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甲状腺球蛋白检测技术的研究进展

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甲状腺球蛋白(Thyroglobulin,Tg)是一种由甲状腺滤泡细胞合成并分泌到血液中的大分子糖蛋白.血液中Tg的浓度水平是判定分化型甲状腺癌和亚急性甲状腺炎等甲状腺疾病的重要指标之一.放射免疫分析法、免疫放射分析法和免疫化学发光分析法是临床检测Tg的主要方法.近年来,为了满足甲状腺清除术后对较低浓度血液Tg的检测需求,研究者开发了多种高性能分析方法用于血液样本中Tg浓度的检测,为甲状腺疾病筛查和疗效评估提供了新的技术手段.本文综述了Tg的分析方法,尤其是近五年来用于血液中低浓度Tg监测的生物传感器研究的新进展,探讨了其在实际临床应用中面临的技术挑战,为开发分化型甲状腺癌液体活检新方法提供了参考.
Recent Progress in Detection Techniques of Thyroglobulin
Thyroglobulin(Tg)is a glycoprotein with large molecular weight,which is synthesized and secreted into the bloodstream by thyroid follicular cells.The concentration level of Tg in blood is one of the important biomarkers for diagnosis of thyroid diseases such as differentiated thyroid cancer(DTC),subacute thyroiditis,etc..Radioimmunoassay(RIA),immunoradiometric assay(IRMA),and immunochemiluminescence assay(ICMA)are the main clinical methods for detecting Tg.Recently,for meeting the requirement of detecting low concentration of Tg in blood after thyroid clearance surgery,researchers have developed various high-performance analysis methods for detecting Tg concentration in blood samples,providing new assays for thyroid disease screening and efficacy evaluation.This review summarized the analysis methods of Tg,especially the new progresses in the biosensors for monitoring low concentration of Tg in blood during the past five years.The current technical challenges of these methods in clinical applications were briefly discussed,which might provide useful information for developing new liquid biopsy methods of DTC.

ThyroglobulinBiosensorsThyroid diseaseLiquid biopsyReview

吴越、单勇杰、曹守纪、季世琦、陈渤文、孟宪瑛、王振新

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连云港市第一人民医院甲状腺外科,连云港 222000

中国科学院长春应用化学研究所,电分析化学国家重点实验室,长春 130022

吉林大学白求恩第一临床医院甲状腺外科,长春 130021

甲状腺球蛋白 生物传感器 甲状腺疾病 液体活检 评述

吉林省自然科学基金-国家重点实验室(学科类)重大专项项目

SKL202302030

2024

分析化学
中国化学会 中国科学院长春应用化学研究所

分析化学

CSTPCD北大核心
影响因子:1.423
ISSN:0253-3820
年,卷(期):2024.52(9)