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用于肝细胞癌早期诊断的循环肿瘤DNA甲基化标志物

Circulating tumor DNA methylation markers for the early diagnosis of hepatocellular carcinoma.

作者信息

Lu Chang-Yi, Tsai Kun-Feng, Yen Chia-Jui, Hsieh Chueh-Jung, Peng Pey-Jey, Huang Shao-Chang, Chuang Meng-Rong, Chu Chi-Jen

机构信息

Department of Clinical Technology Research, EpiSante Biomedical Co. Ltd., Taipei, Taiwan.

Department of Internal Medicine, Gastroenterology and Hepatology Section, An Nan Hospital, China Medical University, Tainan, Taiwan.

出版信息

Clin Exp Med. 2025 Mar 14;25(1):83. doi: 10.1007/s10238-025-01599-x.

Abstract

Hepatocellular carcinoma (HCC) is a major global health concern, being the sixth most common cancer and the third leading cause of cancer deaths worldwide. Less than 30% of HCC patients are eligible for curative treatment, primarily due to diagnosis at advanced stages. This emphasizes the importance of early detection in improving survival outcomes. In this study, we investigated the methylation levels of certain genes and miRNAs in liquid biopsy and developed a methyl predictive model (MPM-8G). The AUC for MPM-8G was found to be significantly higher than that for AFP (alpha-fetoprotein) alone. When MPM-8G and AFP were combined, the AUC increased notably, indicating that the combined use of MPM-8G and AFP offers superior diagnostic performance and enhances the accuracy of HCC detection. Furthermore, the combination of MPM-8G and AFP proved to be a powerful tool for early diagnosis of HCC. This study successfully identified differences in the methylation levels of certain genes and miRNAs in liquid biopsy from HCC patients, leading to the construction of a predictive model for early diagnosis. The impressive performance of these methylation markers underscores their potential for further clinical application in the management of HCC.

摘要

肝细胞癌(HCC)是一个重大的全球健康问题,是全球第六大常见癌症和第三大癌症死亡原因。不到30%的HCC患者适合进行根治性治疗,主要原因是在晚期才被诊断出来。这凸显了早期检测对改善生存结果的重要性。在本研究中,我们调查了液体活检中某些基因和微小RNA的甲基化水平,并开发了一种甲基预测模型(MPM-8G)。发现MPM-8G的曲线下面积(AUC)显著高于单独使用甲胎蛋白(AFP)时的AUC。当MPM-8G和AFP联合使用时,AUC显著增加,表明MPM-8G和AFP联合使用具有更好的诊断性能,提高了HCC检测的准确性。此外,MPM-8G和AFP的联合被证明是HCC早期诊断的有力工具。本研究成功地确定了HCC患者液体活检中某些基因和微小RNA甲基化水平的差异,从而构建了一个早期诊断预测模型。这些甲基化标志物令人印象深刻的表现突出了它们在HCC管理中进一步临床应用的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/007b/11909076/4befef5812ec/10238_2025_1599_Fig1_HTML.jpg

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