目的:通过对原发性肝细胞癌(HCC)与正常人血清N-糖组图谱比较分析,寻找异常峰,为寻求新的HCC肿瘤标志物奠定基础。方法:收集乙型肝炎病毒(HBV)感染的HCC患者(n=100)及健康献血员(n=130)血清,采用基于DNA测序仪的毛细管电泳技术,检测每份标本中荧光标记的N-糖组分。结果:每份血清均得到具有11个峰的图谱,峰值经校正后量化,HCC组较对照组峰1、2、9、11升高,峰6、8、10降低(P〈0.05);且部分峰值变化与肿瘤标志物甲胎蛋白、HBV DNA载量、临床肝功能指标存在相关性。结论:HCC组血清N-糖组图谱较正常对照存在明显的差异,这种变化有望为临床疾病诊断提供依据。
Objective.. To compare the expression profiles of serum glycomics between hepatocellular carcinoma(HCC)patients and normal adults, in an attempt to search for new biomarkers for HCC. Methods: Serum samples were obtained from HCC patients with hepatitis B virus(HBV) infection (n= 100) and normal adults(n= 130). Profiles of serum N-glycome were determined by capillary electrophoresis (CE) based on DNA sequencing equipment. Results: Each sample had a profile with 11 peaks; the peaks were adjusted and quantified. Peaks 1, 2, 9, and 11 in HCC group were higher than those in the control group; peaks 6, 8 and 10 were lower in HCC group than those in control group (P〈0.05). The changes of peak values of several peaks were correlated with tumor markers such as alpha-fetoprotein(AFP), HBV DNA copies, albumin and prothrombin time. Conclusion: N-glycome profiles in serum are significantly different between HCC patients and normal adults, which may provide evidence for clinical diagnosis of HCC.