吉林医药学院学报2024,Vol.45Issue(5) :366-370.

DNA甲基化检测在肝癌筛查和诊断中的研究进展

Research Progress of DNA Methylation Detection in Screening and Diagnosis of Liver Cancer

蔡文畅 牛月华 赵爱忠 李环
吉林医药学院学报2024,Vol.45Issue(5) :366-370.

DNA甲基化检测在肝癌筛查和诊断中的研究进展

Research Progress of DNA Methylation Detection in Screening and Diagnosis of Liver Cancer

蔡文畅 1牛月华 1赵爱忠 1李环2
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作者信息

  • 1. 北华大学 校医院,吉林 吉林 132013
  • 2. 北华大学 公共卫生学院,吉林 吉林 132013
  • 折叠

摘要

肝细胞癌(hepatocellular carcinoma,HCC)是导致死亡的主要疾病,早期HCC患者比晚期HCC患者预后更好.因此,HCC的早期筛查对于临床治疗决策和改善患者预后至关重要.超声、计算机断层扫描和血清甲胎蛋白等检测方法的灵敏性较低,阻碍HCC的早期诊断.DNA甲基化作为表观遗传修饰研究的热点之一,在包括癌症在内的各种疾病中起着关键作用.DNA甲基化通常发生在恶性肿瘤的早期阶段,抑癌基因的高甲基化或癌基因的低甲基化是肿瘤发生中的一个重要原因.作为非侵入性检测方法,循环游离DNA是液体活检的重要生物标志物,已成为HCC早期诊断的热点.本文主要综述循环游离DNA甲基化在肝癌诊断中的最新研究进展.

Abstract

Hepatocellular carcinoma(HCC)is the leading cause of death,and patients with early HCC have a better prognosis than those with advanced HCC. Therefore,early screening of HCC is crucial for clinical treatment decisions and improving patient outcomes. The sensitivity of ultrasound,computed tomography and serum alpha-fetoprotein(AFP)detection methods is low,which hinder the early di-agnosis of HCC. DNA methylation is one of the hot topics in epigenetic modification research and plays a key role in various diseases,in-cluding cancer. DNA methylation usually occurs in the early stage of malignant tumors,and hypermethylation of tumor suppressor genes or hypomethylation of oncogenes is an important cause of tumorigenesis. As a non-invasive assay,circulating free DNA(cfDNA)is an important biomarker for liquid biopsy and has become a hot spot in the early diagnosis of HCC. This article reviews the recent progress of circulating free DNA methylation in the diagnosis of liver cancer.

关键词

肝癌/DNA甲基化/诊断

Key words

liver cancer/DNA methylation/diagnosis

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基金项目

吉林省科技攻关项目(20210203187SF)

出版年

2024
吉林医药学院学报
吉林医药学院

吉林医药学院学报

影响因子:0.459
ISSN:1673-2995
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