shiraz, Iran.

出版信息

Biomark Med. 2025 Mar;19(6):223-238. doi: 10.1080/17520363.2025.2471745. Epub 2025 Feb 27.

Abstract

Hematological malignancies present substantial challenges in clinical practice due to their heterogeneity and complex biological profiles. In these diseases, biomarkers - measurable indicators of biological states - are indispensable for diagnosis, prognosis, and therapeutic decision-making. Emerging biomarkers are significantly improving outcomes in hematological cancers by enhancing early detection, refining prognostic assessments, enabling personalized treatment approaches, and optimizing overall patient management. This progress translates into better clinical outcomes and more effective strategies to treat and manage malignancies. The field of biomarker discovery has developed from basic morphological and cytogenetic markers to advanced molecular techniques, including polymerase chain reaction (PCR) and next-generation sequencing (NGS), which have significantly enhanced diagnostic accuracy and led to the development of targeted therapies. Additionally, the recent advent of technologies like mass spectrometry and single-cell RNA sequencing enables comprehensive molecular profiling and reveals novel biomarkers that were previously undetectable. Our aim in this manuscript is to provide a comprehensive overview of recent and novel immunohematological biomarkers, their diagnostic and therapeutic applications, and the future directions of this field.

摘要

血液系统恶性肿瘤因其异质性和复杂的生物学特征,在临床实践中面临着巨大挑战。在这些疾病中,生物标志物(生物学状态的可测量指标)对于诊断、预后评估和治疗决策不可或缺。新兴的生物标志物通过加强早期检测、完善预后评估、实现个性化治疗方案以及优化整体患者管理,正在显著改善血液系统癌症的治疗效果。这一进展转化为更好的临床结果以及更有效的恶性肿瘤治疗和管理策略。生物标志物发现领域已从基本的形态学和细胞遗传学标志物发展到先进的分子技术,包括聚合酶链反应(PCR)和下一代测序(NGS),这些技术显著提高了诊断准确性,并推动了靶向治疗的发展。此外,质谱分析和单细胞RNA测序等技术的近期出现,能够实现全面的分子谱分析,并揭示出以前无法检测到的新型生物标志物。我们撰写本文的目的是全面概述近期和新型免疫血液学生物标志物、它们的诊断和治疗应用以及该领域的未来发展方向。

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