Cancer biomarker

癌症生物标志物
  • 文章类型: Journal Article
    本研究使用TROG03.04RADAR临床试验的10年结果数据,调查了趋化因子C-C基序配体2(CCL2)及其受体C-C基序趋化因子受体2(CCR2)表达在接受放疗和雄激素剥夺治疗的局部晚期前列腺癌中的预后价值。通过免疫组织化学和数字定量对诊断时前列腺癌活检中的CCL2和CCR2蛋白表达进行定量。在前列腺癌细胞中检测到CCR2蛋白表达,并与前列腺特异性抗原血清浓度相关(p=0.045)。然而,CCL2和CCR2组织表达均不能预测前列腺癌进展,或其他临床病理参数,包括神经周浸润和患者预后。在血清样本中,诊断时的CCL2浓度,通过酶联免疫吸附测定,与良性前列腺增生相比,前列腺癌患者明显更高(中位差异0.22ng/mL,95%CI,0.17-0.30)(p<0.0001)和正常对照组(中位数差异0.13ng/mL,95%CI,0.13-0.17)(p<0.0001)。然而,循环CCL2作为疾病进展和患者预后的预测因子无统计学意义.总之,这项研究表明,尽管CCL2和CCR2在前列腺癌中表达,血清中CCL2水平升高,CCL2和CCR2在局部晚期前列腺癌中的表达均不具有临床预后价值.
    This study investigated the prognostic value of the chemokine C-C motif ligand 2 (CCL2) and its receptor C-C motif chemokine receptor 2 (CCR2) expression in locally advanced prostate cancer treated with radiotherapy and androgen deprivation using the 10-year outcome data from the TROG 03.04 RADAR clinical trial. CCL2 and CCR2 protein expression in prostate cancer biopsies at the time of diagnosis were quantified by immunohistochemistry and digital quantification. CCR2 protein expression was detected in prostate cancer cells and was associated with prostate-specific antigen serum concentration (p = 0.045). However, neither CCL2 nor CCR2 tissue expression could predict prostate cancer progression, or other clinicopathological parameters including perineural invasion and patient outcome. In serum samples, CCL2 concentration at the time of diagnosis, as assayed by enzyme-linked immunosorbent assay, was significantly higher in patients with prostate cancer compared with benign prostatic hyperplasia (median difference 0.22 ng/mL, 95% CI, 0.17-0.30) (p < 0.0001) and normal controls (median difference 0.13 ng/mL, 95% CI, 0.13-0.17) (p < 0.0001). However, circulating CCL2 was not statistically significant as a predictor of disease progression and patient outcome. In conclusion, this study shows that although CCL2 and CCR2 are expressed in prostate cancer, with an increased level of CCL2 in the serum, neither CCL2 nor CCR2 expression has a clinical prognostic value in locally advanced prostate cancer.
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  • 文章类型: Journal Article
    在本文中,我们描述了一种基于我们先前开发的光子谐振器吸收显微镜(PRAM)的生物传感仪器,该仪器采用了自动聚焦,金纳米粒子(AuNP)积累的数字表示,以及从光子晶体(PC)表面收集AuNP附着和分离的时间序列图像序列的能力。组合功能用于在生物分子测定期间完全自动化PRAM图像收集,以使得能够平铺PRAM图像以提供毫米尺度的视场。该仪器还可以收集PRAM“电影”,从而在AuNPs到达和离开PC表面时实现数字展示和动态计数。我们在两种生物分子测定的背景下利用这种能力来检测常规AuNP标记的夹心形式的蛋白质生物标志物。在测定过程中利用AuNP附着和脱离事件的动态计数,我们提出了10分钟内微小RNA-375(miRNA-375)低至1aM的检测,室温,无酶方法,同时揭示了生物分子相互作用的结合速率和非结合速率的特征。我们的仪器可以在多路即时诊断测试中找到广泛的应用,并作为具有单分子分辨率的生物分子结合动力学定量表征的通用工具。
    In this paper, we describe a biosensing instrument based on our previously developed photonic resonator absorption microscope (PRAM) that incorporates autofocus, digital representation of the gold nanoparticle (AuNP) accumulation, and the ability to gather time-series image sequences of AuNP attachment and detachment from the photonic crystal (PC) surface. The combined capabilities are used to fully automate PRAM image collection during biomolecular assays to enable tiling of PRAM images to provide millimeter-scale field of view. The instrument can also gather PRAM \"movies\" that enables digital showcasing and dynamic counting AuNPs as they arrive and depart from the PC surface. We utilize the capabilities in the context of two biomolecular assays for detection of protein biomarkers in a conventional AuNP-tagged sandwich format. Utilizing dynamic counting of AuNP attachment and detachment events during the assay we present a detection for microRNA-375 (miRNA-375) down to 1 aM with a 10-min, room temperature, enzyme-free approach, while revealing characteristics of the binding-rate and unbinding-rate of the biomolecular interactions. Our instrument can potentially find broad applications in multiplexed point-of-care diagnostic testing, and as a general-purpose tool for quantitative characterization of biomolecular binding kinetics with single-molecule resolution.
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  • 文章类型: Journal Article
    BUD31,一个拼接因子,与各种癌症有关。本研究检查BUD31的表达,预后价值,突变谱,基因组不稳定性,肿瘤免疫环境,在肾透明细胞癌(ccRCC)中的作用,专注于通过可变剪接进行细胞周期调节。使用TCGA和GTEx数据库分析33种癌症的BUD31表达。技术包括IHC染色,生存分析,Cox回归,和列线图构造。突变景观,基因组不稳定性,并对肿瘤免疫微环境进行评价。ccRCC细胞系的功能测定涉及BUD31敲低,RNA测序,和选择性剪接分析。BUD31在多个肿瘤中上调,包括ccRCC。BUD31高表达与较差的生存结果相关,并被确定为ccRCC预后不良的独立预测因子。高BUD31表达还与增加的基因组不稳定性和较不活跃的免疫微环境相关。BUD31敲低抑制细胞增殖,迁移,和体外侵袭和体内肿瘤生长减少。RNA测序鉴定出390个由BUD31调控的可变剪接事件,包括17个细胞周期相关基因。KEGG分析强调了涉及细胞周期调控的途径,表明BUD31在通过可变剪接促进细胞周期进程中的作用。BUD31在各种肿瘤中上调,并与不良预后相关,增加的基因组不稳定性,和ccRCC中抑制的免疫微环境。BUD31通过选择性剪接促进细胞周期进程,提示其作为ccRCC的预后生物标志物和潜在治疗靶点。
    BUD31, a splicing factor, is linked to various cancers. This study examines BUD31\'s expression, prognostic value, mutation profile, genomic instability, tumor immune environment, and role in clear cell renal cell carcinoma (ccRCC), focusing on cell cycle regulation via alternative splicing. BUD31 expression was analyzed using TCGA and GTEx databases across 33 cancers. Techniques included IHC staining, survival analysis, Cox regression, and nomogram construction. Mutation landscape, genomic instability, and tumor immune microenvironment were evaluated. Functional assays on ccRCC cell lines involved BUD31 knockdown, RNA sequencing, and alternative splicing analysis. BUD31 was upregulated in multiple tumors, including ccRCC. High BUD31 expression correlated with worse survival outcomes and was identified as an independent predictor of poor prognosis in ccRCC. High BUD31 expression also correlated with increased genomic instability and a less active immune microenvironment. BUD31 knockdown inhibited cell proliferation, migration, and invasion in vitro and reduced tumor growth in vivo. RNA sequencing identified 390 alternative splicing events regulated by BUD31, including 17 cell cycle-related genes. KEGG analysis highlighted pathways involved in cell cycle regulation, indicating BUD31\'s role in promoting cell cycle progression through alternative splicing. BUD31 is upregulated in various tumors and is associated with poor outcomes, increased genomic instability, and a suppressed immune microenvironment in ccRCC. BUD31 promotes cell cycle progression via alternative splicing, suggesting it as a prognostic biomarker and potential therapeutic target in ccRCC.
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  • 文章类型: Journal Article
    微卫星不稳定性(MSI)是在几种癌症类型中看到的现象,它可以作为生物标志物来帮助指导免疫检查点抑制剂的治疗。为了促进这一点,研究人员已经开发了计算工具来将样本分类为具有高微卫星不稳定性,或者使用下一代测序数据作为微卫星稳定。这些工具中的大多数都发布了不清楚的范围和用法,他们还没有独立的基准。为了解决这些问题,我们评估了8种领先的MSI工具在几个独特的数据集的性能,这些数据集涵盖了多种测序方法.虽然我们能够在整个外显子组测序数据上复制每个工具的原始发现,在全基因组测序数据上,大多数工具的接受者工作特性和精确召回率曲线下面积较差.我们还发现,他们彼此之间以及与商业MSI软件在基因面板数据上缺乏共识,和最佳阈值截止因测序类型而异。最后,我们测试了专门用于RNA测序数据的工具,发现这些工具在设计用于DNA测序数据的工具中表现优异.最重要的是,两个工具(MSISensor2,MANTIS)在几乎所有数据集上都表现良好,但是当所有数据集合并时,精度下降。我们的结果警告说,与最初评估的数据集相比,MSI工具在数据集上的性能可能要低得多。就RNA测序工具而言,甚至可能对创建它们的数据类型表现不佳。
    Microsatellite instability (MSI) is a phenomenon seen in several cancer types, which can be used as a biomarker to help guide immune checkpoint inhibitor treatment. To facilitate this, researchers have developed computational tools to categorize samples as having high microsatellite instability, or as being microsatellite stable using next-generation sequencing data. Most of these tools were published with unclear scope and usage, and they have yet to be independently benchmarked. To address these issues, we assessed the performance of eight leading MSI tools across several unique datasets that encompass a wide variety of sequencing methods. While we were able to replicate the original findings of each tool on whole exome sequencing data, most tools had worse receiver operating characteristic and precision-recall area under the curve values on whole genome sequencing data. We also found that they lacked agreement with one another and with commercial MSI software on gene panel data, and that optimal threshold cut-offs vary by sequencing type. Lastly, we tested tools made specifically for RNA sequencing data and found they were outperformed by tools designed for use with DNA sequencing data. Out of all, two tools (MSIsensor2, MANTIS) performed well across nearly all datasets, but when all datasets were combined, their precision decreased. Our results caution that MSI tools can have much lower performance on datasets other than those on which they were originally evaluated, and in the case of RNA sequencing tools, can even perform poorly on the type of data for which they were created.
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  • 文章类型: Journal Article
    热休克蛋白90α(Hsp90α)是一种大量表达且进化保守的分子伴侣。Hsp90α是诱导型Hsp90亚型,并且其在细胞外的表达和分泌(eHsp90α)可以响应于多种细胞应激而被触发,以保护/激活客户蛋白并促进细胞对应激的调节。因此,癌症通常具有高表达水平的细胞内和细胞外(血浆)Hsp90α,允许他们支持他们的肿瘤发生和进展。事实上,(e)Hsp90α参与调节过程,如细胞信号传导,DNA修复,促进上皮-间质转化(EMT),促进血管生成,免疫反应,和细胞迁移。在几种癌症中,Hsp90α水平与癌症进展和严重程度相关。表明它可能是癌症的有用生物标志物或药物靶标。迄今为止,细胞内Hsp90α靶向治疗的发展包括标准的N端ATP竞争性抑制剂和与Hsp90α的中间或C端结构域结合的变构调节因子。作为Hsp90α抑制结果的目标毒性和给药并发症推动了eHsp90α靶向疗法的发展。实例包括抗Hsp90α单克隆抗体和细胞不可渗透的Hsp90α小分子抑制剂。这篇综述旨在讨论Hsp90α在癌症进展中的许多作用,重点是Hsp90α靶向治疗的当前发展。
    Heat shock protein 90 alpha (Hsp90α) is an abundantly expressed and evolutionarily conserved molecular chaperone. Hsp90α is the inducible Hsp90 isoform, and its expression and secretion extracellularly (eHsp90α) can be triggered in response to a variety of cellular stresses to protect/activate client proteins and to facilitate cellular adjustment to the stress. As a result, cancers often have high expression levels of intracellular and extracellular (plasma) Hsp90α, allowing them to support their oncogenesis and progression. In fact, (e)Hsp90α has been implicated in regulating processes such as cell signaling transduction, DNA repair, promotion of the Epithelial-to-Mesenchymal Transition (EMT), promotion of angiogenesis, immune response, and cell migration. Hsp90α levels have been correlated with cancer progression and severity in several cancers, indicating that it may be a useful biomarker or drug-target for cancer. To date, the development of intracellular Hsp90α-targeted therapies include standard N-terminal ATP-competitive inhibitors and allosteric regulators that bind to Hsp90α\'s middle or C-terminal domain. On-target toxicities and dosing complications as a result of Hsp90α inhibition has driven the development of eHsp90α-targeted therapies. Examples include anti-Hsp90α monoclonal antibodies and cell-impermeable Hsp90α small molecule inhibitors. This review aims to discuss the many roles Hsp90α plays in cancer progression with a focus on the current development of Hsp90α-targeted therapies.
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  • 文章类型: Journal Article
    在这里,我们报道了通过热解使用色氨酸和甘油作为前体的高荧光石墨烯量子点(GQDs)的单步合成。使用PXRD对制备的GQDs进行了形态和功能表征,FTIR,TEM,XPS和zeta电位测量。制备的GQDs发现了它们在超灵敏检测一种新兴的潜在癌症生物标志物中的实际应用。H2O2,通过利用H2O2的荧光猝灭行为。为了评估检测灵敏度,一系列不同浓度的H2O2被添加到生物基质中,血清和MCF-7(人乳腺癌细胞系)细胞裂解物培养基。在血清培养基(139.5pM)中发现了显着低的检测限(LOD),在MCF-7细胞裂解物培养基(LOD61.43pM)中进一步提高。此外,GQDs的传感能力在各种生理变量如葡萄糖的存在下进一步验证,胆固醇,胰岛素和亚硝酸盐。还在HaCaT(人角质形成细胞系)细胞裂解物培养基中进行传感测定,以比较我们制备的传感器的性能,但是F0/F对H2O2浓度图的非线性指向MCF-7细胞裂解物培养基用于H2O2的灵敏检测的导电性。还使用光谱学方法探索了传感背后的机制。
    Herein, we report a single step synthesis of highly fluorescent Graphene Quantum Dots (GQDs) using tryptophan and glycerol as precursors via pyrolysis. The morphological and functional characterization of the prepared GQDs was performed using PXRD, FTIR, TEM, XPS and zeta potential measurements. The prepared GQDs found their practical application in ultrasensitive detection of an emerging potential cancer biomarker, H2O2, by exploiting the fluorescence quenching behaviour of H2O2. To evaluate the detection sensitivity, a series of various concentrations of H2O2 was spiked to biomatrices like, serum and MCF-7 (human breast cancer cell line) cell lysate medium. A remarkably low limit of detection (LOD) was found in serum medium (139.5 pM) which further improved in MCF-7 cell lysate medium (LOD 61.43 pM). Moreover, the sensing capacity of the GQDs was further validated in presence of various physiological variables such as glucose, cholesterol, insulin and nitrite. Sensing assay was also carried out in HaCaT (human keratinocyte cell line) cell lysate medium to compare the performance of our prepared sensor but the non-linearity of the F0/F versus H2O2 concentration plot pointed towards the conduciveness of the MCF-7 cell lysate medium for sensitive detection of H2O2.The mechanism behind the sensing was also explored using spectroscopic methods.
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  • 文章类型: Journal Article
    长链非编码RNA(lncRNAs)由于其在基因表达调控中的关键作用以及与各种人类疾病的关联而在生物医学研究中引起了广泛关注。在这些lncRNAs中,带有RhoGAP域的ArfGAP,Ankyrin重复,PH结构域1-反义RNA1(ARAP1-AS1)最近已成为一种新型的致癌分子。ARAP1-AS1在许多实体瘤中明显过表达,并通过调节基因表达和信号通路产生影响。这种监管影响是通过双重机制实现的,涉及与microRNAs的竞争性相互作用和直接蛋白质结合。ARAP1-AS1在驱动肿瘤发生和恶性肿瘤进展中发挥重要作用,影响生物学特性,如肿瘤扩张和转移。本文简要综述了ARAP1-AS1在恶性肿瘤中的调节作用,并讨论了其作为生物标志物和治疗靶点的潜在临床应用。我们还解决了现有的知识差距,并提出了未来研究的途径。ARAP1-AS1是lncRNA研究新兴领域中的一个典型例子,提供对非编码RNA分子更广泛领域的见解。这项研究增强了我们对控制癌症进展的复杂机制的理解。
    Long non-coding RNAs (lncRNAs) have garnered significant attention in biomedical research due to their pivotal roles in gene expression regulation and their association with various human diseases. Among these lncRNAs, ArfGAP With RhoGAP Domain, Ankyrin Repeat, And PH Domain 1 - Antisense RNA 1 (ARAP1-AS1) has recently emerged as an novel oncogenic player. ARAP1-AS1 is prominently overexpressed in numerous solid tumors and wields influence by modulating gene expression and signaling pathways. This regulatory impact is realized through dual mechanisms, involving both competitive interactions with microRNAs and direct protein binding. ARAP1-AS1 assumes an important role in driving tumorigenesis and malignant tumor progression, affecting biological characteristics such as tumor expansion and metastasis. This paper provides a concise review of the regulatory role of ARAP1-AS1 in malignant tumors and discuss its potential clinical applications as a biomarker and therapeutic target. We also address existing knowledge gaps and suggest avenues for future research. ARAP1-AS1 serves as a prototypical example within the burgeoning field of lncRNA studies, offering insights into the broader landscape of non-coding RNA molecules. This investigation enhances our comprehension of the complex mechanisms that govern the progression of cancer.
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  • 文章类型: Journal Article
    在快速发展的医学诊断领域,生物标志物起着关键作用,特别是在癌症的早期检测中。分化簇5(CD5),在T细胞和B-1a淋巴细胞上发现的细胞表面糖蛋白,在免疫调节中起作用,并与自身免疫性疾病和恶性肿瘤有关。尽管其巨大的诊断和治疗潜力,CD5检测已被现代方法限制在pg/ml范围内。这项研究提出了一种新型的多模态电化学免疫传感器,该传感器采用激光处理的Ti/Au电极来超灵敏地检测人血清中的CD5。“多峰”方法结合了不同的分析技术-差分脉冲伏安法(DPV)和电化学阻抗谱(EIS)-以确保全面的分析,提高传感器的精度和可靠性。这种新型传感器明显优于现有的商业ELISA试剂盒,在磷酸盐缓冲盐水(PBS)中,使用DPV实现1.1±0.2fg/mL的检测限(LOD),使用EIS实现3.9±0.5fg/mL的检测限(LOD),在人血清中实现6.6±3.1fg/mL和15.6±3.1fg/mL(HS),分别。这些结果突出了免疫传感器在改善早期癌症诊断和更广泛的医学应用方面的潜力。
    In the rapidly evolving field of medical diagnostics, biomarkers play a pivotal role, particularly in the early detection of cancer. Cluster of differentiation 5 (CD5), a cell surface glycoprotein found on T cells and B-1a lymphocytes, is instrumental in immune regulation and is associated with both autoimmune diseases and malignancies. Despite its significant diagnostic and therapeutic potential, CD5 detection has been limited by modern methods in the pg/ml range. This study presents a novel multimodal electrochemical immunosensor that employs laser-processed Ti/Au electrodes for the ultra-sensitive detection of CD5 in human blood serum. The \"multimodal\" approach combines different analytical techniques - differential pulse volctammetry (DPV) and electrochemical impedance spectroscopy (EIS) - to ensure comprehensive analysis, enhancing both the accuracy and reliability of the sensor. This novel sensor significantly outperforms existing commercial ELISA kits, achieving a limit of detection (LOD) of 1.1 ± 0.2 fg/mL with DPV and 3.9 ± 0.5 fg/mL with EIS in phosphate-buffered saline (PBS) and 6.6 ± 3.1 fg/mL and 15.6 ± 3.1 fg/mL in human serum (HS), respectively. These results highlight the immunosensor\'s potential for improving early-stage cancer diagnosis and broader medical applications.
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  • 文章类型: Journal Article
    癌症在全球范围内构成了重大的公共卫生挑战。及时筛查有可能减轻癌症进展和降低死亡率。目前,大多数肿瘤的早期识别依赖于成像技术和组织活检.然而,低成本的使用,高度敏感,用于早期癌症筛查的非侵入性检测方法变得更具吸引力。所有活细胞释放的细胞外囊泡(EV)含有独特的生物成分,如核酸,蛋白质,和脂质。这些囊泡在肿瘤微环境和肿瘤进展过程中的细胞间通讯中起着至关重要的作用。液体活检是一种特别合适的诊断方法。然而,与纯化方法和疗效验证相关的挑战目前阻碍了其广泛的临床实施.这些限制强调了完善隔离技术和对电动汽车进行全面调查的重要性。本研究旨在评估利用血液来源的电动汽车作为一种实用的液体活检的潜力,成本效益高,和安全的早期癌症检测方法。
    Cancer poses a significant public health challenge worldwide, and timely screening has the potential to mitigate cancer progression and reduce mortality rates. Currently, early identification of most tumors relies on imaging techniques and tissue biopsies. However, the use of low-cost, highly sensitive, non-invasive detection methods for early cancer screening has become more attractive. Extracellular Vesicles (EVs) released by all living cells contain distinctive biological components, such as nucleic acids, proteins, and lipids. These vesicles play crucial roles in the tumor microenvironment and intercellular communication during tumor progression, rendering liquid biopsy a particularly suitable method for diagnosis. Nevertheless, challenges related to purification methods and validation of efficacy currently hinder its widespread clinical implementation. These limitations underscore the importance of refining isolation techniques and conducting comprehensive investigations on EVs. This study seeks to evaluate the potential of liquid biopsy utilizing blood-derived EVs as a practical, cost-effective, and secure approach for early cancer detection.
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  • 文章类型: Journal Article
    背景:美国每年有54,000例新的口腔癌和口咽癌病例,全世界每年有超过476,000例。由于晚期诊断的流行,口腔和口咽鳞状细胞癌构成了大多数肿瘤,五年生存率为50%。迫切需要改进高风险个体的早期检测方法。我们旨在评估使用口腔冲洗作为负担得起的方便的癌症检测筛查工具测量的致瘤性生物标志物可溶性CD44(solCD44)和总蛋白(TP)。
    方法:在这项前瞻性队列研究中,我们通过社区筛查计划招募了150名健康的现在或以前的吸烟者.从2011年3月至2016年1月进行了基线和四次年度访问,记录一直持续到2020年8月。参与者提供了口腔冲洗液,接受了头部和颈部检查,并填写了问卷。测量并跨各组和时间比较SolCD44和TP水平。如果在研究期间出现恶性肿瘤,则将参与者置于癌症组,如果体检涉及头颈部癌前疾病或癌症,则为可疑组,和健康组,如果没有可疑的发现。该分析使用双样本t检验进行均值比较,使用双样本Wilcoxon检验进行中位数比较。对于有随访的受试者,生物标志物的估计平均值是从拟合的重复测量方差分析(RANOVA)模型获得的,包括组,访问,和他们的互动。对solCD44的平均值进行了成对比较,包括不同年份的组间和组内数值比较。
    结果:大多数参与者是男性(58.7%),<60岁。(90.7%),黑色(100%)与可疑组(1.849ng/ml)和健康组(1.779ng/ml)相比,癌症组的基线平均solCD44升高(2.781ng/ml)。
    结论:这项研究支持基于CD44的口腔冲洗试验作为一种经济实惠且方便的辅助工具,用于在高危人群中早期检测呼吸消化道和其他癌症。
    BACKGROUND: There are 54,000 new cases of oral cavity and oropharyngeal cancer in the United States and more than 476,000 worldwide each year. Oral cavity and oropharyngeal squamous cell carcinoma make up most tumors with five-year survival rates of 50% due to prevalence of late-stage diagnoses. Improved methods of early detection in high-risk individuals are urgently needed. We aimed to assess the tumorigenic biomarkers soluble CD44 (solCD44) and total protein (TP) measured using oral rinses as affordable convenient screening tools for cancer detection.
    METHODS: In this prospective cohort study, we recruited 150 healthy current or former smokers through a community screening program. Baseline and four annual visits were conducted from March 2011-January 2016 with records followed until August 2020. Participants provided oral rinses, received head and neck exams, and completed questionnaires. SolCD44 and TP levels were measured and compared across groups and time. Participants were placed in the cancer group if malignancy developed in the study period, the suspicious group if physical exams were concerning for premalignant disease or cancer in the head and neck, and the healthy group if there were no suspicious findings. This analysis used two-sample t-test for comparison of means and two-sample Wilcoxon Test for comparison of medians. For subjects with follow-ups, estimated means of biomarkers were obtained from a fitted Repeated Measures Analysis of Variance (RANOVA) model including group, visit, and their interaction. Pairwise comparisons of mean solCD44 were made, including intergroup and intragroup comparison of values at different years.
    RESULTS: Most participants were males (58.7%), < 60 years of age. (90.7%), and Black (100%). Baseline mean solCD44 was elevated (2.781 ng/ml) in the cancer group compared to the suspicious group (1.849 ng/ml) and healthy group (1.779 ng/ml).
    CONCLUSIONS: This study supports the feasibility of a CD44-based oral rinse test as an affordable and convenient adjunctive tool for early detection of aerodigestive tract and other cancers in high-risk populations.
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