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揭示血浆DNA甲基化在食管癌检测和监测中的潜力。

Unravelling the potential of plasma DNA methylation in the detection and surveillance of esophageal cancer.

作者信息

Arora Jitesh, Nassar Mahmoud, Baraka Bahaaeldin

机构信息

Department of Geriatric Medicine, Nottingham University Hospitals NHS Trust, Nottingham NG7 2UH, United Kingdom.

Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, New York, NY 14203, United States.

出版信息

World J Gastrointest Oncol. 2025 Jun 15;17(6):103333. doi: 10.4251/wjgo.v17.i6.103333.

DOI:10.4251/wjgo.v17.i6.103333
PMID:40547147
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12179958/
Abstract

Esophageal cancer (EC) continues to pose a significant clinical challenge due to the absence of a reliable early detection method, leading to late-stage diagnoses and poor patient outcomes. The recent study by Liu presents a promising breakthrough, demonstrating that plasma DNA methylation markers-SHOX2, SEPTIN9, EPO, and RNF180-offer a non-invasive approach for early EC detection with 76.19% sensitivity and 86.27% specificity. Given the urgent need for effective screening strategies, the potential integration of this assay into clinical practice could significantly enhance early diagnosis, patient monitoring, and overall survival rates. While further validation is necessary, this advancement marks an important step toward improving EC detection and management.

摘要

由于缺乏可靠的早期检测方法,食管癌(EC)仍然构成重大的临床挑战,导致晚期诊断和患者预后不佳。刘的最新研究提出了一个有希望的突破,表明血浆DNA甲基化标志物-SHOX2、SEPTIN9、EPO和RNF180-为早期食管癌检测提供了一种非侵入性方法,灵敏度为76.19%,特异性为86.27%。鉴于迫切需要有效的筛查策略,将该检测方法整合到临床实践中可能会显著提高早期诊断、患者监测和总体生存率。虽然还需要进一步验证,但这一进展标志着在改善食管癌检测和管理方面迈出了重要一步。

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本文引用的文献

1
Plasma DNA methylation detection for early screening, diagnosis, and monitoring of esophageal adenocarcinoma and squamous cell carcinoma.血浆 DNA 甲基化检测在食管腺癌和鳞癌的早期筛查、诊断和监测中的应用。
World J Gastroenterol. 2024 Nov 21;30(43):4609-4619. doi: 10.3748/wjg.v30.i43.4609.
2
Esophageal cancer screening, early detection and treatment: Current insights and future directions.食管癌筛查、早期检测与治疗:当前见解与未来方向。
World J Gastrointest Oncol. 2024 Apr 15;16(4):1180-1191. doi: 10.4251/wjgo.v16.i4.1180.
3
Advances and challenges in the treatment of esophageal cancer.食管癌治疗的进展与挑战
Acta Pharm Sin B. 2021 Nov;11(11):3379-3392. doi: 10.1016/j.apsb.2021.03.008. Epub 2021 Mar 9.
4
Esophageal Cancer: An Updated Surveillance Epidemiology and End Results Database Analysis.食管癌:一项最新的监测、流行病学和最终结果数据库分析
World J Oncol. 2020 Apr;11(2):55-64. doi: 10.14740/wjon1254. Epub 2020 Mar 29.
5
Esophageal cancer: Risk factors, screening and endoscopic treatment in Western and Eastern countries.食管癌:东西方国家的风险因素、筛查及内镜治疗
World J Gastroenterol. 2015 Jul 14;21(26):7933-43. doi: 10.3748/wjg.v21.i26.7933.