肺癌脑转移瘤跨组学诊断的研究进展
作者:
作者单位:

作者简介:

通讯作者:

基金项目:

国家重点研发计划 (2023YFC2510000);天津市科技计划项目 (23JCZXJC00090);天津市卫生健康科技重点项目( TJWJ2021ZD008);天津市教委科研计划项目(2024ZD051)


Research progress on trans-omics diagnosis of brain metastases from lung cancer
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    肺癌作为恶性程度较高的肿瘤,其发病率和致死率在流行病学统计中长期居于首位。晚 期患者出现脑转移后预后明显恶化,生存时间和生活质量大幅降低。近年来,以基因组测序、单细胞转 录解析、质谱蛋白质组及代谢物分析为代表的组学技术取得突破性进展,为探索肺癌脑转移的分子机 制开辟了新途径。跨组学数据整合策略不仅能全面解析肿瘤生物学特征,更能从系统层面阐明疾病发 生发展的内在规律,在早期诊断中具有明显优势。基于影像组学特征与代谢分子标志物(包括谷胱甘肽 代谢物及AKR1B10 等)的联合分析,使得临床医生能够在症状出现前识别脑转移的高风险病例并动态 监测治疗效果;循环肿瘤DNA 检测技术同样为追踪基因突变提供了微创监测手段;转录调控网络与蛋 白质互作图谱的关联分析则鉴定出了具有诊断价值的特征性分子标签。本综述立足于多组学整合分析 框架,系统梳理当前研究进展,着重讨论其在个体化诊疗中的转化价值,旨在为肺癌脑转移的精准防控 体系构建提供理论支撑。

    Abstract:

    Lung cancer is one of the malignant tumors with the highest morbidity and mortality worldwide, in which brain metastases are a common complication of advanced lung cancer, significantly affecting the quality of life and survival of patients. With the development of genomics technologies such as genomics, transcriptomics, proteomics and metabolomics, research on lung cancer brain metastases has gradually deepened. The trans-omics approach systematically resolves tumor molecular features by integrating genome sequencing, single-cell transcriptome analysis, high-throughput mass spectrometry proteomics, and metabolite profiling analysis, and reveals the molecular mechanisms of brain metastases of lung cancer in a multidimensional way, which provides a significant advantage in early diagnosis. Radiomics combined with multi-omics data allows early identification of patients with asymptomatic brain metastases and dynamic monitoring of treatment response by metabolic markers( e.g. GSH, AKR1B10). Genomic analysis of circulating tumor DNA in blood or cerebrospinal fluid can detect genetic mutations associated with lung cancer brain metastases for early warning. Transcriptome combined with proteomics analysis can identify specific gene expression profile changes and provide molecular markers for early diagnosis. Based on trans-omics diagnosis, this paper reviews the data from multi-omics studies by integrating them and explore their potential application and clinical translation in precision medicine, with a view to providing new ideas and references for trans-omics diagnosis of brain metastases in lung cancer.

    参考文献
    相似文献
    引证文献
引用本文

陈滢,康春生,刘晓民.肺癌脑转移瘤跨组学诊断的研究进展[J].神经疾病与精神卫生,2025,25(7):457-464
DOI :10.3969/j. issn.1009-6574.2025.07.001.

复制
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2025-07-22