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Liquid biopsy in patients with hepatocellular carcinoma: Circulating tumor cells and cell-free nucleic acids 被引量:25
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作者 wataru okajima shuhei komatsu +12 位作者 daisuke ichikawa mahito miyamae takuma ohashi taisuke imamura jun kiuchi keiji nishibeppu tomohiro arita hirotaka konishi atsushi shiozaki ryo morimura hisashi ikoma kazuma okamoto eigo otsuji 《World Journal of Gastroenterology》 SCIE CAS 2017年第31期5650-5668,共19页
Hepatocellular carcinoma(HCC), with its high incidence and mortality rate, is one of the most common malignant tumors. Despite recent development of a diagnostic and treatment method, the prognosis of HCC remains poor... Hepatocellular carcinoma(HCC), with its high incidence and mortality rate, is one of the most common malignant tumors. Despite recent development of a diagnostic and treatment method, the prognosis of HCC remains poor. Therefore, to provide optimal treatment for each patient with HCC, more precise and effective biomarkers are urgently needed which could facilitate a more detailed individualized decision-making during HCC treatment, including the following; risk assessment, early cancer detection, prediction of treatment or prognostic outcome. In the blood of cancer patients, accumulating evidence about circulating tumor cells and cell-free nucleic acids has suggested their potent clinical utilities as novel biomarker. This concept, so-called "liquid biopsy" is widely known as an alternative approach to cancer tissue biopsy. This method might facilitate a more sensitive diagnosis and better decision-making by obtaining genetic and epigenetic aberrations that are closely associated with cancer initiation and progression. In this article, we review recent developments based on the available literature on both circulating tumor cells and cell-free nucleic acids in cancer patients, especially focusing on Hepatocellular carcinoma. 展开更多
关键词 Hepatocellular carcinoma BIOMARKER Liquid biopsy Circulating tumor cells cell-free nucleic acids
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Liquid biopsy in patients with pancreatic cancer: Circulating tumor cells and cell-free nucleic acids 被引量:10
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作者 Taisuke Imamura Shuhei Komatsu +11 位作者 Daisuke Ichikawa Tsutomu Kawaguchi Mahito Miyamae Wataru Okajima Takuma Ohashi Tomohiro Arita Hirotaka Konishi Atsushi Shiozaki Ryo Morimura Hisashi Ikoma Kazuma Okamoto Eigo Otsuji 《World Journal of Gastroenterology》 SCIE CAS 2016年第25期5627-5641,共15页
Despite recent advances in surgical techniques and perioperative management, the prognosis of pancreatic cancer(PCa) remains extremely poor. To provide optimal treatment for each patient with Pca, superior biomarkers ... Despite recent advances in surgical techniques and perioperative management, the prognosis of pancreatic cancer(PCa) remains extremely poor. To provide optimal treatment for each patient with Pca, superior biomarkers are urgently needed in all phases of management from early detection to staging, treatment monitoring, and prognosis. In the blood of patients with cancer, circulating tumor cells(CTCs) and cell-free nucleic acids(cf NAs), such as DNA, m RNA, and noncoding RNA have been recognized. In the recent years, their presence in the blood has encouraged researchers to investigate their potential use as novel blood biomarkers, and numerous studies have demonstrated their potential clinical utility as a biomarker for certain types of cancer. This concept, called "liquid biopsy" has been focused on as a less invasive, alternative approach to cancer tissue biopsy for obtaining genetic and epigenetic aberrations that contribute to oncogenesis and cancer progression. In this article, we review the available literature on CTCs and cfN As in patients with cancer, particularly focusing on PCa, and discuss future perspectives in this field. 展开更多
关键词 Pancreatic cancer Biomarker LIQUID BIOPSY CIRCULATING tumor cells cell-free nucleic acidS
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Liquid biopsy of gastric cancer patients:Circulating tumor cells and cell-free nucleic acids 被引量:9
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作者 Masahiro Tsujiura Daisuke Ichikawa +3 位作者 Hirotaka Konishi Shuhei Komatsu Atsushi Shiozaki Eigo Otsuji 《World Journal of Gastroenterology》 SCIE CAS 2014年第12期3265-3286,共22页
To improve the clinical outcomes of cancer patients, early detection and accurate monitoring of diseases are necessary. Numerous genetic and epigenetic alterations contribute to oncogenesis and cancer progression, and... To improve the clinical outcomes of cancer patients, early detection and accurate monitoring of diseases are necessary. Numerous genetic and epigenetic alterations contribute to oncogenesis and cancer progression, and analyses of these changes have been increasingly utilized for diagnostic, prognostic and therapeutic purposes in malignant diseases including gastric cancer (GC). Surgical and/or biopsy specimens are generally used to understand the tumor-associated alterations; however, those approaches cannot always be performed because of their invasive characteristics and may fail to reflect current tumor dynamics and drug sensitivities, which may change during the therapeutic process. Therefore, the importance of developing a non-invasive biomarker with the ability to monitor real-time tumor dynamics should be emphasized. This concept, so called &#x0201c;liquid biopsy&#x0201d;, would provide an ideal therapeutic strategy for an individual cancer patient and would facilitate the development of &#x0201c;tailor-made&#x0201d; cancer management programs. In the blood of cancer patients, the presence and potent utilities of circulating tumor cells (CTCs) and cell-free nucleic acids (cfNAs) such as DNA, mRNA and microRNA have been recognized, and their clinical relevance is attracting considerable attention. In this review, we discuss recent developments in this research field as well as the relevance and future perspectives of CTCs and cfNAs in cancer patients, especially focusing on GC. 展开更多
关键词 Gastric cancer BIOMARKER Liquid biopsy Circulating tumor cells cell-free nucleic acids MICRORNA
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Signature based on molecular subtypes of deoxyribonucleic acid methylation predicts overall survival in gastric cancer 被引量:1
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作者 Jin Bian Jun-Yu Long +5 位作者 Xu Yang Xiao-Bo Yang Yi-Yao Xu Xin Lu Xin-Ting Sang Hai-Tao Zhao 《World Journal of Gastroenterology》 SCIE CAS 2020年第41期6414-6430,共17页
BACKGROUND Gastric cancer(GC) ranks as the third leading cause of cancer-related death worldwide. Epigenetic alterations contribute to tumor heterogeneity in early stages.AIM To identify the specific deoxyribonucleic ... BACKGROUND Gastric cancer(GC) ranks as the third leading cause of cancer-related death worldwide. Epigenetic alterations contribute to tumor heterogeneity in early stages.AIM To identify the specific deoxyribonucleic acid(DNA) methylation sites that influence the prognosis of GC patients and explore the prognostic value of a model based on subtypes of DNA methylation.METHODS Patients were randomly classified into training and test sets. Prognostic DNA methylation sites were identified by integrating DNA methylation profiles and clinical data from The Cancer Genome Atlas GC cohort. In the training set, unsupervised consensus clustering was performed to identify distinct subgroups based on methylation status. A risk score model was built based on Kaplan-Meier, least absolute shrinkage and selector operation, and multivariate Cox regression analyses. A test set was used to validate this model.RESULTS Three subgroups based on DNA methylation profiles in the training set were identified using 1061 methylation sites that were significantly associated with survival. These methylation subtypes reflected differences in T, N, and M category, age, stage, and prognosis. Forty-one methylation sites were screened as specific hyper-or hypomethylation sites for each specific subgroup. Enrichment analysis revealed that they were mainly involved in pathways related to carcinogenesis, tumor growth, and progression. Finally, two methylation sites were chosen to generate a prognostic model. The high-risk group showed a markedly poor prognosis compared to the low-risk group in both the training [hazard ratio(HR) = 2.24, 95% confidence interval(CI): 1.28-3.92, P < 0.001] and test(HR = 2.12, 95%CI: 1.19-3.78, P = 0.002) datasets.CONCLUSION DNA methylation-based classification reflects the epigenetic heterogeneity of GC and may contribute to predicting prognosis and offer novel insights for individualized treatment of patients with GC. 展开更多
关键词 Gastric cancer deoxyribonucleic acid methylation Molecular subtypes PROGNOSIS Risk score The Cancer Genome Atlas
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Circulating cell-free nucleic acids as prognostic and therapy predictive tools for metastatic castrate-resistant prostate cancer
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作者 Navid Sobhani Marianna Sirico +2 位作者 Daniele Generali Fabrizio Zanconati Bruna Scaggiante 《World Journal of Clinical Oncology》 CAS 2020年第7期450-463,共14页
Metastatic castrate-resistant prostate cancer remains a disease hard to cure,and for this reason predictive tools to monitor disease progression and therapy response are an urgent need.In this respect,liquid biopsy on... Metastatic castrate-resistant prostate cancer remains a disease hard to cure,and for this reason predictive tools to monitor disease progression and therapy response are an urgent need.In this respect,liquid biopsy on circulating cell-free nucleic acids represents an interesting strategy based on robust data.The low invasiveness and the possibility to target circulating cell-free tumor deoxyribonucleic acid underline the high specificity,sensitivity and clinical usability of the technique.Moreover,it has been observed that the cell-free tumor deoxyribonucleic acid of metastatic castrate-resistant prostate cancer patients can be representative of the tumor heterogeneity.Cell-free tumor deoxyribonucleic acids express the same behaviors as mutations:Variation in gene copy number or the methylation rate of the tumor tissue.Recently,circulating cell-free ribonucleic acid molecules have emerged as interesting markers to stratify the disease.Due to high-throughput technologies,liquid biopsy on circulating cell-free nucleic acids will soon be utilized in the clinical management of metastatic castrate-resistant prostate cancer patients. 展开更多
关键词 Metastatic castrate-resistant prostate cancer Circulating free deoxyribonucleic acid cell-free tumor deoxyribonucleic acid Circulating free ribonucleic acid Liquid biopsy Prostate cancer
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Chaotic Solitons in Deoxyribonucleic Acid (DNA) Interacting with a Plane Wave
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作者 HAI Wen-Hua XIAO Yi FANG Jian-Shu ZHANG Xi-Li HUANG Wei-Li 《Communications in Theoretical Physics》 SCIE CAS CSCD 2001年第10期503-508,共6页
Theoretical analysis of the DNA dynamics reveals that interaction between the single solitons and plane wave implies Smale-horseshoe chaos in the double helices. Solutions of the chaotic solitons are derived from a di... Theoretical analysis of the DNA dynamics reveals that interaction between the single solitons and plane wave implies Smale-horseshoe chaos in the double helices. Solutions of the chaotic solitons are derived from a direct perturbation technique. It is demonstrated that to produce the bounded chaotic solitons, velocities of the solit ons nust be the same and equal to propagation velocity of the plane wave in DNA. The result shows that the DNA structure may be destroyed by the long action of an electromagnetic wave. It also supplies a useful method for controlling the velocities and unboundedness of the DNA motion in a tumour cell by using a plane wave. 展开更多
关键词 chaos soliton deoxyribonucleic acid PLANE wave interaction
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THE CLINICAL SIGNIFICANCE OF FLOW CYTOMETRIC DEOXYRIBONUCLEIC ACID MEASUREMENT OF DEPARA-FFINIZED SPECIMEN IN BLADDER TUMOR
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作者 王泽 缪廷杰 +1 位作者 熊汝成 曹世龙 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 1991年第1期77-81,共5页
A retrospective study of flow cytometric measurements on paraffin-embedded tumor specimens from 188 patients with bladder tumor was conducted. The results were analyzed in combination with the morphological variation ... A retrospective study of flow cytometric measurements on paraffin-embedded tumor specimens from 188 patients with bladder tumor was conducted. The results were analyzed in combination with the morphological variation of bladder tumors. It was found that the DNA ploid pottern, degree of infiltration and the multiplicity of bladder tumor were closely related with tumor recurrence, among which the DNA ploid pattern was most significant. In aneuploid bladder tumors the recurrent rate and mean annual recurrence frequency were 76.7% and 1.46, and those in the diploid bladder tumors were 18.7% and 0.33 respectively. Aneuploid was the most indicative parameter of the recurrence in bladder tumors. In addition, according to the DNA ploid pattern and DNA index (DI), the aneuploid tumors in our group were divided into 4 types, namely, tetraploid tumors, npn-euploid with DI(?)1.5, non-euploid tumors with DI>1.5 and two-aneuploid tumors. The results showed that the recurrent rate of tetraploid tumors was relatively lower and it became higher and higher in the following order: non-euploid tumors with DI(?)1.5, non-euploid tumors with DI>1.5, and two-aneuploid tumors. This indicates that there are different biological behaviors in tumors with different ploid pattern. Finally, the correlation between DNA ploid pattern and tumor metastasis was also discussed. 展开更多
关键词 RATE THE CLINICAL SIGNIFICANCE OF FLOW CYTOMETRIC deoxyribonucleic acid MEASUREMENT OF DEPARA-FFINIZED SPECIMEN IN BLADDER TUMOR DNA FCM
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Highly Sensitive Detection of Deoxyribonucleic Acid Hybridization Using Au-Gated AlInN/GaN High Electron Mobility Transistor-Based Sensors
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作者 Xiang-Mi Zhan Mei-Lan Ha +7 位作者 Quan Wang Wei Li Hong-Ling Xiao Chun Feng Li-Juan Jiang Cui-Mei Wang Xiao-Liang Wang Zhan-Guo Wang 《Chinese Physics Letters》 SCIE CAS CSCD 2017年第4期75-78,共4页
Gallium nitride- (GaN) based high electron mobility transistors (HEMTs) provide a good platform for biological detection. In this work, both Au-gated AlInN/GaN HEMT and AlGaN/GaN HEMT biosensors are fabricated for... Gallium nitride- (GaN) based high electron mobility transistors (HEMTs) provide a good platform for biological detection. In this work, both Au-gated AlInN/GaN HEMT and AlGaN/GaN HEMT biosensors are fabricated for the detection of deoxyribonucleic acid (DNA) hybridization. The Au-gated AIInN/GaN HEMT biosensor exhibits higher sensitivity in comparison with the AlGaN/GaN HEMT biosensor. For the former, the drain-source current (VDS = 0.5 V) shows a clear decrease of 69μA upon the introduction of 1μmolL^-1 (μM) complimentary DNA to the probe DNA at the sensor area, while for the latter it is only 38 μA. This current reduction is a notable indication of the hybridization. The high sensitivity can be attributed to the thinner barrier of the AlInN/GaN heterostructure, which makes the two-dimensional electron gas channel more susceptible to a slight change of the surface charge. 展开更多
关键词 GAN In Highly Sensitive Detection of deoxyribonucleic acid Hybridization Using Au-Gated AlInN/GaN High Electron Mobility Transistor-Based Sensors
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Deoxyribonucleic Acid-Polymerase Chain Reaction Status of HIV Exposed Infants in a Sub Regional Prevention of Mother-to-Child Transmission of HIV Programme during the Period 2009-2020
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作者 Elon Warnow Isaac Ayomikun Ajani +4 位作者 Jalo Iliya Mohammed Manga Abubakar Joshua Difa Oyeniyi Christianah Oluwaseun Muhammad Danlami Hassan 《Open Journal of Epidemiology》 2023年第4期328-341,共14页
Introduction: Transitioning to more efficacious Antiretrovirals for HIV infected pregnant women and infant prophylaxis has reduced Mother to child transmission of HIV significantly. This study aimed to determine HIV i... Introduction: Transitioning to more efficacious Antiretrovirals for HIV infected pregnant women and infant prophylaxis has reduced Mother to child transmission of HIV significantly. This study aimed to determine HIV infection status in HIVexposed infants who had their first DNA polymerase chain reaction test in our molecular Laboratory. Subjects, Materials and Methods: Dried Blood Spots for HIV DNA results from 5 states between 2009 and 2020 were analyzed in the PCR laboratory of the Federal Teaching Hospital, Gombe. Results: Nine thousand eight hundred and twenty-three Human Immunodeficiency Virus Deoxyribonucleic acid polymerase Chain Reaction results were analysed;4937 (50.2%) were males. During the study period, there was an overall declining trend in the mother-to-child transmission rate from 3.8% in 2009 to 1.0% in 2020. 6120 (62.3%) of HIV + mothers received Highly active antiretroviral therapy HAART before pregnancy. 7845 (76.2%) of the infants received Nevirapine prophylaxis. Dried blood spot samples were collected from 4077 (41.5%) at 6 - 8 weeks. 8438 (85.9%) received cotrimoxazole. 9469 (96.4%) were ever breastfed. Of the 9823 HIV DNA PCR results, 255 (2.6%) were positive while 69/4077 (1.7%) and 109/2662 (4.1%) were positive for HIV DNA at 6 - 8 weeks and > 12 weeks respectively. (p = 0.001). 86/747 (11.5%) of infants whose HIV-positive mothers received no ARVS were HIV DNA positive. (p = 0.001). 106/884 (12.0%) of infants who had no Antiretroviral prophylaxis had positive HIV DNA results;7/413 (1.7%) with Zidovudine/Nevirapine prophylaxis had positive results. (p = 0.001). 246/9469 (2.6%) of infants that were ever breastfed were positive for HIV DNA;11/354 (3.0%) that never breastfed had positive HIV DNA. Conclusion: Lack of maternal/infant ARVs and prolonged breastfeeding increased the risk of infant HIV infection. 展开更多
关键词 Mother to Child Transmission of HIV ANTIRETROVIRALS HIV Exposed Infants deoxyribonucleic acid Polymerase Chain Reaction Early Infant Diagnosis
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Role of cell-free DNA for predicting incidence and outcome of patients with ischemic stroke
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作者 Nusrath Fathima Sandhya Manorenj +1 位作者 Sandeep Kumar Vishwakarma Aleem Ahmed Khan 《World Journal of Neurology》 2022年第1期1-9,共9页
Early diagnosis and prognosis of ischemic stroke remains a critical challenge in clinical settings.A blood biomarker can be a promising quantitative tool to represent the clinical manifestations in ischemic stroke.Cel... Early diagnosis and prognosis of ischemic stroke remains a critical challenge in clinical settings.A blood biomarker can be a promising quantitative tool to represent the clinical manifestations in ischemic stroke.Cell-free DNA(cfDNA)has recently turned out to be a popular circulating biomarker due to its potential relevance for diagnostic applications in a variety of disorders.Despite bright outlook of cfDNA in clinical applications,very less is known about its origin,composition,or function.Several recent studies have identified cell-derived mitochondrial components including mitochondrial DNA(mtDNA)in the extracellular spaces including blood and cerebrospinal fluid.However,the time course of alterations in plasma mtDNA concentrations in patients after an ischemic stroke is poorly understood.DNA is thought to be freed into the plasma shortly after the commencement of an ischemic stroke and then gradually decreased.However,the importance of cell-free mtDNA(cf-mtDNA)in ischemic stroke is still unknown.This review summarizes about the utility of biomarkers which has been standardized in clinical settings and role of cfDNA including cfmtDNA as a non-invasive potential biomarker of ischemic stroke. 展开更多
关键词 Ischemic stroke MITOCHONDRIA Circulating cell-free DNA Plasma nucleic acid MORTALITY
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基于SM2和DNA的图像加密算法
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作者 唐亦昕 张英男 《陕西科技大学学报》 北大核心 2025年第1期203-210,共8页
近年来,随着互联网的全面普及,公民对信息安全和隐私保护提出了新的更高的要求,为了保护公民的数据安全,并且满足“打赢新时代网络战争”的要求,对图像加密算法的研究与实现进行深入的研究,提出了一种基于国密SM2数字信封和脱氧核糖核酸... 近年来,随着互联网的全面普及,公民对信息安全和隐私保护提出了新的更高的要求,为了保护公民的数据安全,并且满足“打赢新时代网络战争”的要求,对图像加密算法的研究与实现进行深入的研究,提出了一种基于国密SM2数字信封和脱氧核糖核酸(Deoxyribonucleic acid,DNA)编码的图像加密技术,将图像编码技术、公钥技术、口令保护技术相结合.在该算法中,通过使用Python重点实现了密钥空间的复杂性、图像的鲁棒性、随机性、低相关性,同时对图像的直方图进行了分析,研究结果表明,在实现公钥加密算法国产化替代的同时,增强了加密的安全性. 展开更多
关键词 SM2数字信封 Chen超混沌 Logistic混沌 鲁棒性 脱氧核糖核酸(DNA)
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Forensic Significance of Touch Deoxyribonucleic Acid
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作者 G.Devika S.Vaishnavi Manashree Mane 《Journal of Forensic Science and Medicine》 2024年第3期214-219,共6页
Touch deoxyribonucleic acid(DNA)refers to the DNA that is left behind from skin cells when a person touches or comes into contact with an object.In crimes where the identification of suspects becomes a challenge,touch... Touch deoxyribonucleic acid(DNA)refers to the DNA that is left behind from skin cells when a person touches or comes into contact with an object.In crimes where the identification of suspects becomes a challenge,touch DNA has been a proven investigative tool.The present study aims to provide a systematic review of the role of touch DNAin criminal cases which discusses the nature and importance of touch DNA evidence at crime scenes;various phenomena including the transfer and persistence of touched samples;different factors affecting the touch sample deposition and DNA shedding;the best recovery methods and collection of samples from different substrates;and the interpretation of profiles through advanced techniques that identify the suspects.The present study also aims to optimize standard protocols in the laboratories for touched samples appropriate to the substrates that improve the success rate of profiles from touched items. 展开更多
关键词 Crime scene investigation forensic deoxyribonucleic acid analysis touch deoxyribonucleic acid touch deposits TRACE
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不同HBV DNA载量慢性乙型肝炎患儿肝功能及凝血功能、血小板参数水平特征研究
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作者 郑玥 《临床研究》 2025年第2期14-18,共5页
目的研究不同乙型肝炎病毒脱氧核糖核酸(HBV DNA)载量慢性乙型肝炎患儿肝功能及凝血功能及血小板参数水平特征。方法选取2022年1月至2022年6月于开封市妇幼保健院诊治的149例慢性乙型肝炎患儿作为研究对象,根据HBV DNA载量不同分为低载... 目的研究不同乙型肝炎病毒脱氧核糖核酸(HBV DNA)载量慢性乙型肝炎患儿肝功能及凝血功能及血小板参数水平特征。方法选取2022年1月至2022年6月于开封市妇幼保健院诊治的149例慢性乙型肝炎患儿作为研究对象,根据HBV DNA载量不同分为低载量组(103拷贝/mL<HBV DNA载量≤105拷贝/mL)34例、中载量组(105拷贝/mL<HBV DNA载量≤107拷贝/mL)66例和高载量组(HBV DNA载量>107拷贝/mL)49例,抽取外周静脉血检测谷草转氨酶(ALT)、谷丙转氨酶(AST)、白蛋白(ALB)、总胆红素(TBIL)、活化部分凝血活酶时间(aPTT)、凝血酶原时间(PT)、凝血酶时间(TT)、纤维蛋白原(Fbg)、血小板计数(PLT)、平均血小板体积(MPV)、血小板分布宽度(PDW)和血小板压积(PCT)值。结果三组不同HBV DNA载量慢性乙型肝炎患儿的ALB、TBIL水平比较,差异无统计学意义(P>0.05),三组不同HBV DNA载量慢性乙型肝炎患儿的ALT、AST水平比较,差异有统计学意义(P<0.05),其中,ALT水平为低载量组<中载量组<高载量组,AST水平为低载量组<中载量组<高载量组。三组不同HBV DNA载量慢性乙型肝炎患儿的TT水平比较,差异无统计学意义(P>0.05),三组不同HBV DNA载量慢性乙型肝炎患儿的aPTT、PT及Fbg水平比较,差异有统计学意义(P<0.05),其中,aPTT水平为中载量组>高载量组,PT水平为低载量组<中载量组;中载量组>高载量组,Fbg水平为低载量组>高载量组。三组不同HBV DNA载量慢性乙型肝炎患儿的PDW和PCT水平比较,差异无统计学意义(P>0.05),三组不同HBV DNA载量慢性乙型肝炎患儿的PLT和MPV水平比较,差异有统计学意义(P<0.05),其中,PLT水平为低载量组>中载量组;低载量组>高载量组,MPV水平为低载量组<中载量组<高载量组。Spearman相关性分析结果显示,aPTT、PT水平与HBV-DNA载量之间,无明显相关性(P>0.05)、ALT、AST及MPV水平与HBV-DNA载量之间呈正相关,r分别为0.586、0.388和0.429、Fbg、PLT水平与HBV-DNA载量之间呈负相关,r分别为-0.188、-0.355,(P<0.05)。结论随着HBVDNA载量增加,慢性乙型肝炎患儿ALT、AST及MPV水平随之升高,且Fbg、PLT水平随之降低。 展开更多
关键词 乙型肝炎病毒脱氧核糖核酸 慢性乙型肝炎 肝功能 凝血功能 血小板参数
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TB-DNA、IGRAs、TB-Ab在肺结核中的诊断价值 被引量:2
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作者 林华 刘相玉 +1 位作者 陈展飞 俞柳敏 《分子诊断与治疗杂志》 2024年第5期917-920,925,共5页
目的探究结核分枝杆菌核酸(TB-DNA)、γ-干扰素释放试验(IGRAs)和结核分歧杆菌抗体(TB-Ab)检测在肺结核中的诊断价值。方法收集2022年6月至2023年1月莆田学院附属医院收治的154例疑似肺结核患者,所有患者均接受TB-DNA、IGRAs和TB-Ab检测... 目的探究结核分枝杆菌核酸(TB-DNA)、γ-干扰素释放试验(IGRAs)和结核分歧杆菌抗体(TB-Ab)检测在肺结核中的诊断价值。方法收集2022年6月至2023年1月莆田学院附属医院收治的154例疑似肺结核患者,所有患者均接受TB-DNA、IGRAs和TB-Ab检测,评价不同检测方法的检测阳性率、诊断肺结核的灵敏度、特异度、阳性预测值、阴性预测值及诊断准确率;采用受试者工作特征曲线(ROC)评估不同检测方法对肺结核的诊断效能。结果154例疑似肺结核患者中,107例确诊为肺结核(肺结核组),47例确诊为非肺结核的其他肺部疾病(对照组)。肺结核组TB-DNA、IGRAs和TB-Ab阳性率均高于对照组,差异有统计学意义(P<0.05)。TB-DNA、IGRAs检测诊断肺结核的灵敏度和诊断准确率均高于TB-Ab检测,差异有统计学意义(P<0.05),TB-DNA检测诊断肺结核的阴性预测值高于TB-Ab检测,差异有统计学意义(P<0.05)。ROC曲线分析结果显示,TB-DNA诊断肺结核的AUC为0.851(明显大于IGRAs诊断的0.770)、TB-Ab诊断的0.770,IGRAs诊断的AUC明显大于TB-Ab,差异均有统计学意义(P<0.05)。IGRAs+TB-DNA联合诊断的灵敏度、诊断准确率明显高于IGRAs单独检测(P<0.05);IGRAs+TB-Ab联合诊断的灵敏度明显高于IGRAs、TB-Ab单独检测,诊断准确率明显高于TB-Ab单独检测(P<0.05);TB-DNA+TB-Ab联合诊断的灵敏度、阴性预测值、诊断准确率明显高于TB-Ab单独检测(P<0.05)。TB-DNA、IGRAs、TB-Ab两两联合检测和三者联合检测诊断肺结核的灵敏度、特异度、阳性预测值、阴性预测值及诊断准确率比较,差异均无统计学意义(P>0.05)。结论相比TB-Ab和IGRAs检测,TB-DNA检测对肺结核的诊断价值更高;TB-DNA、IGRAs、TB-Ab两两联合检测对肺结核的诊断效能高于单一指标检测。 展开更多
关键词 肺结核 结核分枝杆菌核酸 Γ-干扰素释放试验 结核分歧杆菌抗体
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慢性乙型肝炎者外周血SAA/CRP、NLR水平与HBV-DNA载量、病情程度的相关性分析 被引量:1
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作者 陈春燕 樊子勉 《昆明医科大学学报》 CAS 2024年第5期144-150,共7页
目的探究慢性乙型肝炎(chronic hepatitis B,CHB)患者外周血淀粉样蛋白A(serum amyloid A,SAA)与C反应蛋白(C-reactive protein,CRP)比值(SAA/CRP)、中性粒细胞与淋巴细胞比值(neutrophils lymphocytes ratio,NLR)水平与乙型肝炎病毒-... 目的探究慢性乙型肝炎(chronic hepatitis B,CHB)患者外周血淀粉样蛋白A(serum amyloid A,SAA)与C反应蛋白(C-reactive protein,CRP)比值(SAA/CRP)、中性粒细胞与淋巴细胞比值(neutrophils lymphocytes ratio,NLR)水平与乙型肝炎病毒-脱氧核糖核酸(HBV-DNA)载量及病情程度的相关性。方法选取2020年6月至2022年6月达州市中西医结合医院100例CHB患者作为研究组,根据病情程度分为轻度(单纯CHB,n=36)、中度(乙肝代偿期肝硬化,n=33)和重度(乙肝失代偿期肝硬化,n=31)。另选同期、同年龄段50例健康志愿者作为对照组,比较研究组不同病情程度、对照组一般资料、血清SAA/CRP、NLR水平,并比较研究组不同HBV-DNA载量患者血清SAA/CRP、NLR水平,分析CHB患者血清SAA/CRP、NLR水平与HBV-DNA载量、病情程度的相关性;所有患者均行抗病毒治疗,治疗24周,比较不同抗病毒疗效患者治疗前、治疗后12周、24周血清SAA/CRP、NLR水平及变化值,分析治疗前后血清SAA/CRP、NLR水平变化值预测疗效的价值。结果重度CHB患者血清SAA/CRP、NLR水平>中度CHB患者>轻度CHB患者>健康人群(P<0.05);高载量患者血清SAA/CRP、NLR水平>中载量患者>轻载量患者(P<0.05);CHB患者血清SAA/CRP、NLR水平与HBV-DNA载量(r=0.756、0.709)、病情程度(r=0.776、0.745)呈正相关(P<0.05);无应答患者治疗后12周、24周外周血SAA/CRP、NLR水平均高于应答患者,变化值均低于应答患者(P<0.05);SAA/CRP△1、NLR△1单独预测的AUC分别为0.752、0.773,联合预测△1的AUC为0.861;SAA/CRP△2、NLR△2单独预测的AUC分别为0.796、0.819,联合预测△2的AUC为0.967,大于联合预测△1的AUC(P<0.05)。结论CHB患者的SAA/CRP、NLR与CHB HBV-DNA载量及病情程度具有相关性,临床可通过其水平变化评估病情及预测预后。 展开更多
关键词 慢性乙型肝炎 乙型肝炎病毒-脱氧核糖核酸 外周血淀粉样蛋白A C反应蛋白 中性粒细胞 淋巴细胞
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慢性乙型肝炎患者接受核(苷)酸类似物抗病毒治疗后血清HBV-DNA的表达及临床意义
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作者 李慧 《河南医学研究》 CAS 2024年第8期1404-1407,共4页
目的探讨慢性乙型肝炎(CHB)患者接受核(苷)酸类似物(NAs)抗病毒治疗后血清乙型肝炎病毒脱氧核糖核酸(HBV-DNA)的表达及临床意义。方法回顾性分析2021年1月至2022年10月河南省人民医院83例采用NAs抗病毒治疗的CHB患者临床资料,根据血清... 目的探讨慢性乙型肝炎(CHB)患者接受核(苷)酸类似物(NAs)抗病毒治疗后血清乙型肝炎病毒脱氧核糖核酸(HBV-DNA)的表达及临床意义。方法回顾性分析2021年1月至2022年10月河南省人民医院83例采用NAs抗病毒治疗的CHB患者临床资料,根据血清学应答标准将其分为应答组(46例)和未应答组(37例)。比较两组基线资料、治疗前及治疗3、6、12个月时血清HBV-DNA水平;绘制受试者工作特征(ROC)曲线,以曲线下面积(AUC)检验血清HBV-DNA对CHB患者NAs抗病毒治疗未应答的预测价值。结果治疗前,应答组和未应答组HBV-DNA比较,差异无统计学意义(P>0.05);两组治疗前至治疗12个月的HBV-DNA呈下降趋势,组间、时点、交互效应有统计学意义(P<0.05)。绘制ROC曲线显示,治疗3个月时HBV-DNA对CHB患者NAs抗病毒治疗未应答的预测价值较低(AUC=0.694,P=0.002),治疗6个月时HBV-DNA对CHB患者NAs抗病毒治疗未应答具有一定预测价值(AUC=0.751,P<0.001)。结论血清HBV-DNA表达在CHB患者NAs抗病毒治疗前后变化明显,且治疗6个月时血清HBV-DNA可作为抗病毒治疗未应答的预测指标。 展开更多
关键词 慢性乙型肝炎 核(苷)酸类似物 抗病毒治疗 乙型肝炎病毒脱氧核糖核酸
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EB病毒IgM、IgG及DNA检测在儿童呼吸道感染性疾病中的诊断研究 被引量:1
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作者 张悦 季忠庶 申爽 《中国实用医药》 2024年第4期78-81,共4页
目的探析爱泼斯坦-巴尔病毒(EB病毒,EBV)免疫球蛋白(Ig)M、IgG及脱氧核糖核酸(DNA)检测在儿童呼吸道感染性疾病中的诊断价值。方法选取400例呼吸道感染性疾病患儿作为观察组,同时选取100例无呼吸道感染患儿作为对照组。对两组患儿EBV-Ig... 目的探析爱泼斯坦-巴尔病毒(EB病毒,EBV)免疫球蛋白(Ig)M、IgG及脱氧核糖核酸(DNA)检测在儿童呼吸道感染性疾病中的诊断价值。方法选取400例呼吸道感染性疾病患儿作为观察组,同时选取100例无呼吸道感染患儿作为对照组。对两组患儿EBV-IgM、EBV-IgG及EBV-DNA进行检测。比较观察组不同年龄段患儿EBV-IgM、EBV-IgG及EBV-DNA阳性率,两组EBV-IgM、EBV-IgG及EBV-DNA检测结果;分析各项指标的诊断价值。结果观察组不同年龄段患儿EBV-IgM、EBV-IgG阳性率比较,差异具有统计学意义(P<0.05);观察组不同年龄段患儿EBV-DNA阳性率比较无明显差异(P>0.05)。EBV-IgM检测中,观察组化学发光值(11.39±2.12)高于对照组的(9.54±1.35),阳性率50.50%(202/400)高于对照组的5.00%(5/100),差异有统计学意义(P<0.05);EBV-IgG检测中,观察组吸光度值(11.33±2.15)高于对照组的(9.03±1.06),阳性率58.00%(232/400)高于对照组的12.00%(12/100),差异有统计学意义(P<0.05);EBV-DNA检测中,观察组循环数Ct值(34.13±4.88)低于对照组的(43.75±11.62),阳性率57.00%(228/400)高于对照组的6.00%(6/100),差异均具有统计学意义(P<0.05)。EBV-DNA对呼吸道感染性疾病患儿的诊断价值最高[曲线下面积(AUC)=0.644],其次依次是EBV-IgM(AUC=0.618)、EBV-IgG(AUC=0.584),EBV-IgM对呼吸道感染性疾病患儿的诊断特异度最高,为96.12%。结论EBV-IgM、EBV-IgG、EBV-DNA检测在儿童呼吸道感染性疾病的诊断中具有重要的指导意义。 展开更多
关键词 爱泼斯坦-巴尔病毒 免疫球蛋白M 免疫球蛋白G 脱氧核糖核酸 儿童呼吸道感染性疾病
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传染性单核细胞增多症患儿EB病毒DNA载量与肝功能损害关系研究
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作者 路璐 姜丽娜 +2 位作者 王颖慧 丁瑛雪 杨兵宾 《河北医学》 CAS 2024年第12期2033-2038,共6页
目的:探讨传染性单核细胞增多症(IM)患儿EB病毒(EBV)-脱氧核糖核酸(DNA)载量与肝损害的关系。方法:纳入2016年2月至2023年3月期间在我院儿科确诊的126例IM患儿为研究对象(IM组),另选同期50例健康儿童为对照组。比较IM组和对照组的肝功... 目的:探讨传染性单核细胞增多症(IM)患儿EB病毒(EBV)-脱氧核糖核酸(DNA)载量与肝损害的关系。方法:纳入2016年2月至2023年3月期间在我院儿科确诊的126例IM患儿为研究对象(IM组),另选同期50例健康儿童为对照组。比较IM组和对照组的肝功能指标[谷丙转氨酶(ALT)、谷草转氨酶(AST)和总胆红素(TBIL)]。根据是否发生肝功能损坏将IM组患儿分为肝损害组(76例)和非肝损害组(50例),比较各组肝功能指标水平。采用Spearman等级相关分析评估EBV-DNA载量与肝功能指标的关系,并绘制ROC曲线分析EBV-DNA载量和肝功能指标对肝功能损害的预测能力。结果:IM组患儿ALT、AST和TBIL水平均升高,且高于对照组(P<0.05)。肝损害组患儿ALT、AST、TBIL水平和EBV-DNA载量均高于非肝损害组(P<0.05)。Spearman等级相关分析显示,EBV-DNA载量与ALT(r=0.652,P<0.05)、AST(r=0.628,P<0.05)、和TBIL(r=0.634,P<0.05)呈正相关。Logistic回归分析显示,ALT、AST、TBIL和EBV-DNA载量升高均是导致IM肝功能损害的影响因素。ROC曲线分析结果,EBV-DNA载量、ALT、AST和TBIL单独预测肝功能损害的曲线下面积(AUC)分别为0.868、0.830、0.821、0.681,而联合预测的AUC为0.962,灵敏度为0.908,特异度为0.920。结论:IM患儿EBV-DNA载量与肝功能损害程度密切相关,其中高载量组患儿的肝功能受损风险较高,提示在临床管理中应密切监测肝功能指标的变化,以减轻肝损伤的风险。 展开更多
关键词 传染性单核细胞增多症 EB病毒 脱氧核糖核酸载量 肝功能损害
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适配体筛选中单链DNA获取方法研究进展
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作者 白亚龙 廖小艳 +1 位作者 普春敏 邵毅 《上海农业学报》 2024年第2期126-138,共13页
适配体技术近20年来快速发展,在食品安全、环境监测、法医鉴定、生物医药等领域都得到了高度重视。目前,已有大量研究针对小分子、蛋白质、病毒、细菌、细胞等进行了单链脱氧核糖核酸(ssDNA)适配体筛选。然而ssDNA适配体筛选仍然是一项... 适配体技术近20年来快速发展,在食品安全、环境监测、法医鉴定、生物医药等领域都得到了高度重视。目前,已有大量研究针对小分子、蛋白质、病毒、细菌、细胞等进行了单链脱氧核糖核酸(ssDNA)适配体筛选。然而ssDNA适配体筛选仍然是一项费时费力的工作,一般都需要经过10轮左右甚至更多轮的ssDNAdsDNA(双链DNA)-ssDNA重复步骤,直到亲和力强的序列成为主要序列,经过测序后,从中挑选一条或几条亲和力最强的序列。显然,在此过程中ssDNA的获取是适配体筛选的关键步骤,也是限速步骤。本文对适配体筛选研究中ssDNA获取的方法进行了系统综述,期望针对适配体筛选中ssDNA次级文库的获取环节可以展开更多更深入的研究,以提高筛选效率。 展开更多
关键词 适配体 筛选 单链DNA 双链DNA 聚合酶链式反应
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HCMV-DNA定量检测在儿童HCMV感染中的诊断价值分析
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作者 刘伦 陈海明 《包头医学院学报》 CAS 2024年第12期87-91,共5页
目的:探讨人巨细胞病毒(HCMV)-脱氧核糖核酸(DNA)定量检测在儿童HCMV感染中的诊断价值。方法:选取2020年1月-2022年12月我院收治的2256例疑似HCMV感染患儿,所有疑似患儿均采集晨尿、肺泡灌洗液、抗凝血和促凝血,标本处理完成后采用荧光... 目的:探讨人巨细胞病毒(HCMV)-脱氧核糖核酸(DNA)定量检测在儿童HCMV感染中的诊断价值。方法:选取2020年1月-2022年12月我院收治的2256例疑似HCMV感染患儿,所有疑似患儿均采集晨尿、肺泡灌洗液、抗凝血和促凝血,标本处理完成后采用荧光定量PCR法进行HCMV-DNA检测及采用多重微珠流式免疫荧光法进行血清HCMV-IgM检测;然后比较不同标本类别HCMV-DNA阳性率、不同性别HCMV-DNA阳性率、不同年龄HCMV-DNA阳性率及两种检测方法血液标本的阳性率。结果:尿液标本内HCMV-DNA阳性率高于肺泡灌洗液、血液标本,且肺泡灌洗液标本内HCMV-DNA阳性率高于血液标本,差异有统计学意义(P<0.05);男性与女性患儿尿液、肺泡灌洗液及血液HCMV-DNA阳性率相比,差异无统计学意义(P>0.05);≤28 d患儿肺泡灌洗液标本中HCMV-DNA阳性率高于29 d~1岁、1岁以上患儿,29 d~1岁患儿尿液标本中HCMV-DNA阳性率高于≤28 d、1岁以上患儿,差异有统计学意义(P<0.05);≤28 d、29 d~1岁、1岁以上患儿血液标本内HCMV-DNA阳性率相比,差异无统计学意义(P>0.05);HCMV-DNA检测HCMV感染阳性率高于HCMV-IgM检测,差异有统计学意义(P<0.05)。结论:HCMV-DNA在尿液标本内的检出率最高,对儿童HCMV感染的诊断具有重要价值,且尿液标本采集更为方便,尤其适用于小月龄患儿,值得广泛应用。 展开更多
关键词 人巨细胞病毒 儿童 脱氧核糖核酸 诊断价值
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