biospecimen

生物标本
  • 文章类型: Journal Article
    应定期准确地测量肿瘤标志物,以防止,诊断,并有效监测癌症。我们旨在表征影响即时测试(POCT)平台IchromaTMII(BoditechMedInc.,江原道,韩国)甲胎蛋白(AFP),癌胚抗原(CEA),和前列腺特异性抗原(PSA),并评估其在临床实践中的后果。在综合评价IchromaTMⅡ的分析性能包括精密度的基础上,线性度和根据CLSI指南进行的方法比较,对样品类型和条件的分析前因素进行了广泛分析。总共五种样本类型[血清,来自EDTA管的血浆(PL)和全血(WB),来自40例患者的来自肝素钠管的PL和WB]用于比较样本类型。此外,在室温下评估长达21小时的稳定性,冷藏8天,并使用4个水平的合并患者样本冷冻16周,该样本一式三份进行测量。Precision,在所有三种肿瘤标志物中观察到的与中心实验室分析仪的线性和相关性在可接受的标准内。然而,根据样品类型和储存条件观察到不同程度的百分比偏差。当在室温或冷藏条件下储存时,只有EDTAPL样品对所有三种肿瘤标记物呈现临床上可接受的百分比偏差。当在冷冻条件下储存时,观察到CEA和PSA在储存期间直至16周的正偏差。虽然IchromaTMII作为POCT平台显示出足够的分析性能,但具有用于测量肿瘤标志物的简单操作程序,当实际使用不同类型的血液样本时,临床实验室应该意识到稳定性问题。
    Tumor markers should be measured regularly and accurately to prevent, diagnose, and monitor cancers efficiently. We aimed to characterize the pre-analytical factors effecting on the analytical performance of point-of-care test (POCT) platform IchromaTM II (Boditech Med Inc., Gangwon-do, Korea) for alpha-fetoprotein (AFP), carcinoembryonic antigen (CEA), and prostate specific antigen (PSA) and evaluate their consequences in clinical practice. Based on comprehensive evaluation for the analytical performance of IchromaTM II including precision, linearity, and method comparison performed according to CLSI guidelines, pre-analytical factors of sample types and conditions were extensively analyzed. A total of five sample types [serum, plasma (PL) and whole blood (WB) from EDTA tube, PL and WB from sodium heparin tube] from 40 patients were used for comparing among specimen types. Additionally, stability was assessed up to 21 h at room temperature, refrigerated for 8 days, and frozen for 16 weeks by using 4 levels of pooled patient samples which were measured in triplicate. Precision, linearity and correlation with central laboratory analyzers observed in all three tumor markers were within acceptable criteria. However, variable degrees of percent deviations were observed according to sample type and storage conditions. Only EDTA PL samples presented clinically acceptable percentage biases for all three tumor markers when stored at room temperature or refrigerated condition. Positive bias of CEA and PSA in storage duration until 16 weeks were observed when stored in frozen condition. While IchromaTM II showed an adequate analytical performance as a POCT platform with simple operating procedures for the measurement of tumor markers, clinical laboratories should be aware of stability issues when different types of blood specimens are practically utilized.
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  • 文章类型: Journal Article
    气候变化导致野火的频率和强度增加。由于野火发生的不可预测性质,研究其急性影响是有限的,这需要易于部署的技术来收集生物标本。为了确定野火急性效应的生物标志物,我们在8名健康的露营者(4名男性和4名女性)中进行了这项探索性研究,尿液,唾液,和皮肤湿巾在不同的时间点之前,during,在露营活动中暴露于木烟4小时后。在暴露期间,空气中的黑碳和参与者硅胶腕带中的多环芳烃浓度显着升高。在测量的30种花生四烯酸代谢物中,脂氧合酶代谢物在鼻液和唾液中更丰富,而环氧合酶和非酶代谢产物在尿中更丰富。我们观察到急剧增加,暴露后8小时,在尿中PGE2(398%)和15-酮-PGF2α(191%)(FDR<10%),男性比女性增加更多(FDR<0.01%)。尿液或其他生物样本中的其他代谢物未观察到显着变化。我们的结果表明,尿PGE2和15-keto-PGF2α是有希望的生物标志物,反映了短期暴露于野火引起的病理生理(可能是性别依赖性)变化。
    Climate change has contributed to increased frequency and intensity of wildfire. Studying its acute effects is limited due to unpredictable nature of wildfire occurrence, which necessitates readily deployable techniques to collect biospecimens. To identify biomarkers of wildfire\'s acute effects, we conducted this exploratory study in eight healthy campers (four men and four women) who self-collected nasal fluid, urine, saliva, and skin wipes at different time points before, during, and after 4-hour exposure to wood smoke in a camping event. Concentrations of black carbon in the air and polycyclic aromatic hydrocarbons in participants\' silicone wristbands were significantly elevated during the exposure session. Among 30 arachidonic acid metabolites measured, lipoxygenase metabolites were more abundant in nasal fluid and saliva, whereas cyclooxygenase and non-enzymatic metabolites were more abundant in urine. We observed drastic increases, at 8 hours following the exposure, in urinary levels of PGE2 (398%) and 15-keto-PGF2α (191%) (FDR<10%), with greater increases in men (FDR < 0.01%) than in women. No significant changes were observed for other metabolites in urine or the other biospecimens. Our results suggest urinary PGE2 and 15-keto-PGF2α as promising biomarkers reflecting pathophysiologic (likely sex-dependent) changes induced by short-term exposure to wildfire.
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  • 文章类型: Journal Article
    目的:黑人女性在临床研究和临床试验中的代表性不足。知识差距导致有偏见的临床实践和护理。当研究人员寻求生物样本捐赠时,关于黑人妇女对参与的看法的文献很少,但越来越多。这是第一项已知的研究,调查美国育龄黑人妇女参与涉及生物样本捐赠的临床研究的意愿。
    方法:这项横断面研究从一个研究众包平台招募了496名黑人女性(18-49岁)。参与者完成了一项46项在线调查,询问他们是否愿意为临床健康研究提供血液样本,以及他们愿意或不愿意的原因。采用描述性统计和专题分析方法对数据进行分析。
    结果:不到一半(44%)的参与者表示愿意为临床研究提供血液样本。那些表示不愿意提供样本的人最普遍的担忧是“担心血液样本被滥用”和“对处理样本的健康研究人员不信任”。“我们从对参与者的开放式回答的分析中确定了六个定性主题。最重要的因素包括对研究的完整性和透明度的渴望,造成不信任的制度性种族主义,充分的补偿和明确界定的参与利益。
    结论:黑人女性在临床生物样本研究中的招募和参与应该包括透明的,值得信赖,以及反种族主义的做法和对黑人妇女自主权的知情尊重。有必要解决黑人妇女对剥削性利润和对学术和医疗机构的不信任的担忧。
    OBJECTIVE: Black women are underrepresented in clinical research and clinical trials. Knowledge gaps lead to biased clinical practice and care. There is a small but growing body of literature on Black women\'s perceptions about participation when biospecimen donation is sought by researchers. This is the first known study to investigate willingness to participate in clinical research involving biospecimen donation among Black women of reproductive age in the United States.
    METHODS: This cross-sectional study recruited 496 Black women (ages 18-49) from a research crowdsourcing platform. Participants completed a 46-item online survey which asked about their willingness to provide blood samples for clinical health research and reasons for their willingness or for any unwillingness. Descriptive statistics and thematic analysis method were used to analyze the data.
    RESULTS: Less than half (44%) of participants reported willingness to provide blood samples for clinical research. The most common concerns of those expressing unwillingness to provide samples were \"fear of blood sample being misused\" and \"distrust with the health researchers handling the samples.\" We identified six qualitative themes from the analysis of participants\' open-ended responses. The most important factors include a desire for integrity and transparency in research, institutional racism contributing to mistrust, and adequate compensation and clearly defined benefits to participation.
    CONCLUSIONS: The recruitment and engagement of Black women in clinical biospecimen research should involve transparent, trustworthy, and anti-racist practices and informed respect for Black women\'s autonomy. There is a need to address Black women\'s concerns about exploitative profits and mistrust of academic and medical institutions.
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  • 文章类型: Journal Article
    兽医生物库存储样品以备将来使用,并将样品分发给学术研究人员和行业实体;但是,主人为有助于生物库的宠物提供的知情同意可能会因对目标的有限理解而变得复杂,目的,和生物作业的物流。
    这项基于调查的研究旨在收集宠物主人关于他们如何看待允许他们的宠物为兽医生物库做出贡献的反馈,以确定改善教育的机会为目标,对兽医生物样本计划的认识,和同意程序。向2,119名宠物主人的listserv分发了电子调查,并收到了118名受访者(5.6%)的答复。
    大多数受访者(67%)在回答调查之前不熟悉兽医生物库的概念。大多数(89%)愿意让他们的健康宠物为兽医生物样本计划提供样本。百分之九十五的人会允许他们生病的宠物做出贡献。大多数人对经济激励作为参与的动机持中立态度,虽然40%的人表示,如果他们的宠物的状况导致了人道安乐死的决定,如果兽医生物样本库计划涵盖安乐死的费用,他们将更有可能为生物库做出贡献。常见的问题包括安全性/机密性(36%),结果不会与他们分享(33%),或者样本将被用于广告之外的其他目的(22%)。
    这些结果表明,兽用生物引导计划受到主人的欢迎,并且大多数人愿意允许他们的宠物参与。受访者的担忧代表了兽医生物银行改善信息传递和传播他们支持的工作结果的机会。
    UNASSIGNED: Veterinary biobanks store samples for future use and distribute samples to academic researchers and industry entities; however, informed consent provided by owners for pets contributing to biobanks can be complicated by limited understanding of goals, purpose, and logistics of biobanking.
    UNASSIGNED: This survey-based study aimed to gather feedback from pet owners on how they viewed allowing their pet to contribute to a veterinary biobank, with the goal of identifying opportunities to improve education, awareness of veterinary biobanking initiatives, and the consent processes. An electronic survey was distributed to a listserv of 2,119 pet owners and responses were received from 118 respondents (5.6%).
    UNASSIGNED: Most respondents (67%) were not familiar with the concept of veterinary biobanking prior to having responded to the survey. Most (89%) were willing to allow their healthy pet to contribute samples to a veterinary biobanking program. Ninety-five percent would allow their sick pet to contribute. Most were neutral about financial incentives as a motivator to participate, although 40% indicated that if their pet\'s condition resulted in a decision to humanely euthanize, they would be more likely to contribute to the biobank if the veterinary biobanking program covered the cost of euthanasia. Common concerns included security/confidentiality (36%), that results would not be shared with them (33%) or that samples would be used for other purposes beyond those advertised (22%).
    UNASSIGNED: These results suggest veterinary biobanking initiatives are well received by owners and most are willing to allow their pets to participate. Respondent concerns represent opportunities for veterinary biobanks to improve messaging and dissemination of results from work they support.
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  • 文章类型: Journal Article
    背景:脓毒症是一种常见且致命的综合征,每年超过1100万人死亡。为了更深入地了解导致败血症不良结局的宿主和病原体机制,从而可能告知新的治疗目标,复杂的,通常需要昂贵的生物储存库。我们建议残余生物标本是机械性败血症研究的替代方法,尽管这些残留物的可行性和科学价值尚不清楚。
    结果:败血症研究中的残余生物样本调查是一项前瞻性队列研究,对225名成年人(年龄≥18岁)因社区败血症而到急诊科就诊,定义为在到达后6小时内的脓毒症-3标准。主要目的是确定与电子健康记录中的临床表型相关的败血症中残留生物标本库的科学价值。我们将研究脓毒症生物学的候选多体读数,受概念模型支配,并确定精度,准确度,完整性,和蛋白质的可比性,小分子,脂质,与根据研究方案获得的成对生物标本相比,残余生物标本中的病原体测序。配对的生物标本将包括来自肝素钠的血浆,EDTA,氟化钠,和柠檬酸管。
    结论:该研究已获得匹兹堡大学人类研究保护办公室的批准(研究21120013)。招聘于2022年10月25日开始,计划于2024年发布主要结果。结果将向公众公布,资助者,重症监护协会,实验室医学科学家,和其他研究人员。
    BACKGROUND: Sepsis is a common and deadly syndrome, accounting for more than 11 million deaths annually. To mature a deeper understanding of the host and pathogen mechanisms contributing to poor outcomes in sepsis, and thereby possibly inform new therapeutic targets, sophisticated, and expensive biorepositories are typically required. We propose that remnant biospecimens are an alternative for mechanistic sepsis research, although the viability and scientific value of such remnants are unknown.
    RESULTS: The Remnant Biospecimen Investigation in Sepsis study is a prospective cohort study of 225 adults (age ≥ 18 yr) presenting to the emergency department with community sepsis, defined as sepsis-3 criteria within 6 hours of arrival. The primary objective was to determine the scientific value of a remnant biospecimen repository in sepsis linked to clinical phenotyping in the electronic health record. We will study candidate multiomic readouts of sepsis biology, governed by a conceptual model, and determine the precision, accuracy, integrity, and comparability of proteins, small molecules, lipids, and pathogen sequencing in remnant biospecimens compared with paired biospecimens obtained according to research protocols. Paired biospecimens will include plasma from sodium-heparin, EDTA, sodium fluoride, and citrate tubes.
    CONCLUSIONS: The study has received approval from the University of Pittsburgh Human Research Protection Office (Study 21120013). Recruitment began on October 25, 2022, with planned release of primary results anticipated in 2024. Results will be made available to the public, the funders, critical care societies, laboratory medicine scientists, and other researchers.
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  • 文章类型: Journal Article
    相关生物样本的可用性支持基础科学研究和以患者为中心的临床研究。建立生物存储库面临多个层面的挑战。这些任务包括定义任务定义和范围;选择受试者和样本类型;招募策略;患者旅程中的收集时间;样本后勤和处理;确定要收集的临床数据;确保样本运输的完整性,processing,和存储;定义治理结构和监督责任;澄清样本来源和所有权;建立样本和数据访问程序;选择常规进行的测试与应要求进行的测试,和结果管理;数据安全;资金来源;和法规遵从性。因此,建立和维护生物存储库需要仔细规划,勤奋和持续的执行,技术和财政资源,利益相关者支持,以及灵活和有弹性的管理,以响应不断变化的环境和需求。
    Availability of relevant biological samples supports both basic science research and patient-centered clinical studies. Establishing a biorepository faces challenges at multiple levels. These tasks include defining mission definition and scope; selection of subjects and sample types; recruitment strategies; timing of collection in the patient\'s journey; sample logistics and processing; determining what clinical data to collect; ensuring sample integrity on transport, processing, and storage; defining governance structures and oversight responsibilities; clarifying sample provenance and ownership; establishing procedures for sample and data access; selecting testing to be performed routinely versus upon request, and management of results; data security; funding sources; and regulatory compliance. Establishing and maintaining a biorepository therefore requires careful planning, diligent and sustained execution, technical and financial resources, stakeholder support, and flexible and resilient management to respond to changing environments and needs.
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  • 文章类型: Journal Article
    用于疾病诊断和治疗功效评估的新型生物标志物的开发利用广泛的生物样本进行发现研究。用于生物标志物开发目的的生物样本的适合性取决于供体的临床特征以及许多关键的和潜在不受控制的分析前变量。分析前因素影响要分析的生物标志物的可靠性,并可能严重影响分析结果。生物存储库可以利用样品质量分层分析和工具来最大程度地减少样品质量不一致导致的偏差。在这项研究中,我们通过比较采集后1年,5年和10年的分析结果来评估生物样本的质量.我们的结果表明,生物库实验室可以使用当前可用的分析方法和工具来支持客观的生物样本鉴定。我们已经建立了一个工作流程来监测不同类型的生物标本的质量,在这项研究中,介绍在泌尿外科疾病中应用于液体样本及其衍生物的资格鉴定练习的结果。
    Development of novel biomarkers for diagnosis of disease and assessment of treatment efficacy utilizes a wide range of biospecimens for discovery research. The fitness of biospecimens for the purpose of biomarker development depends on the clinical characteristics of the donor and on a number of critical and potentially uncontrolled pre-analytical variables. Pre-analytical factors influence the reliability of the biomarkers to be analyzed and can seriously impact analytic outcomes. Sample quality stratification assays and tools can be utilized by biorepositories to minimize bias resulting from samples\' inconsistent quality. In this study, we evaluated the quality of biobanked specimens by comparing analytical outcomes at 1, 5, and 10 years after collection. Our results demonstrate that currently available assays and tools can be used by biobank laboratories to support objective biospecimen qualification. We have established a workflow to monitor the quality of different types of biospecimens and, in this study, present the results of a qualification exercise applied to fluid samples and their derivatives in the context of urological diseases.
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  • 文章类型: Journal Article
    了解神经泌尿系统疾病的分子机制对于发展有针对性的治疗干预措施至关重要。通过建立综合性生物银行,研究人员可以收集和储存各种生物标本,包括尿液,血,组织,和DNA样本,研究这些机制。在神经泌尿学方面,生物带有利于遗传变异的识别,表观遗传修饰,和与神经源性下尿路功能障碍相关的基因表达模式。这些情况通常表现为神经疾病的症状,如阿尔茨海默病,多发性硬化症,帕金森病,脊髓损伤,和许多其他人。对这些患者的组织样本进行生物分析对于理解为什么这些疾病会导致各自的症状以及可以采取什么措施来缓解这些症状至关重要。利用高通量技术,如下一代测序和基因表达谱分析,使研究人员能够以前所未有的方式探索这些条件的分子景观。这些努力导致的特定和可靠的生物标志物的开发可能有助于早期检测,准确诊断,以及对神经泌尿系统状况的有效监测,改善患者护理和管理。此外,这些生物标志物可能有助于监测神经泌尿学临床试验中目前正在研究的新疗法.这篇全面的综述探讨了神经泌尿学和生物样本的协同整合,特别强调神经泌尿学分子研究中生物库方法的翻译。我们讨论了神经泌尿学研究中生物库的优势,采集的标本类型及其在转化研究中的应用。此外,我们强调了在收集样品时标准化和质量保证的重要性,并讨论了可能损害样品质量并限制其后续使用的挑战。最后,我们为多中心研究中的抽样提供建议,检查与生物作业相关的可持续性问题,并为这个动态领域提供未来的方向。
    Understanding the molecular mechanisms underlying neuro-urological disorders is crucial for the development of targeted therapeutic interventions. Through the establishment of comprehensive biobanks, researchers can collect and store various biological specimens, including urine, blood, tissue, and DNA samples, to study these mechanisms. In the context of neuro-urology, biobanking facilitates the identification of genetic variations, epigenetic modifications, and gene expression patterns associated with neurogenic lower urinary tract dysfunction. These conditions often present as symptoms of neurological diseases such as Alzheimer\'s disease, multiple sclerosis, Parkinson\'s disease, spinal cord injury, and many others. Biobanking of tissue specimens from such patients is essential to understand why these diseases cause the respective symptoms and what can be done to alleviate them. The utilization of high-throughput technologies, such as next-generation sequencing and gene expression profiling, enables researchers to explore the molecular landscape of these conditions in an unprecedented manner. The development of specific and reliable biomarkers resulting from these efforts may help in early detection, accurate diagnosis, and effective monitoring of neuro-urological conditions, leading to improved patient care and management. Furthermore, these biomarkers could potentially facilitate the monitoring of novel therapies currently under investigation in neuro-urological clinical trials. This comprehensive review explores the synergistic integration of neuro-urology and biobanking, with particular emphasis on the translation of biobanking approaches in molecular research in neuro-urology. We discuss the advantages of biobanking in neuro-urological studies, the types of specimens collected and their applications in translational research. Furthermore, we highlight the importance of standardization and quality assurance when collecting samples and discuss challenges that may compromise sample quality and impose limitations on their subsequent utilization. Finally, we give recommendations for sampling in multicenter studies, examine sustainability issues associated with biobanking, and provide future directions for this dynamic field.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    生物银行是一个聚集的组织,refines,保留并提供对生物标本的访问以及可用于应用或临床研究的相关临床数据。生物样本是个性化医疗科学基础的关键组成部分;这意味着高质量的人类生物样本的可及性。比如血,组织,和其他体液,以及与之相关的患者临床数据。
    本文概述了生物库在肿瘤学中的功能以及在转化和临床研究中对生物库开发的要求。
    生物银行提出了许多道德问题,政府机构通过制定特定法律来解决这些问题。发展个性化医疗,生物银行至关重要,考虑到有充分注释的临床和病理数据的患者样本的广泛收集是必不可少的。此外,与生物样本相关的数据引发了复杂的伦理问题,legal,和社会问题,特别是关于保护捐赠者隐私和适当使用收集的样本。已经制定了国际标准来解决这些问题,以确保生物样本管理的质量,安全,和正直。
    生物标记对推进生物医学研究至关重要,支持临床应用,提高我们对人类健康和疾病的认识。使用真实世界的数据和生物样本可以加速医学研究,支持个性化医疗计划,改善病人护理。
    UNASSIGNED: A biobank is an organization that gathers, refines, preserves and provides access to biospecimens along with relevant clinical data that can be used in applied or clinical research. Biobanking is a critical component of the scientific foundation for personalized medicine; this implies the accessibility of high-quality human biospecimens, such as blood, tissue, and other body fluids, along with the patient clinical data that goes with them.
    UNASSIGNED: This paper summarizes the function of biobanks in oncology and the requirements for biobank development in translational and clinical research.
    UNASSIGNED: Biobanks raise numerous ethical issues that government agencies address by enacting particular laws. To develop personalized medicine, biobanks are crucial, given that the availability of an extensive collection of patient samples with thoroughly annotated clinical and pathological data is an essential necessity. Also, data related to biobanking raises complex ethical, legal, and social issues, particularly concerning the protection of donor privacy and the appropriate use of collected samples. International standards have been developed to address these issues to ensure biobanking practices\' quality, safety, and integrity.
    UNASSIGNED: Biobanking is vital in advancing biomedical research, supporting clinical applications, and enhancing our understanding of human health and disease. Using real-world data and biobanking can accelerate medical research, support personalized medicine initiatives, and improve patient care.
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