中国癌症杂志 ›› 2014, Vol. 24 ›› Issue (6): 469-475.doi: 10.3969/j.issn.1007-3969.2014.06.012

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肿瘤相关循环游离核酸的研究进展

邢星1,刘勇2,孙勇2,周鑫1,胡超苏1   

  1. 1.复旦大学附属肿瘤医院放疗科,复旦大学上海医学院肿瘤学系,上海 200032;
    2.复旦大学附属肿瘤医院肿瘤研究所,复旦大学上海医学院肿瘤学系,上海 200032
  • 出版日期:2014-06-30 发布日期:2014-07-29
  • 通信作者: 胡超苏 E-mail:hucsu62@yahoo.com

Recent advances in cancer-associated circulating cell-free nucleic acids

XING Xing1, LIU Yong2, SUN Yong2, ZHOU Xin1, HU Chao-su1   

  1. 1.Department of Radiation Oncology, Fudan University Shanghai Cancer Center; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China;
    2.Cancer Research Institute, Fudan University Shanghai Cancer Center; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
  • Published:2014-06-30 Online:2014-07-29
  • Contact: HU Chao-su E-mail: hucsu62@yahoo.com

摘要: 循环游离核酸是指存在于人体血液循环中,游离于细胞外的微量内源性或外源性核酸片段。肿瘤患者的血液中游离核酸的含量明显高于健康人群,并具有与肿瘤的发生、发展相关的特征性改变,如基因突变、甲基化、杂合性丢失、片段完整性改变、microRNA的异常表达等。对血液中游离核酸的定性与定量检测,在肿瘤的筛查、诊断、个体化治疗方案的制定、病情的监测以及预后评价中均有潜在的价值。

关键词: 肿瘤, 循环游离核酸, 肿瘤标志物

Abstract:

Circulating cell-free nucleic acids are defined as extracellular DNAs or RNAs in blood with physiological or pathological origins. Previous studies showed that the concentration of cell-free nucleic acids in the blood of cancer patients is significantly higher than in healthy people. Further studies showed that the genetic and epigenetic alterations of circulating cell-free nucleic acids are relevant to cancer development and progression, including mutation, hypermethylation, loss of heterozygosity, change of integrity, and abnormal expression of microRNAs. Detection of circulating cell-free nucleic acids shows promising potential in cancer screening, diagnosis, personalized treatment, and prognosis.

Key words: Cancer, Circulating cell-free nucleic acids, Cancer biomarker