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Application of miRNAs in the diagnosis and monitoring of testicular germ cell tumours

机译:miRNA在睾丸生殖细胞肿瘤诊断和监测中的应用

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摘要

Testicular germ cell tumours (TGCTs) are the most frequent cancer type in young men and originate from the common precursor germ cell neoplasia in situ (GCNIS). For decades, clinical management of patients with TGCT has relied on classic serum tumour markers: alpha-fetoprotein, human chorionic gonadotropin subunit-beta and lactate dehydrogenase. In the past 10 years, microRNAs have been shown to outperform classic serum tumour markers in the diagnosis of primary tumours and in follow-up monitoring and prediction of relapse. miR-371a-3p is the most consistent marker and exhibits >90% diagnostic sensitivity and specificity in TGCT. However, miR-371a-3p cannot be used to diagnose GCNIS or mature teratoma. Future efforts must technically standardize the microRNA-based methods internationally and introduce miR-371a-3p as a molecular liquid biopsy-based marker for TGCTs in the clinic.
机译:睾丸生殖细胞肿瘤(TGCTS)是年轻男性最常见的癌症类型,起源于原位(GCNI)的常见前体胚芽细胞瘤。 几十年来,TGCT患者的临床管理依赖于经典的血清肿瘤标志物:α-胎儿,人绒毛膜促性腺激素亚基 - β和乳酸脱氢酶。 在过去的10年中,MicroRNA已经显示出优于经典的血清肿瘤标志物,在原发性肿瘤的诊断和后续监测和复发预测中。 miR-371a-3p是最一致的标记和表现出> 90%的TGCT诊断敏感性和特异性。 然而,MiR-371A-3P不能用于诊断GCNI或成熟的畸胎瘤。 未来的努力必须在技术上标准化基于MicroRNA的方法,并将MiR-371A-3P引入临床中TGCT的分子液体活检标记。

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