Research advances in metabolic markers for hepatocellular carcinoma
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摘要: 肝细胞癌的发病率和病死率高,预后较差,早发现和早诊断是降低肝细胞癌发病率和病死率的主要办法,目前临床常用的血清肿瘤标志物其敏感性和特异性均不能完全满足临床需求。代谢组学主要研究生物体产生的所有代谢产物的变化,例如脂质、胆汁酸、氨基酸等,它们位于系统生物学的下游,能直接反映组织的生化状态。代谢组学通过利用色谱、质谱、磁共振等技术从患者血清、尿液、组织等标本中寻找代谢物的差异,从而探讨其诊断价值并希望发现潜在的肝细胞癌标志物。在肿瘤早期筛查中,代谢组学研究具有标本易得,操作简单,并且可同时处理大量标本等优势。综述了近年来应用代谢组学研究肝细胞癌代谢标志物的相关进展。Abstract: Hepatocellular carcinoma (HCC) has high incidence and mortality rates and poor prognosis and greatly threatens human health.Early identification and diagnosis is an important method for reducing the incidence and mortality rates of HCC. The sensitivities and specificities of commonly used serum tumor markers cannot meet the need in clinical practice. Metabolomics focuses on the changes in metabolites produced by organisms, such as lipids, bile acid, and amino acids, which are located at the downstream of systems biology and can directly reflect the biochemical status of tissues. With the help of the techniques including chromatography, mass spectrometry, and magnetic resonance, metabolomics can identify the differences in metabolites in serum, urine, and tissue samples, evaluate their diagnostic values, and help to find potential markers for HCC. In the early screening of tumors, metabolomics has the advantages of easily available specimens, simple operation, and processing a large number of specimens simultaneously. This article reviews the recent research advances in metabolic markers for HCC with the application of metabolomics.
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Key words:
- carcinoma, hepatocellular /
- tumor markers, biological /
- review
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