Waiting to exhale.
Waiting to exhale.
复制标题
等待呼气。
DOI:
10.1164/rccm.200710-1604ed
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发表时间:
2008
影响因子:
24.7
通讯作者:
Powell,CharlesAndrew
中科院分区:
文献类型:
--
作者:
Powell,CharlesAndrew
Over 75% of new lung cancer diagnoses are in patients who present with distant or regional metastatic disease (1). Early diagnosis remains an elusive goal. Enthusiasm for imaging by computed tomography (CT) scan and by fluorescent bronchoscopy is lowered by concerns of low specificity and overdiagnosis (2, 3). Enthusiasm for proteomic analysis of blood specimens is tempered by challenges presented by blood proteome complexity (4); and the utility of sputum analysis is diminished by difficulties in specimen acquisition. Compared with other biological specimens, exhaled breath condensate (EBC) is simple to collect and process and is available from all individuals. In a previous study, Carpagnano and colleagues reported that microsatellite alterations representing four loci on chromosome 3p were detected more frequently in the EBC DNA of patients with non–small cell lung cancer compared with EBC acquired from smokers without lung cancer (5). Microsatellites are short, polymorphic, tandem repeat DNA sequences that are dispersed throughout the genome. They are subject to allelic loss (loss of heterozygosity [LOH]) and to changes of microsatellite length (microsatellite instability [MI]) in disease states such as lung cancer (6, 7). LOH and MI are not specific for lung cancer since they are detectable in the airway epithelium of smokers without cancer (8), but taken together these reports and others suggest that the presence of LOH in the lung or blood may be a molecular dosimeter of cigarette carcinogen exposure that correlates with lung cancer risk (8).In this issue of the Journal (pp. 337–341), Carpagnano and colleagues extend their previous findings to now ask if microsatellite alterations in EBC are similar to those in lung tissue from the same individuals (9). Using the same chromosomal 3p microsatellite primers as in the prior study, they examined alterations in EBC, lung tissue, and white blood cell DNA acquired from 41 patients with non–small cell lung cancer and from 18 patients with nonmalignant lung diseases. This analysis presents three important results. First, the study confirms that the prevalence of microsatellite alterations in EBC of patients with cancer is higher than in control subjects. Second, microsatellite alterations appear to be more prevalent in heavy smokers compared with other smokers, although this analysis may be confounded by disease and by classification bias. Third, Table 3 in the article shows the striking finding that, in each instance, microsatellite alterations in EBC matched those detected in lung tissue.
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影响因子:
3.8
作者:
A. Brautigam;F. Dutko;L. Olding;M. Oldstone
通讯作者:
M. Oldstone
DOI:
10.1099/0022-1317-33-2-267
发表时间:
1976
期刊:
The Journal of general virology
影响因子:
--
作者:
L. Olding;D. Kingsbury;M. Oldstone
通讯作者:
M. Oldstone
影响因子:
3.1
作者:
K. S. Cheung;D. Lang
通讯作者:
D. Lang
DOI:
10.1093/infdis/138.6.890
发表时间:
1978
期刊:
The Journal of infectious diseases
影响因子:
--
作者:
D. Mayo;J. Armstrong;M. Ho
通讯作者:
M. Ho
影响因子:
6.2
作者:
Rubin,RH;Wilson,EJ;Barrett,LV;Medearis,DN
通讯作者:
Medearis,DN