plasma

血浆
  • 文章类型: Journal Article
    目的:进行这项研究是为了评估等离子处理喷砂和酸蚀(SLA)钛植入物对比格犬模型中表面清洁和骨整合的影响。
    方法:对于形态学分析和XPS分析,采用扫描电子显微镜和X射线光电子能谱技术分析了等离子体处理前后种植体的表面形貌和化学组成。对于这个动物实验,将12个SLA钛植入物分为两组:对照组(未处理的植入物)和等离子体组(用等离子体处理的植入物)。每组随机定位在比格犬的下颌骨中(n=6)。8周后,小猎犬被牺牲了,在感兴趣区域内进行体积分析和组织测量分析。
    结果:在形态学分析中,等离子体处理不会改变植入物表面形貌或造成任何物理损伤。在XPS分析中,等离子体处理前检测点的碳原子百分比为34.09%。等离子体处理后,降至18.74%,表明碳减少了45%。在体积分析和组织学分析中,血浆组表现出相对较高的新骨体积(NBV)的平均值,骨与植入物接触(BIC),与对照组相比,螺纹间骨密度(ITBD)。然而,两组比较差异无统计学意义(P>.05)。
    结论:在本研究的范围内,等离子体处理有效地消除碳氢化合物而不改变植入物表面。
    OBJECTIVE: This study was conducted to evaluate the effects of plasma treatment of sandblasted and acid-etched (SLA) titanium implants on surface cleansing and osseointegration in a beagle model.
    METHODS: For morphological analysis and XPS analysis, scanning electron microscope and x-ray photoelectron spectroscopy were used to analyze the surface topography and chemical compositions of implant before and after plasma treatment. For this animal experiment, twelve SLA titanium implants were divided into two groups: a control group (untreated implants) and a plasma group (implants treated with plasma). Each group was randomly located in the mandibular bone of the beagle dog (n = 6). After 8 weeks, the beagle dogs were sacrificed, and volumetric analysis and histometric analysis were performed within the region of interest.
    RESULTS: In morphological analysis, plasma treatment did not alter the implant surface topography or cause any physical damage. In XPS analysis, the atomic percentage of carbon at the inspection point before the plasma treatment was 34.09%. After the plasma treatment, it was reduced to 18.74%, indicating a 45% reduction in carbon. In volumetric analysis and histometric analysis, the plasma group exhibited relatively higher mean values for new bone volume (NBV), bone to implant contact (BIC), and inter-thread bone density (ITBD) compared to the control group. However, there was no significant difference between the two groups (P > .05).
    CONCLUSIONS: Within the limits of this study, plasma treatment effectively eliminated hydrocarbons without changing the implant surface.
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  • 文章类型: Journal Article
    甲芬那酸,以其镇痛特性而闻名,作为缓解轻度至中度疼痛的可靠选择。然而,它的多功能性超越了疼痛缓解,正在进行的研究揭示了其在不同领域的有前途的治疗潜力。一个直截了当的,环保,和灵敏的荧光光谱技术已经开发用于精确定量镇痛药物,甲芬那酸.该方法依赖于探针在与不同浓度的药物相互作用时发射的荧光的立即减少。利用的荧光探针,N-苯基-1-萘胺(NPNA),一步合成,使用波长差为200nm的同步荧光光谱法在480nm处测量荧光强度。温度变化和寿命研究表明,淬火过程是静态的。校准曲线在0.50-9.00μg/mL浓度范围内呈线性关系,检测限为60.00ng/mL。精心检查和优化了影响淬火过程的各种实验参数。所提出的技术已成功应用于测定药物制剂中的甲芬那酸,等离子体,和尿液,回收率从98%到100.5%不等。所开发方法的绿色性使用三个指标进行评估:分析生态尺度,同意,和绿色分析程序指数。
    Mefenamic acid, renowned for its analgesic properties, stands as a reliable choice for alleviating mild to moderate pain. However, its versatility extends beyond pain relief, with ongoing research unveiling its promising therapeutic potential across diverse domains. A straightforward, environmentally friendly, and sensitive spectrofluorometric technique has been developed for the precise quantification of the analgesic medication, mefenamic acid. This method relies on the immediate reduction of fluorescence emitted by a probe upon interaction with varying concentrations of the drug. The fluorescent probe utilized, N-phenyl-1-naphthylamine (NPNA), was synthesized in a single step, and the fluorescence intensities were measured at 480 nm using synchronous fluorescence spectroscopy with a wavelength difference of 200 nm. Temperature variations and lifetime studies indicated that the quenching process was static. The calibration curve exhibited linearity within the concentration range of 0.50-9.00 μg/mL, with a detection limit of 60.00 ng/mL. Various experimental parameters affecting the quenching process were meticulously examined and optimized. The proposed technique was successfully applied to determine mefenamic acid in pharmaceutical formulations, plasma, and urine, yielding excellent recoveries ranging from 98% to 100.5%. The greenness of the developed method was evaluated using three metrics: the Analytical Eco-scale, AGREE, and the Green Analytical Procedure Index.
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  • 文章类型: Journal Article
    乳糜泻(CD)是一种由遗传相互作用引起的原发性吸收不良综合征,免疫,和饮食因素。CD对日常活动产生负面影响,并可能导致骨质疏松症等疾病,小肠恶性肿瘤,溃疡性骨髓炎,和肠炎,最终导致严重的营养不良。因此,健康个体和乳糜泻患者之间的有效和快速的区别对于早期诊断和治疗至关重要。本研究利用拉曼光谱与深度学习模型相结合,实现了非侵入性、快速,乳糜泻和健康对照的准确诊断方法。总共59个血浆样本,包括29例乳糜泻病例和30例健康对照,被收集用于实验目的。卷积神经网络(CNN)多尺度卷积神经网络(MCNN)剩余网络(ResNet),采用深度残差收缩网络(DRSN)分类模型。这些模型的准确率为86.67%,90.76%,86.67%和95.00%,分别。对比验证结果表明,DRSN模型表现出最佳性能,AUC值和准确度分别为97.60%和95%,分别。这证实了拉曼光谱结合深度学习在乳糜泻诊断中的优越性。
    Celiac Disease (CD) is a primary malabsorption syndrome resulting from the interplay of genetic, immune, and dietary factors. CD negatively impacts daily activities and may lead to conditions such as osteoporosis, malignancies in the small intestine, ulcerative jejunitis, and enteritis, ultimately causing severe malnutrition. Therefore, an effective and rapid differentiation between healthy individuals and those with celiac disease is crucial for early diagnosis and treatment. This study utilizes Raman spectroscopy combined with deep learning models to achieve a non-invasive, rapid, and accurate diagnostic method for celiac disease and healthy controls. A total of 59 plasma samples, comprising 29 celiac disease cases and 30 healthy controls, were collected for experimental purposes. Convolutional Neural Network (CNN), Multi-Scale Convolutional Neural Network (MCNN), Residual Network (ResNet), and Deep Residual Shrinkage Network (DRSN) classification models were employed. The accuracy rates for these models were found to be 86.67%, 90.76%, 86.67% and 95.00%, respectively. Comparative validation results revealed that the DRSN model exhibited the best performance, with an AUC value and accuracy of 97.60% and 95%, respectively. This confirms the superiority of Raman spectroscopy combined with deep learning in the diagnosis of celiac disease.
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  • 文章类型: Journal Article
    目的:量化单个凝血因子对止血的贡献可能有助于我们了解罕见凝血缺陷(RCD)患者的止血功能并探索合适的治疗方法。
    方法:从特定的凝血因子缺乏血浆(因子[F]II;凝血酶原,FV,FVII,FVIII,FIX,FX,FXI或FXII)和红细胞/血小板产品用于模拟RCD患者的全血。我们使用凝血因子剂和新鲜冰冻血浆为凝血酶原缺乏症患者制备了体外治疗模型。使用微芯片流动室系统在600s-1下测量止血功能。
    结果:止血功能低下,特别是在用凝血酶原和FX缺乏血浆重建的血液样本中。在凝血酶原缺乏的血浆输注模型中,用正常血浆置换10%后,止血功能恢复,并在≥60%置换时达到平台期。使用凝血酶原复合物浓缩物的凝血酶原缺乏的治疗模型显示在0-50IU/kg范围内的剂量依赖性治疗效果。
    结论:基于微芯片流室系统的使用重组血的止血功能定量可以预测凝血酶原缺乏症患者的止血和治疗效果。
    OBJECTIVE: Quantifying the contribution of individual coagulation factors to haemostasis may aid our understanding of the haemostatic function in patients with rare coagulation deficiencies (RCDs) and the exploration of suitable treatments.
    METHODS: Reconstituted blood prepared from specific coagulation factor-deficient plasma (factor [F]II; prothrombin, FV, FVII, FVIII, FIX, FX, FXI or FXII) and red blood cell/platelet products were used to simulate the whole blood of patients with RCD. We prepared in vitro treatment models for patients with prothrombin deficiency using coagulation factor agents and fresh frozen plasma. Haemostatic function was measured using a microchip flow chamber system at 600 s-1.
    RESULTS: The haemostatic function was low, especially in blood samples reconstituted with prothrombin- and FX-deficient plasma. In a plasma transfusion model of prothrombin deficiency, haemostatic function recovered after 10% replacement with normal plasma and reached a plateau at ≧60% replacement. A treatment model of prothrombin deficiency with prothrombin complex concentrates revealed dose-dependent therapeutic effects in the range of 0-50 IU/kg.
    CONCLUSIONS: Microchip flow chamber system-based quantification of haemostatic function using reconstituted blood could predict haemostasis and therapeutic effects of treatments in patients with prothrombin deficiency.
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  • 文章类型: Journal Article
    在临床环境中使用血液中的蛋白质生物标志物受到传统静脉穿刺取样的成本和可及性的限制。干血斑(DBS)技术提供了一种侵入性较小且更容易获得的替代方法。然而,蛋白质在DBS中的稳定性尚未得到很好的评估。在这里,我们部署了定量LC-MS/MS系统来构建全血的蛋白质组学图谱,DBSs,等离子体,和血细胞。大约4%的检测到的蛋白质丰度在血液干燥成血斑期间发生了显著变化,细胞质部分有压倒性的干扰。我们还报道了一个新发现,表明膜/细胞骨架蛋白(SLC4A1,RHAG,DSC1,DSP,和JUP)以及与细胞内运输有关的蛋白质(ATG3,SEC14L4和NRBP1)水平的增加。此外,我们在室温保存长达6个月的DBS样品中鉴定出19种时间动态蛋白.有三种细胞骨架相关蛋白下降(RDX,SH3BGRL3和MYH9)和四种升高的蛋白质(XPO7,RAN,SLC2A1和SLC29A1)作为代表参与细胞质运输。不稳定性主要由亲水性蛋白质控制,并且随着储存时间的增加而显着增强。我们的分析提供了DBS蛋白的短期和长期储存稳定性的全面知识,为DBS在临床蛋白质组学和其他分析应用中的广泛应用奠定了基础。
    The use of protein biomarkers in blood for clinical settings is limited by the cost and accessibility of traditional venipuncture sampling. The dried blood spot (DBS) technique offers a less invasive and more accessible alternative. However, protein stability in DBS has not been well evaluated. Herein, we deployed a quantitative LC-MS/MS system to construct proteomic atlases of whole blood, DBSs, plasma, and blood cells. Approximately 4% of detected proteins\' abundance was significantly altered during blood drying into blood spots, with overwhelming disturbances in cytoplasmic fraction. We also reported a novel finding suggesting a decrease in the level of membrane/cytoskeletal proteins (SLC4A1, RHAG, DSC1, DSP, and JUP) and an increase in the level of proteins (ATG3, SEC14L4, and NRBP1) related to intracellular trafficking. Furthermore, we identified 19 temporally dynamic proteins in DBS samples stored at room temperature for up to 6 months. There were three declined cytoskeleton-related proteins (RDX, SH3BGRL3, and MYH9) and four elevated proteins (XPO7, RAN, SLC2A1, and SLC29A1) involved in cytoplasmic transport as representatives. The instability was governed predominantly by hydrophilic proteins and enhanced significantly with an increasing storage time. Our analyses provide comprehensive knowledge of both short- and long-term storage stability of DBS proteins, forming the foundation for the widespread use of DBS in clinical proteomics and other analytical applications.
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  • 文章类型: Journal Article
    胆汁酸(BA)的合成和分泌是肝脏的关键生理功能。在门体分流术等病理条件下,肝功能不全,肝炎,或肝硬化BA代谢和分泌受到干扰。总血清BA的定量是评估一般肝功能并允许早期检测异常的既定诊断方法,肝病进展和治疗决策指导。迄今为止,关于狗的比较BA谱的数据是有限的。然而,BA谱可能是比总BA浓度更好的诊断参数。在这个背景下,本研究分析和比较了血清中的个别BA谱,等离子体,尿液,10只健康幼犬和40只成年健康犬的粪便使用超高效液相色谱耦合电喷雾电离质谱。样品制备通过固相萃取进行血清,等离子体,和尿液样本或用甲醇沉淀粪便样本的蛋白质。对于每一只狗,22个不同的BA,包括未缀合的BA及其甘氨酸和牛磺酸缀合物,进行了分析。总的来说,单个BA的浓度存在很大的个体差异,主要的例子是,胆酸(CA)是迄今为止一些狗(成人和幼犬)的血液和尿液样本中最突出的BA,而在别人,CA在检测极限以下。BA资料中没有显著的年龄相关差异,但是幼崽在血清中显示出一般较低的绝对BA浓度,等离子体,还有尿液.牛磺酸结合的BA在幼犬(68%)和成人(74-75%)的血清和血浆中占主导地位,而未结合的BA在幼犬的尿液和粪便中占主导地位(64%和95%,分别)和成年人(68%和99%,分别)。主要的BA鹅脱氧胆酸和牛磺胆酸以及次要的BA脱氧胆酸和石胆酸是用于潜在诊断目的的最可靠的分析物。总之,这项研究同时报道了狗血清中的BA谱,等离子体,尿液,和粪便,并为随后在患有不同类型肝脏疾病的狗中进行的临床研究提供有价值的诊断数据。
    Synthesis and secretion of bile acids (BA) is a key physiological function of the liver. In pathological conditions like portosystemic shunt, hepatic insufficiency, hepatitis, or cirrhosis BA metabolism and secretion are disturbed. Quantification of total serum BA is an established diagnostic method to assess the general liver function and allows early detection of abnormalities, liver disease progression and guidance of treatment decisions. To date, data on comparative BA profiles in dogs are limited. However, BA profiles might be even better diagnostic parameters than total BA concentrations. On this background, the present study analyzed and compared individual BA profiles in serum, plasma, urine, and feces of 10 healthy pups and 40 adult healthy dogs using ultra-high performance liquid chromatography coupled to electrospray ionization mass spectrometry. Sample preparation was performed by solid-phase extraction for serum, plasma, and urine samples or by protein precipitation with methanol for the feces samples. For each dog, 22 different BA, including unconjugated BA and their glycine and taurine conjugates, were analyzed. In general, there was a great interindividual variation for the concentrations of single BA, mostly exemplified by the fact that cholic acid (CA) was by far the most prominent BA in blood and urine samples of some of the dogs (adults and pups), while in others, CA was under the detection limit. There were no significant age-related differences in the BA profiles, but pups showed generally lower absolute BA concentrations in serum, plasma, and urine. Taurine-conjugated BA were predominant in the serum and plasma of both pups (68%) and adults (74-75%), while unconjugated BA were predominant in the urine and feces of pups (64 and 95%, respectively) and adults (68 and 99%, respectively). The primary BA chenodeoxycholic acid and taurocholic acid and the secondary BA deoxycholic acid and lithocholic acid were the most robust analytes for potential diagnostic purpose. In conclusion, this study reports simultaneous BA profiling in dog serum, plasma, urine, and feces and provides valuable diagnostic data for subsequent clinical studies in dogs with different kinds of liver diseases.
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  • 文章类型: Journal Article
    背景:Vervets是非人类灵长类动物,与人类具有高度的遗传同源性,并随着衰老而发展成淀粉样蛋白β(Aβ)病理学。我们通过检查Aβ病理学来扩展当前的知识,老化,认知,和生物标志物蛋白质组学。
    方法:量化了从成年到老年的已存档的长尾草脑样本中额叶皮质和颞叶皮质/海马区域的淀粉样蛋白免疫反应性。我们还获得了认知得分,血浆样本,和其他动物的脑脊液(CSF)样品。利用人抗体用平台定量血浆和CSF蛋白。
    结果:我们发现两个脑区的Aβ沉积与年龄相关。生物信息学分析评估生物标志物和年龄之间的关联,性别,认知,和CSFAβ水平,揭示与免疫相关的炎症相关的蛋白质的变化,新陈代谢,和细胞过程。
    结论:Vervets是衰老和早期阿尔茨海默病的有效模型,我们提供的转化生物标志物数据与人类以前的结果一致,并为未来的研究提供了基础。
    结论:我们发现与年龄和认知相关的免疫和代谢血浆生物标志物的变化。脑脊液(CSF)生物标志物揭示了指示适应过程的细胞信号传导变化。TNFRSF19(TROY)和Artemin与阿尔茨海默病病理共同定位。Vervets是早期阿尔茨海默病转化研究的相关模型。
    BACKGROUND: Vervets are non-human primates that share high genetic homology with humans and develop amyloid beta (Aβ) pathology with aging. We expand current knowledge by examining Aβ pathology, aging, cognition, and biomarker proteomics.
    METHODS: Amyloid immunoreactivity in the frontal cortex and temporal cortex/hippocampal regions from archived vervet brain samples ranging from young adulthood to old age was quantified. We also obtained cognitive scores, plasma samples, and cerebrospinal fluid (CSF) samples in additional animals. Plasma and CSF proteins were quantified with platforms utilizing human antibodies.
    RESULTS: We found age-related increases in Aβ deposition in both brain regions. Bioinformatic analyses assessed associations between biomarkers and age, sex, cognition, and CSF Aβ levels, revealing changes in proteins related to immune-related inflammation, metabolism, and cellular processes.
    CONCLUSIONS: Vervets are an effective model of aging and early-stage Alzheimer\'s disease, and we provide translational biomarker data that both align with previous results in humans and provide a basis for future investigations.
    CONCLUSIONS: We found changes in immune and metabolic plasma biomarkers associated with age and cognition. Cerebrospinal fluid (CSF) biomarkers revealed changes in cell signaling indicative of adaptative processes. TNFRSF19 (TROY) and Artemin co-localize with Alzheimer\'s disease pathology. Vervets are a relevant model for translational studies of early-stage Alzheimer\'s disease.
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  • 文章类型: Journal Article
    血浆活化水(PAW)含有多种活性物质,可改变肌原纤维蛋白(MP)的结构以增强其凝胶特性。这项工作通过无标记定量蛋白质组学研究了PAW对MP中半胱氨酸氧化的影响。PAW处理导致2815个蛋白质上8241个半胱氨酸位点的氧化,和结构蛋白如星云蛋白,肌球蛋白XVIIIB,肌球蛋白XVIIIA,肌球蛋白重链容易被PAW氧化。生物信息学分析,包括基因本体论(GO),京都基因和基因组百科全书(KEGG)途径,亚细胞定位,和STRING分析,表明这些具有差异氧化位点的蛋白质主要来源于细胞质和细胞膜,并参与多个GO术语和KEGG途径。这是PAW处理引起的氧化还原蛋白质组变化的首次报道之一,研究结果对理解PAW诱导MP氧化的可能机制有帮助。
    Plasma-activated water (PAW) contains multiple active species that alter the structure of myofibrillar protein (MP) to enhance their gel properties. This work investigated the impact of PAW on the oxidation of cysteine in MP by label-free quantitative proteomics. PAW treatment caused the oxidation of 8241 cysteine sites on 2815 proteins, and structural proteins such as nebulin, myosin XVIIIB, myosin XVIIIA, and myosin heavy chain were susceptible to oxidation by PAW. Bioinformatics analysis, including Gene Ontology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway, subcellular localization, and STRING analysis, indicated that these proteins with differential oxidation sites were mainly derived from the cytoplasm and membrane, and were involved in multiple GO terms and KEGG pathways. This is one of the first reports of the redox proteomic changes induced by PAW treatment, and the results are useful for understanding the possible mechanism of PAW-induced oxidation of MP.
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  • 文章类型: Journal Article
    循环系统中的肿瘤来源的细胞外囊泡(EV)可能含有肿瘤特异性标志物,体液中的EV检测可能成为早期肿瘤诊断的重要工具,预后评估。脑膜瘤是最常见的良性颅内肿瘤,很少有研究揭示患者体液中脑膜瘤的特异性蛋白标记物。在这项研究中,使用邻近标记技术和非肿瘤患者血浆作为对照,我们检测了脑膜瘤患者手术前后血浆样本中的EV蛋白水平.通过生物信息学分析,我们发现脑膜瘤患者的EV计数和蛋白质计数水平明显高于健康对照组,术后明显下降。在脑膜瘤患者的EV蛋白中,MUC1,SIGLEC11,E-Cadherin,KIT,发现TASCTD2不仅比健康对照组显着升高,但肿瘤切除后也明显下降。此外,使用公开的GEO数据库,我们证实,与正常硬脑膜组织相比,脑膜瘤中MUC1,SIGLEC11和CDH1的mRNA水平显着升高。此外,通过分析这项研究中收集的人类脑膜瘤标本,我们验证了MUC1和SIGLEC11蛋白水平在WHO2级脑膜瘤中显著升高,并与肿瘤增殖水平呈正相关.这项研究表明脑膜瘤分泌EV蛋白进入循环系统,可以作为诊断的特异性标志物,恶性肿瘤预测和肿瘤复发评估。
    Tumor derived Extracellular vesicles (EVs) in circulating system may contain tumor-specific markers, and EV detection in body fluids could become an important tool for early tumor diagnosis, prognosis assessment. Meningiomas are the most common benign intracranial tumors, few studies have revealed specific protein markers for meningiomas from patients\' body fluids. In this study, using proximity labeling technology and non-tumor patient plasma as a control, we detected protein levels of EVs in plasma samples from meningioma patients before and after surgery. Through bioinformatics analysis, we discovered that the levels of EV count and protein count in meningioma patients were significantly higher than those in healthy controls, and were significantly decreased postoperatively. Among EV proteins in meningioma patients, the levels of MUC1, SIGLEC11, E-Cadherin, KIT, and TASCTD2 were found not only significantly elevated than those in healthy controls, but also significantly decreased after tumor resection. Moreover, using publicly available GEO databases, we verified that the mRNA level of MUC1, SIGLEC11, and CDH1 in meningiomas were significantly higher in comparison with normal dura mater tissues. Additionally, by analyzing human meningioma specimens collected in this study, we validated the protein levels of MUC1 and SIGLEC11 were significantly increased in WHO grade 2 meningiomas and were positively correlated with tumor proliferation levels. This study indicates that meningiomas secret EV proteins into circulating system, which may serve as specific markers for diagnosis, malignancy predicting and tumor recurrent assessment.
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  • 文章类型: Journal Article
    癌症检测具有挑战性,尤其是有非特异性癌症症状的患者。生物标志物可以识别癌症高风险患者。先前的研究表明,中性粒细胞胞外陷阱(NETs)与癌症有关,但也有自身免疫性和感染性疾病。这项前瞻性研究的目的是研究与NET形成相关的标记(核小体瓜氨酸化组蛋白3[H3Cit-DNA],无细胞DNA[cfDNA]和中性粒细胞弹性蛋白酶[NE]),和C反应蛋白(CRP)患者的非特异性癌症症状,比如疲劳,体重减轻或恶性肿瘤的放射学征象,没有明显的原发性肿瘤,提到瑞典Danderyd医院的诊断中心。入院时抽取血样,在癌症诊断之前。在475名患者中,160人(34%)被诊断为癌症,56(12%)患有自身免疫性疾病,32(7%)患有传染病,71例(15%)患有其他疾病,156例(33%)未获得诊断。H3Cit-DNA,cfDNA,与没有癌症的患者相比,癌症患者的NE和CRP明显更高(分别为p<0.0001,p<0.0001,p=0.004和p=0.0002)。H3Cit-DNA,但不是cfDNA,NE或CRP,与自身免疫性疾病患者相比,癌症患者显着升高(p=0.0001)。H3Cit-DNA,cfDNA,NE或CRP在癌症和感染性疾病之间没有差异。总之,与具有相同症状的非癌症患者相比,诊断为癌症的患者的H3Cit-DNA升高。进一步的研究应该评估H3Cit-DNA是否可以帮助选择从快速癌症诊断检查中受益最大的患者。
    Cancer detection is challenging, especially in patients with unspecific cancer symptoms. Biomarkers could identify patients at high risk of cancer. Prior studies indicate that neutrophil extracellular traps (NETs) are associated with cancer, but also with autoimmune and infectious diseases. The objective of this prospective study was to investigate markers associated with NET formation (nucleosomal citrullinated histone 3 [H3Cit-DNA], cell free DNA [cfDNA] and neutrophil elastase [NE]), and c-reactive protein (CRP) in patients with unspecific cancer symptoms, such as fatigue, weight loss or radiological sign of malignancy without an apparent primary tumor, referred to the Diagnostic Center at Danderyd Hospital in Sweden. Blood samples were drawn on admission, before cancer diagnosis. Out of 475 patients, 160 (34%) were diagnosed with cancer, 56 (12%) with autoimmune disease, 32 (7%) with infectious disease, 71 (15%) with other diseases and 156 (33%) received no diagnosis. H3Cit-DNA, cfDNA, NE and CRP were significantly higher in patients with cancer compared to patients without cancer (p < 0.0001, p < 0.0001, p = 0.004, and p = 0.0002 respectively). H3Cit-DNA, but not cfDNA, NE or CRP, was significantly elevated in patients with cancer compared to patients with autoimmune disease (p = 0.0001). H3Cit-DNA, cfDNA, NE or CRP did not differ between cancer and infectious disease. In conclusion, H3Cit-DNA is elevated in patients diagnosed with cancer compared to non-cancer patients with the same symptomatology. Further studies should evaluate if H3Cit-DNA could aid in selecting patients that would benefit the most from a rapid cancer diagnostic work-up.
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