晚期肺癌患者药物治疗前后尿蛋白质组的变化
首发时间:2020-03-20
摘要:肺癌作为一种严重威胁人类生命健康的疾病,尽管治疗方法种类较多,但如何把握治疗时机,为患者确定最有效的治疗用药仍然是一个难题。尿液蛋白质组可以敏感的反映机体的生理变化,有希望反映药物治疗后机体的病理或生理变化。为了研究晚期肺癌患者使用不同的药物进行治疗时其尿液蛋白质组的变化情况,通过收集晚期肺癌患者治疗前后的不同时间的尿液样本,使用液相色谱联用质谱(LC-MS / MS)来检测其尿蛋白组的变化。比较结果发现,当不同的患者使用不同药物治疗后,差异蛋白的变化各不相同,其差异蛋白反映的生物学过程变化和患者的临床表现变化较为一致。这项研究结果表明,(1)能够通过尿蛋白的变化反映不同药物治疗后患者的病理生理变化;(2)当不同患者使用相同药物治疗后,尿蛋白的变化能够反映出患者体内不同的病理生理变化,且和患者的临床病情评估结果较为一致。这些发现有可能为辅助临床治疗提供重要信息。
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Changes of urine proteome in patients with advanced lung cancer after different drug treatment
Abstract:Lung cancer is one of the most threatening diseases to human life and health because of mortality. How to choose more efficient drugs and the appropriate timing of treatment for patients with advanced lung cancer is still a problem. As urine proteome can sensitively reflect the pathological or physiological changes of the body, it has the potential to reflect the dynamic changes of the body after drug treatment. To investigate the changes of the urine proteome of patients with advanced lung cancer after different drug treatment, the urine samples of patients were collected and analyzed at different time points. Compared with pretreatment, the changes of urine proteome were different in each patient,although some of them were treated with same drugs. The changes in the biological process reflected by the differential urinary proteins were consistent with the changes in the clinical manifestations of the patients. This study demonstrates that the pathophysiological changes of patients with advanced lung cancer can be reflected by changes in urinary protein after different drug treatments. In addition, the changes of urinary protein can reflect the different biological processes in patients after the same drug treatment, and the patient\'s clinical condition assessment results are more consistent with these changes. These findings may provide adjuvant information for clinical treatment.
Keywords: Urine Proteome Advanced lung cancer Pathophysiological changes
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