基于粪便DNA甲基化检测的结直肠癌早期诊断
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v6i3.7511
Abstract
粪便DNA甲基化检测是一种基于DNA甲基化在正常细胞和癌变细胞之间差异的结直肠癌(Colorectal Cancer, CRC)早期诊断方法。该技术简单、无创伤,具有较高的敏感度和特异度。用于检测的标志分子,包括隔膜蛋白9(Septin 9 gene, SEPT9)、波形蛋白(Human Vimentin, VIM)、分泌型卷曲相关蛋白2(Secreted Frizzled Related Protein 2, SFRP2)等已在一些地区被批准用于筛查和诊断,而其他的标志分子如人肿瘤高甲基化1基因(Hypermethylated in Cancer1,HIC-1)、组织因子通道抑制因子2(Tissue Factor Pathway Inhibitor2,TFPI2)和黏结蛋白聚糖2(Syndecan-2,SDC2)也显示出了潜在价值。尽管仍需要更多的临床验证,但粪便DNA甲基化检测为提高结直肠癌的早期筛查检出率和早期治疗率提供了重要工具。
Keywords
结直肠癌;早期诊断;粪便DNA甲基化检测;黏结蛋白聚糖2
Funding
湖北省重点研发计划项目(社会发展领域)(No.2022BCA018)及工业微生物省部共建协同创新中心开放课题(2022KF16)。
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