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CLIN CANCER RES:胶质母细胞瘤患者血浆细胞外囊泡的临床意义

2019-01-21 MedSci MedSci原创

胶质母细胞瘤(GBM)是最常见的原发性脑肿瘤。寻找可以反映肿瘤状态的血液生物标志物对GBM患者的临床管理的很重要。细胞外囊泡在体液中的数量多,稳定并且有许多肿瘤相关蛋白和RNA,使其成为潜在的最佳生物标志物。CLIN CANCER RES近期发表了一篇文章,研究GBM患者血浆细胞外囊泡在治疗后的诊断和随访中的作用,以及是否可以作为预后工具。

胶质母细胞瘤(GBM)是最常见的原发性脑肿瘤。寻找可以反映肿瘤状态的血液生物标志物对GBM患者的临床管理的很重要。细胞外囊泡在体液中的数量多,稳定并且有许多肿瘤相关蛋白和RNA,使其成为潜在的最佳生物标志物。CLIN CANCER RES近期发表了一篇文章,研究GBM患者血浆细胞外囊泡在治疗后的诊断和随访中的作用,以及是否可以作为预后工具。

作者收集了健康对照人群(n = 33),GBM患者(n = 43)和患有不同中枢神经系统恶性肿瘤(n = 25)患者的血浆。通过超速离心分离细胞外囊泡,并通过透射电镜,浓度和纳米粒子示踪分析进行鉴定。作者还分析了GBM患者血浆细胞外囊泡浓度与临床病理特征的关系。研究结果表明,GBM释放异质性细胞外囊泡,且可在血浆中检测到。与健康对照,脑转移瘤和轴外脑肿瘤相比,GBM血浆细胞外囊泡浓度更高。手术后,血浆细胞外囊泡浓度显着下降。在携带GBM的小鼠中,血浆细胞外囊泡浓度也增加。蛋白质组学分析发现了GBM独特的特征。

文章最后认为,较高的血浆细胞外囊泡水平可能有助于GBM临床诊断:GBM切除术后的水平降低,复发时增加可能为肿瘤监测和治疗反应评估提供帮助。

原始出处:

Daniela Osti, Massimiliano Del Bene, et al. Clinical Significance of Extracellular Vesicles in Plasma from Glioblastoma Patients. CLIN CANCER RES. January 2019 doi: 10.1158/1078-0432.CCR-18-1941

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    2019-01-21 一个字-牛

    学习了谢谢分享

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