肝细胞癌肿瘤标志物的研究进展

Qingfu Du, Xiaoying Ji, Guang-Jin Yin, D. Wei, Pengcheng Lin, Yong-jun Lu, Yu-guang Li, Qiaohong Yang, Shizhu Liu, Jinliang Ku, Wen-Hua Guan, Yuanzhi Lu
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引用次数: 1

摘要

肝细胞癌(HCC)是仅次于胃癌和食管癌的第三大常见死亡原因。肝癌发生的原因包括地区和年龄差异、肝炎病毒、黄曲霉毒素、化学物质、肝硬化和家族遗传等。与HCC的初期症状相比,晚期症状更为明显,表现为肝脏疼痛、乏力、消瘦、黄疸、腹水等。本文总结了30种来自器官、组织、细胞和亚细胞系统的生物标志物,可用于HCC的诊断、检测、分期和评估,从而预测或预后。健康人的生物标志物程度有一定的指标范围。病理和临床诊断方法主要用于检测与HCC相关的各种生物标志物,如常用的检测甲胎蛋白来检测HCC。现代技术确定了多种指标,使我们能够探索和阐明与生物体疾病发病机制相关的可能指标。一般来说,如果一个或多个生物标志物超出正常范围,就可以预测体内存在HCC。在此,我们试图通过阐明HCC及相关疾病的概念、产生及影响因素、来源、生化指标相关肿瘤标志物,为HCC及相关疾病的临床筛查、预测、诊断、治疗及随访监测做出重要贡献。
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Research advancement in the tumor biomarker of hepatocellular carcinoma
Hepatocellular carcinoma (HCC) is the third most common cause of mortality due to malignancy next to gastric cancer and esophageal cancer. Several causal factors have been proposed to be involved in the pathogenesis of HCC including regional and age difference, hepatitis virus, aflatoxin, chemicals, liver cirrhosis, and family heredity. Compared to the initial symptoms of HCC, the late symptoms are more obvious, which are liver pain, fatigue, emaciation, jaundice, and ascites. This paper summarized 30 biomarkers from organs, tissues, cells, and subcellular systems to be used for the diagnosis, detection, staging, and evaluation of the HCC so as to predict or prognoses diseases. The biomarker degrees of healthy people have a certain range of indicators. Pathological and clinical diagnostic methods are mainly used to detect various biomarkers related to HCC, such as the common detection of alpha-fetoprotein to detect HCC. Diverse indicators are determined by the modern technology so that we can explore and clarify the possible indicators associated with the pathogenesis of diseases in the organisms. In general, if one or more biomarkers are beyond the normal range, it would predict the presence of HCC in the body. Here, we try to provide a significant contribution toward clinical screening, prediction, diagnosis, treatment, and follow-up monitoring of HCC and related diseases through elucidating the conception, production and influencing factors, sources, and biochemical indicator-associated tumor markers.
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