Clinica Chimica Acta:尿纤溶酶原和纤维蛋白γ链作为非小细胞肺癌新诊断指标的临床意义

2020-04-12 MedSci原创 MedSci原创

尿蛋白可作为检测非小细胞肺癌(NSCLC)的标志物。本研究对非小细胞肺癌患者尿液样本中两种不同蛋白的水平进行了研究,并评估了它们的诊断价值。

尿蛋白可作为检测非小细胞肺癌(NSCLC)的标志物。本研究对非小细胞肺癌患者尿液样本中两种不同蛋白的水平进行了研究,并评估了它们的诊断价值。

研究人员采用酶联免疫吸附法(ELISA)检测112例非小细胞肺癌患者和197例对照组尿纤溶酶原(PLG)和纤维蛋白原(FGG)水平。通过免疫组化检测20例NSCLC组织及配对的非肿瘤组织中FGG和PLG的表达。通过受试者工作特征曲线(ROC)评价FGG和PLG对NSCLC的诊断价值。

研究结果显示,与相邻的非肿瘤组织相比,PLG和FGG在NSCLC组织显著升高,同时,与健康对照组相比,NSCLC病人的尿液样本中的PLG和FGG显著升高(p = 0.000)。尿液样本中PLG的表达水平仅与组织学类型有关(p = 0.001)。此外,ROC曲线分析显示,PLG、FGG及其组合可区分NSCLC及其亚型与健康对照,AUC在0.827~0.947之间。通过比较来自NSCLC I-IV期患者(n = 81)和健康对照组(n = 31)的尿液样本与匹配的血浆CEA,发现CEA与PLG或FGG的组合AUC分别为0.889和0.806,优于单一生物标志物的单独检测。

研究结果表明,这两种尿蛋白可作为NSCLC诊断的潜在标志物。

原始出处:

Wencheng Zhang,Zhouyong Gao,Clinical significance of urinary plasminogen and fibrinogen gamma chain as novel potential diagnostic markers for non-small-cell lung cancer

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    2020-10-24 windight
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    2020-12-14 rgjl
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