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Theranostic applications of multifunctional carbon nanomaterials. 多功能碳纳米材料的抗肿瘤应用。
Pub Date : 2023-04-01 Epub Date: 2023-03-03 DOI: 10.1002/viw.20220056
Shima Masoudi Asil, Erick Damian Guerrero, Georgina Bugarini, Joshua Cayme, Nydia De Avila, Jaime Garcia, Adrian Hernandez, Julia Mecado, Yazeneth Madero, Frida Moncayo, Rosario Olmos, David Perches, Jacob Roman, Diana Salcido-Padilla, Efrain Sanchez, Christopher Trejo, Paulina Trevino, Md Nurunnabi, Mahesh Narayan

Nanobiotechnology is one of the leading research areas in biomedical science, developing rapidly worldwide. Among various types of nanoparticles, carbon nanomaterials (CNMs) have attracted a great deal of attention from the scientific community, especially with respect to their prospective application in the field of disease diagnosis and therapy. The unique features of these nanomaterials, including favorable size, high surface area, and electrical, structural, optical, and chemical properties, have provided an excellent opportunity for their utilization in theranostic systems. Carbon nanotubes, carbon quantum dots, graphene, and fullerene are the most employed CNMs in biomedical fields. They have been considered safe and efficient for non-invasive diagnostic techniques such as fluorescence imaging, magnetic resonance imaging, and biosensors. Various functionalized CNMs exhibit a great capacity to improve cell targeting of anti-cancer drugs. Due to their thermal properties, they have been extensively used in cancer photothermal and photodynamic therapy assisted by laser irradiation and CNMs. CNMs also can cross the blood-brain barrier and have the potential to treat various brain disorders, for instance, neurodegenerative diseases, by removing amyloid fibrils. This review has summarized and emphasized on biomedical application of CNMs and their recent advances in diagnosis and therapy.

纳米生物技术是生物医学科学的领先研究领域之一,在全球范围内发展迅速。在各种类型的纳米粒子中,碳纳米材料(CNMs)引起了科学界的广泛关注,尤其是其在疾病诊断和治疗领域的应用前景。这些纳米材料具有尺寸小、比表面积大、电学、结构、光学和化学特性等独特特征,为将其应用于治疗系统提供了绝佳的机会。碳纳米管、碳量子点、石墨烯和富勒烯是生物医学领域使用最多的 CNM。在荧光成像、磁共振成像和生物传感器等非侵入性诊断技术中,它们被认为是安全高效的。各种功能化 CNM 在改善抗癌药物的细胞靶向性方面表现出巨大的能力。由于它们具有热特性,在激光照射和 CNMs 的辅助下,它们已被广泛用于癌症光热和光动力疗法。生物纳米粒子还能穿过血脑屏障,通过清除淀粉样蛋白纤维,有望治疗各种脑部疾病,如神经退行性疾病。本综述总结并强调了 CNM 的生物医学应用及其在诊断和治疗方面的最新进展。
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引用次数: 0
Portable in situ temperature-dependent spectroscopy on a low-cost microfluidic platform integrated with a battery-powered thermofoil heater. 在低成本微流体平台上集成了电池供电的热箔加热器的便携式原位温度相关光谱。
Pub Date : 2023-04-01 Epub Date: 2023-01-11 DOI: 10.1002/viw.20220053
Sai Krishna Katla, Wan Zhou, Hamed Tavakoli, Elvia Lilia Padilla Méndez, Xiujun Li

A low-cost microfluidic platform integrated with a flexible heater was developed for in situ temperature-dependent spectroscopic measurement at the point of care. After verifying the system by comparing on-chip spectroscopic measurement of methylene blue with the conventional spectroscopy, we demonstrated its applications in temperature-dependent absorption spectroscopy of a model biomolecule, curcumin. The system is portable, battery-powered and requires ultra-low volumes of analytes, which is highly suitable for point-of-care characterization.

开发了一种集成柔性加热器的低成本微流体平台,用于在护理点进行现场温度相关光谱测量。在通过将芯片上的亚甲基蓝光谱测量与传统光谱进行比较来验证该系统后,我们展示了其在模型生物分子姜黄素的温度依赖性吸收光谱中的应用。该系统是便携式的,由电池供电,需要超低体积的分析物,非常适合于护理点表征。
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引用次数: 0
Wearable respiratory sensors for COVID-19 monitoring. 用于 COVID-19 监测的可穿戴呼吸传感器。
Pub Date : 2022-11-01 Epub Date: 2022-10-31 DOI: 10.1002/VIW.20220024
Guorui Chen, Sophia Shen, Trinny Tat, Xun Zhao, Yihao Zhou, Yunsheng Fang, Jun Chen

Since its outbreak in 2019, COVID-19 becomes a pandemic, severely burdening the public healthcare systems and causing an economic burden. Thus, societies around the world are prioritizing a return to normal. However, fighting the recession could rekindle the pandemic owing to the lightning-fast transmission rate of SARS-CoV-2. Furthermore, many of those who are infected remain asymptomatic for several days, leading to the increased possibility of unintended transmission of the virus. Thus, developing rigorous and universal testing technologies to continuously detect COVID-19 for entire populations remains a critical challenge that needs to be overcome. Wearable respiratory sensors can monitor biomechanical signals such as the abnormities in respiratory rate and cough frequency caused by COVID-19, as well as biochemical signals such as viral biomarkers from exhaled breaths. The point-of-care system enabled by advanced respiratory sensors is expected to promote better control of the pandemic by providing an accessible, continuous, widespread, noninvasive, and reliable solution for COVID-19 diagnosis, monitoring, and management.

自 2019 年爆发以来,COVID-19 已成为一种大流行病,给公共医疗系统带来了严重负担,并造成了经济负担。因此,世界各地的社会都在优先考虑恢复正常。然而,由于 SARS-CoV-2 的传播速度快如闪电,抗击经济衰退可能会重新引发大流行。此外,许多感染者在数天内仍无症状,从而增加了病毒意外传播的可能性。因此,开发严格、通用的检测技术来持续检测整个人群中的 COVID-19 仍然是一个亟待解决的重大挑战。可穿戴呼吸传感器可监测生物力学信号,如 COVID-19 引起的呼吸频率和咳嗽频率异常,以及生化信号,如呼气中的病毒生物标记物。由先进的呼吸传感器支持的护理点系统有望为 COVID-19 的诊断、监测和管理提供方便、连续、广泛、无创和可靠的解决方案,从而促进更好地控制大流行病。
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引用次数: 0
Progress in COVID research and developments during pandemic. COVID 研究进展和大流行期间的发展。
Pub Date : 2022-07-20 DOI: 10.1002/VIW.20210020
Sudheesh K Shukla, Santanu Patra, Trupti R Das, Dharmesh Kumar, Anshuman Mishra, Ashutosh Tiwari

The pandemic respiratory disease COVID-19 has spread over the globe within a small span of time. Generally, there are two important points are being highlighted and considered towards the successful diagnosis and treatment process. The first point includes the reduction of the rate of infections and the next one is the decrease of the death rate. The major threat to public health globally progresses due to the absence of effective medication and widely accepted immunization for the COVID-19. Whereas, understanding of host susceptibility, clinical features, adaptation of COVID-19 to new environments, asymptomatic infection is difficult and challenging. Therefore, a rapid and an exact determination of pathogenic viruses play an important role in deciding treatments and preventing pandemic to save the people's lives. It is urgent to fix a standardized diagnostic approach for detecting the COVID-19. Here, this systematic review describes all the current approaches using for screening and diagnosing the COVID-19 infectious patient. The renaissance in pathogen due to host adaptability and new region, facing creates several obstacles in diagnosis, drug, and vaccine development process. The study shows that adaptation of accurate and affordable diagnostic tools based on candidate biomarkers using sensor and digital medicine technology can deliver effective diagnosis services at the mass level. Better prospects of public health management rely on diagnosis with high specificity and cost-effective manner along with multidisciplinary research, specific policy, and technology adaptation. The proposed healthcare model with defined road map represents effective prognosis system.

大流行性呼吸道疾病 COVID-19 在很短的时间内就在全球蔓延开来。一般来说,成功的诊断和治疗过程需要强调和考虑两个要点。第一点是降低感染率,第二点是降低死亡率。COVID-19 对全球公共卫生的主要威胁是由于缺乏有效的药物和广泛接受的免疫接种。然而,了解宿主的易感性、临床特征、COVID-19 对新环境的适应性以及无症状感染是困难和具有挑战性的。因此,快速、准确地确定致病病毒对决定治疗方法和预防大流行以挽救人们的生命起着重要作用。当务之急是确定检测 COVID-19 的标准化诊断方法。本系统综述介绍了目前用于筛查和诊断 COVID-19 感染者的所有方法。由于宿主的适应性和新地区的出现,病原体的复兴给诊断、药物和疫苗开发过程带来了一些障碍。研究表明,利用传感器和数字医学技术,基于候选生物标志物调整准确且经济实惠的诊断工具,可以在大众层面提供有效的诊断服务。公共卫生管理的美好前景有赖于高特异性和高成本效益的诊断,以及多学科研究、具体政策和技术改造。所提出的医疗保健模式具有明确的路线图,是有效的预后系统。
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引用次数: 0
Detection, prevention and treatment of COVID-19 and opportunities for nanobiotechnology. 新冠肺炎的检测、预防和治疗以及纳米生物技术的机会。
Pub Date : 2022-07-01 Epub Date: 2022-03-15 DOI: 10.1002/VIW.20200181
Qing Bao, Tao Yang, Mingying Yang, Chuanbin Mao

Since the outbreak of COVID-19, the number of confirmed cases and deaths has increased globally at a dramatic speed. In view of the serious health threat to humans, this review discusses the state-of-the-art studies about fighting this disease. It summarizes the current strategies and recent advances in detecting, preventing, and treating COVID-19 and interprets the underlying mechanisms in detail. Detection of COVID-19 can be successfully achieved by multiple techniques such as polymerase chain reaction, computed tomography imaging, and nano-biosensing. Inactivated virus vaccine, nucleic acid vaccine, and different nanoparticles have been employed to effectively prevent COVID-19. A variety of agents such as antiviral agents, neutralizing antibodies, and nanotherapeutics have been developed to treat COVID-19 with exciting efficacy. Although nanobiotechnology has shown great potential in the diagnosis, prevention, and treatment of COVID-19, efforts should be made to explore new biocompatible nano-biomaterials to advance this field to clinical applications. Hence, nanobiotechnology paves a new way to detect, prevent, and treat COVID-19 effectively.

自新冠肺炎爆发以来,全球确诊病例和死亡人数急剧增加。鉴于对人类健康的严重威胁,这篇综述讨论了对抗这种疾病的最新研究。它总结了新冠肺炎检测、预防和治疗的当前策略和最新进展,并详细解释了潜在的机制。新冠肺炎的检测可以通过聚合酶链式反应、计算机断层成像和纳米生物传感等多种技术成功实现。灭活病毒疫苗、核酸疫苗和不同的纳米颗粒已被用于有效预防新冠肺炎。已经开发了多种药物,如抗病毒药物、中和抗体和纳米疗法,以治疗新冠肺炎,具有令人兴奋的疗效。尽管纳米生物技术在新冠肺炎的诊断、预防和治疗方面显示出巨大的潜力,但仍应努力探索新的生物相容性纳米生物材料,以推动该领域的临床应用。因此,纳米生物技术为有效检测、预防和治疗新冠肺炎铺平了新的道路。
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引用次数: 0
Nanoantidote for repression of acidosis pH promoting COVID-19 infection. 抑制酸中毒 pH 值促进 COVID-19 感染的纳米解毒剂。
Pub Date : 2022-07-01 Epub Date: 2022-05-01 DOI: 10.1002/VIW.20220004
Qidong Liu, Huitong Ruan, Zhihao Sheng, Xiaoru Sun, Siguang Li, Wenguo Cui, Cheng Li

Acidosis, such as respiratory acidosis and metabolic acidosis, can be induced by coronavirus disease 2019 (COVID-19) infection and is associated with increased mortality in critically ill COVID-19 patients. It remains unclear whether acidosis further promotes SARS-CoV-2 infection in patients, making virus removal difficult. For antacid therapy, sodium bicarbonate poses great risks caused by sodium overload, bicarbonate side effects, and hypocalcemia. Therefore, new antacid antidote is urgently needed. Our study showed that an acidosis-related pH of 6.8 increases SARS-CoV-2 receptor angiotensin-converting enzyme 2 (ACE2) expression on the cell membrane by regulating intracellular microfilament polymerization, promoting SARS-CoV-2 pseudovirus infection. Based on this, we synthesized polyglutamic acid-PEG materials, used complexation of calcium ions and carboxyl groups to form the core, and adopted biomineralization methods to form a calcium carbonate nanoparticles (CaCO3-NPs) nanoantidote to neutralize excess hydrogen ions (H+), and restored the pH from 6.8 to approximately 7.4 (normal blood pH). CaCO3-NPs effectively prevented the heightened SARS-CoV-2 infection efficiency due to pH 6.8. Our study reveals that acidosis-related pH promotes SARS-CoV-2 infection, which suggests the existence of a positive feedback loop in which SARS-CoV-2 infection-induced acidosis enhances SARS-CoV-2 infection. Therefore, antacid therapy for acidosis COVID-19 patients is necessary. CaCO3-NPs may become an effective antacid nanoantidote superior to sodium bicarbonate.

冠状病毒病 2019(COVID-19)感染可诱发酸中毒,如呼吸性酸中毒和代谢性酸中毒,并与 COVID-19 重症患者的死亡率增加有关。目前仍不清楚酸中毒是否会进一步促进患者感染 SARS-CoV-2,从而使病毒难以清除。在抗酸治疗方面,碳酸氢钠因钠负荷过重、碳酸氢钠副作用和低钙血症而带来巨大风险。因此,迫切需要新的抗酸剂。我们的研究表明,与酸中毒相关的 pH 值为 6.8 时,SARS-CoV-2 受体血管紧张素转换酶 2(ACE2)在细胞膜上的表达会通过调节细胞内微丝聚合而增加,从而促进 SARS-CoV-2 伪病毒的感染。在此基础上,我们合成了聚谷氨酸-PEG材料,利用钙离子与羧基的络合形成核心,并采用生物矿化方法形成碳酸钙纳米颗粒(CaCO3-NPs)纳米解毒剂,中和过量的氢离子(H+),使pH值从6.8恢复到约7.4(正常血液pH值)。CaCO3-NPs 能有效防止因 pH 值为 6.8 而导致的 SARS-CoV-2 感染率升高。我们的研究揭示了与酸中毒相关的 pH 值会促进 SARS-CoV-2 感染,这表明存在一个正反馈循环,即 SARS-CoV-2 感染引起的酸中毒会增强 SARS-CoV-2 感染。因此,有必要对酸中毒 COVID-19 患者进行抗酸治疗。CaCO3-NPs 可能成为一种有效的抗酸中毒纳米解毒剂,其效果优于碳酸氢钠。
{"title":"Nanoantidote for repression of acidosis pH promoting COVID-19 infection.","authors":"Qidong Liu, Huitong Ruan, Zhihao Sheng, Xiaoru Sun, Siguang Li, Wenguo Cui, Cheng Li","doi":"10.1002/VIW.20220004","DOIUrl":"10.1002/VIW.20220004","url":null,"abstract":"<p><p>Acidosis, such as respiratory acidosis and metabolic acidosis, can be induced by coronavirus disease 2019 (COVID-19) infection and is associated with increased mortality in critically ill COVID-19 patients. It remains unclear whether acidosis further promotes SARS-CoV-2 infection in patients, making virus removal difficult. For antacid therapy, sodium bicarbonate poses great risks caused by sodium overload, bicarbonate side effects, and hypocalcemia. Therefore, new antacid antidote is urgently needed. Our study showed that an acidosis-related pH of 6.8 increases SARS-CoV-2 receptor angiotensin-converting enzyme 2 (ACE2) expression on the cell membrane by regulating intracellular microfilament polymerization, promoting SARS-CoV-2 pseudovirus infection. Based on this, we synthesized polyglutamic acid-PEG materials, used complexation of calcium ions and carboxyl groups to form the core, and adopted biomineralization methods to form a calcium carbonate nanoparticles (CaCO<sub>3</sub>-NPs) nanoantidote to neutralize excess hydrogen ions (H<sup>+</sup>), and restored the pH from 6.8 to approximately 7.4 (normal blood pH). CaCO<sub>3</sub>-NPs effectively prevented the heightened SARS-CoV-2 infection efficiency due to pH 6.8. Our study reveals that acidosis-related pH promotes SARS-CoV-2 infection, which suggests the existence of a positive feedback loop in which SARS-CoV-2 infection-induced acidosis enhances SARS-CoV-2 infection. Therefore, antacid therapy for acidosis COVID-19 patients is necessary. CaCO<sub>3</sub>-NPs may become an effective antacid nanoantidote superior to sodium bicarbonate.</p>","PeriodicalId":75305,"journal":{"name":"View (Beijing, China)","volume":" ","pages":"20220004"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9347551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40609149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quickly evolving near-infrared photoimmunotherapy provides multifaceted approach to modern cancer treatment. 快速发展的近红外光免疫疗法为现代癌症治疗提供了多方面的方法。
Pub Date : 2022-05-01 Epub Date: 2021-08-27 DOI: 10.1002/VIW.20200110
Hailey Monaco, Shinya Yokomizo, Hak Soo Choi, Satoshi Kashiwagi

Among modalities of cancer immunotherapy, near-infrared photoimmunotherapy (NIR-PIT) has reached significant preclinical and clinical stages and quickly evolved over the last 5 years. NIR-PIT uses deep-penetrable NIR light to induce physicochemical changes in the antibody-photosensitizer conjugate (APC), leading to resultant necrosis and immunogenic cell death (ICD) of the cancer cells. Alternatively, other types of photomedicine use photosensitizers to convert absorbed light energy either into reactive oxygen species for photodynamic therapy (PDT) or into heat for photothermal therapy (PTT). ICD is a unique and relevant outcome of NIR-PIT because it induces long-lasting antitumor host immunity, which overcomes the immunosuppressive network of cancer. Due to its high specificity and durable antitumor effects, NIR-PIT is now considered a promising cancer therapy, and optimized NIR-PIT is readily expanding its applicability to many different types of cancer. Along with the traditional method of NIR-PIT, new avenues in its realm of treatment are currently being explored, such as the targeting of other immunosuppressive elements, delivery of NIR light through a catheter, real-time imaging for tumor detection, and the use of tumor-seeking small molecules for improved efficacy and safety. In addition, its effect on hyperpermeability has opened a door for a wide array of combination therapies with other modalities. This review summarizes the recent findings in clinical and preclinical studies of NIR-induced photomedicine and its future significance in the field of cancer research.

在癌症免疫疗法中,近红外光免疫疗法(NIR-PIT)已进入重要的临床前和临床阶段,并在过去五年中迅速发展。近红外光免疫疗法利用深穿透的近红外光诱导抗体-光敏剂共轭物(APC)发生物理化学变化,导致癌细胞坏死和免疫原性细胞死亡(ICD)。另外,其他类型的光医疗使用光敏剂将吸收的光能转化为活性氧,用于光动力疗法(PDT),或转化为热能,用于光热疗法(PTT)。ICD 是近红外-PIT 的一种独特的相关结果,因为它能诱导持久的抗肿瘤宿主免疫,从而克服癌症的免疫抑制网络。由于其高度特异性和持久的抗肿瘤效果,近红外-PIT 现在被认为是一种很有前景的癌症疗法,优化的近红外-PIT 正随时将其适用范围扩大到许多不同类型的癌症。除了传统的 NIR-PIT 方法外,目前还在探索其治疗领域的新途径,例如靶向其他免疫抑制因素、通过导管输送 NIR 光、实时成像检测肿瘤,以及使用肿瘤靶向小分子来提高疗效和安全性。此外,近红外光对高渗透性的影响也为与其他方式的广泛联合疗法打开了一扇大门。本综述总结了近红外诱导光医学临床和临床前研究的最新发现及其在癌症研究领域的未来意义。
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引用次数: 0
Therapeutic antibodies under development for SARS-CoV-2. 正在开发治疗 SARS-CoV-2 的抗体。
Pub Date : 2022-03-01 Epub Date: 2021-07-12 DOI: 10.1002/VIW.20200178
Zetong Ma, MengMei Zhu, Shuyi Zhang, Kewen Qian, Chuqi Wang, Wenyan Fu, Changhai Lei, Shi Hu

The world is experiencing one of the most difficult moments in history with COVID-19, which has rapidly developed into a worldwide pandemic with a significant health and economic burden. Efforts to fight the virus, including prevention and treatment, have never stopped. However, no specific drugs or treatments have yet been found. Antibody drugs have never been absent in epidemics such as SARS, MERS, HIV, Ebola, and so on in the past two decades. At present, while research on the SARS-CoV-2 vaccine is in full swing, antibody drugs are also receiving widespread attention. Several antibody drugs have successfully entered clinical trials and achieved impressive therapeutic effects. Here, we summarize the therapeutic antibodies against SARS-CoV-2, as well as the research using ACE2 recombinant protein or ACE2-Ig fusion protein.

COVID-19 病毒正迅速发展成为一种世界性流行病,给人们的健康和经济带来沉重负担,世界正经历着历史上最艰难的时刻之一。抗击该病毒的努力,包括预防和治疗,从未停止过。然而,至今仍未找到特效药物或治疗方法。在过去二十年里,SARS、MERS、HIV、埃博拉等流行病从未缺席过抗体药物。目前,在 SARS-CoV-2 疫苗研究如火如荼的同时,抗体药物也受到了广泛关注。一些抗体药物已成功进入临床试验阶段,并取得了令人瞩目的治疗效果。在此,我们总结了针对 SARS-CoV-2 的治疗性抗体,以及使用 ACE2 重组蛋白或 ACE2-Ig 融合蛋白的研究。
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引用次数: 0
Biodiagnostics in an era of global pandemics-From biosensing materials to data management. 全球大流行病时代的生物诊断--从生物传感材料到数据管理。
Pub Date : 2022-03-01 Epub Date: 2021-06-18 DOI: 10.1002/VIW.20200164
Yoav Y Broza, Hossam Haick

The novel corona virus SARS-CoV-2 (COVID-19) has exposed the world to challenges never before seen in fast diagnostics, monitoring, and prevention of the outbreak. As a result, different approaches for fast diagnostic and screening are made and yet to find the ideal way. The current mini-review provides and examines evidence-based innovative and rapid chemical sensing and related biodiagnostic solutions to deal with infectious disease and related pandemic emergencies, which could offer the best possible care for the general population and improve the approachability of the pandemic information, insights, and surrounding contexts. The review discusses how integration of sensing devices with big data analysis, artificial Intelligence or machine learning, and clinical decision support system, could improve the accuracy of the recorded patterns of the disease conditions within an ocean of information. At the end, the mini-review provides a prospective on the requirements to improve our coping of the pandemic-related biodiagnostics as well as future opportunities.

新型电晕病毒 SARS-CoV-2(COVID-19)使全世界在快速诊断、监测和预防疫情爆发方面面临前所未有的挑战。因此,人们提出了不同的快速诊断和筛查方法,但仍未找到理想的途径。本篇小型综述提供并研究了以证据为基础的创新快速化学传感和相关生物诊断解决方案,以应对传染病和相关的大流行突发事件,从而为普通民众提供尽可能好的护理,并提高大流行信息、见解和周边环境的可接近性。综述讨论了如何将传感设备与大数据分析、人工智能或机器学习以及临床决策支持系统相结合,从而提高信息海洋中疾病状况记录模式的准确性。最后,这篇微型综述展望了改进我们应对大流行病相关生物诊断的要求以及未来的机遇。
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引用次数: 0
Using All Our Genomes: Blood-based Liquid Biopsies for the Early Detection of Cancer. 利用我们所有的基因组:基于血液的液体活检用于癌症的早期检测。
Pub Date : 2022-01-01 Epub Date: 2022-01-31 DOI: 10.1002/VIW.20200118
Eddie Adams, Gregory D Sepich-Poore, Sandrine Miller-Montgomery, Rob Knight

The pursuit of highly sensitive and specific cancer diagnostics based on cell-free (cf) nucleic acids isolated from minimally invasive liquid biopsies has been an area of intense research and commercial effort for at least two decades. Most of these tests detect cancer-specific mutations or epigenetic modifications on circulating DNA derived from tumor cells (ctDNA). Although recent FDA approvals of both single and multi-analyte liquid biopsy companion diagnostic assays are proof of the tremendous progress made in this domain, using ctDNA for the diagnosis of early-stage (stage I/II) cancers remains challenging due to several factors, such as low mutational allele frequency in circulation, overlapping profiles in genomic alterations among diverse cancers, and clonal hematopoiesis. This review discusses these analytical challenges, interim solutions, and the opportunity to complement ctDNA diagnostics with microbiome-aware analyses that may mitigate several existing ctDNA assay limitations.

至少二十年来,追求基于从微创液体活检中分离的无细胞(cf)核酸的高度敏感和特异性的癌症诊断一直是一个密集研究和商业努力的领域。这些测试中的大多数检测来自肿瘤细胞(ctDNA)的循环DNA上的癌症特异性突变或表观遗传学修饰。尽管最近美国食品药品监督管理局批准了单分析物和多分析物液体活检辅助诊断分析,证明了该领域取得的巨大进展,但由于几个因素,使用ctDNA诊断早期(I/II期)癌症仍然具有挑战性,如循环中的低突变等位基因频率、,以及克隆性造血。这篇综述讨论了这些分析挑战、临时解决方案,以及用微生物组意识分析来补充ctDNA诊断的机会,这些分析可能会减轻现有的ctDNA检测限制。
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引用次数: 5
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