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探索血浆环状CCDC66在结直肠癌中的诊断潜力。

Exploring the diagnostic potential of plasma circ-CCDC66 in colorectal cancer.

作者信息

Han Zhuoting, Chu Lok Ting, Lin Xiaocong, Zeng Tao

机构信息

Laboratory Medicine Center, Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong, P. R. China.

Laboratory Medicine Department, The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong, P. R. China.

出版信息

Sci Rep. 2025 Apr 3;15(1):11463. doi: 10.1038/s41598-025-95685-5.

Abstract

Owing to the subtle symptoms and low sensitivity of colorectal cancer (CRC), such as rectal bleeding, anemia, and abdominal pain, CRC generally occurs in late stages. This leads to delayed diagnosis and reduced treatment efficiency. Therefore, novel and effective CRC markers are needed. In this study, we conducted circRNA expression profiling on GSE datasets and identified circ-CCDC66 as a potential marker. Through qPCR analysis of plasma samples from 50 CRC patients, 50 with colorectal polyps, and 50 healthy individuals, circ-CCDC66 emerged as a promising biomarker for CRC detection capable of identifying polyps among healthy individuals. Furthermore, plasma circ-CCDC66 levels exhibited superior diagnostic accuracy, with an AUC of 0.920, compared to traditional markers, such as serum CEA and CA19-9. Remarkably, the combined detection of circ-CCDC66, CEA, and CA19-9 further increased the AUC for distinguishing the colorectal polyps' group from the healthy control group to 0.991, with sensitivity and specificity increasing to 98% and 96%, respectively. Additionally, a circ-CCDC66-miRNA-mRNA regulatory network was established to provide insight into how circ-CCDC66 influences CRC pathways. This pioneering study highlights circ-CCDC66's clinical relevance as a blood-based diagnostic marker for CRC and offers valuable insights into future developments in the diagnosis and treatment of the disease.

摘要

由于结直肠癌(CRC)的症状不明显且敏感性较低,如直肠出血、贫血和腹痛,结直肠癌通常在晚期发生。这导致诊断延迟和治疗效率降低。因此,需要新的有效的结直肠癌标志物。在本研究中,我们对GSE数据集进行了环状RNA表达谱分析,并确定circ-CCDC66为潜在标志物。通过对50例结直肠癌患者、50例结直肠息肉患者和50例健康个体的血浆样本进行qPCR分析,circ-CCDC66成为一种有前景的用于结直肠癌检测的生物标志物,能够在健康个体中识别息肉。此外,与血清CEA和CA19-9等传统标志物相比,血浆circ-CCDC66水平表现出更高的诊断准确性,曲线下面积(AUC)为0.920。值得注意的是,circ-CCDC66、CEA和CA19-9的联合检测进一步将区分结直肠息肉组与健康对照组的AUC提高到0.991,敏感性和特异性分别提高到98%和96%。此外,还建立了circ-CCDC66- miRNA- mRNA调控网络,以深入了解circ-CCDC66如何影响结直肠癌途径。这项开创性研究突出了circ-CCDC66作为结直肠癌基于血液的诊断标志物的临床相关性,并为该疾病的诊断和治疗的未来发展提供了有价值的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aba0/11968963/da97e64b56d0/41598_2025_95685_Fig1_HTML.jpg

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