Urinary Biomarkers for Disease Detection

Alexandre Matov
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Abstract

The current healthcare system relies largely on a passive approach toward disease detection, which typically involves patients presenting a 'chief complaint' linked to a particular set of symptoms for diagnosis. Since all degenerative diseases occur slowly and initiate as changes in the regulation of individual cells within our organs and tissues, it is inevitable that with the current approach to medical care we are bound to discover some illnesses at a point in time when the damage is irreversible and meaningful treatments are no longer available. There exist organ-specific sets (or panels) of nucleic acids, such as microRNAs (miRNAs), which regulate and help to ensure the proper function of each of our organs and tissues. Thus, dynamic readout of their relative abundance can serve as a means to facilitate real-time health monitoring. With the advent and mass utilization of next-generation sequencing (NGS), such a proactive approach is currently feasible. Because of the computational complexity of customized analyses of 'big data', dedicated efforts to extract reliable information from longitudinal datasets is key to successful early detection of disease. Here, we present our preliminary results for the analysis of healthy donor samples and drug-naive lung cancer patients.
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用于疾病检测的尿液生物标记物
目前的医疗系统在很大程度上依赖于一种被动的疾病检测方法,这种方法通常是由病人提出与一系列特定症状相关联的 "主诉 "来进行诊断。由于所有退行性疾病都是在器官和组织内单个细胞的调节发生变化时缓慢发生的,因此,按照目前的医疗方法,我们不可避免地会在损害不可逆转、无法再进行有意义的治疗时发现某些疾病。存在器官特异性核酸组(或组),如微小核糖核酸(miRNA),它们调节并帮助确保我们每个器官和组织的正常功能。因此,动态读取它们的相对丰度可作为促进实时健康监测的一种手段。随着下一代测序技术(NGS)的出现和大规模应用,这种前瞻性的方法目前是可行的。由于 "大数据 "定制分析的计算复杂性,从纵向数据集中提取可靠信息的专门工作是成功早期检测疾病的关键。在此,我们介绍了对健康捐献者样本和药物无效肺癌患者进行分析的初步结果。
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