The search for biomarkers of hepatocellular carcinoma and the impact on patient outcome.

The search for biomarkers of hepatocellular carcinoma and the impact on patient outcome.
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DOI:
10.1016/j.coph.2018.04.002
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发表时间:
2018-08
影响因子:
4
通讯作者:
Mehta AS
Mehta AS
中科院分区:
医学3区
文献类型:
--
作者:
Black AP;Mehta AS

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肝细胞癌(HCC)是第五大最常见的癌症,但也是全球第三大癌症死亡原因,每年约有70万人死亡。这种癌症的严重程度源于其难以发现和治疗。HCC的主要病因是慢性病毒感染引起的肝纤维化或肝硬化,以及代谢条件。由于大多数病例源于既往病理,因此对高危人群进行生物标志物监测是早期发现和改善患者预后的重要方法。虽然许多分子生物标志物与HCC相关,但很少有对该疾病产生临床影响的。在这里,我们回顾了用于HCC生物标志物发现的一些主要方法-蛋白质组学和糖组学-并描述了用于生物标志物开发的新方法。
Hepatocellular carcinoma (HCC) is the 5th most common cancer, but the 3rd leading cause of cancer death globally with approximately 700,000 fatalities annually. The severity of this cancer arises from its difficulty to detect and treat. The major etiologies of HCC are liver fibrosis or cirrhosis from chronic viral infections, as well as metabolic conditions. Since most cases arise from prior pathologies, biomarker surveillance in high-risk individuals is an essential approach for early detection and improved patient outcome. While many molecular biomarkers have been associated with HCC, there are few that have made clinical impact for this disease. Here we review some major approaches used for HCC biomarker discovery – proteomics and glycomics – and describe new methodologies being tested for biomarker development.
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