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中华诊断学电子杂志 ›› 2024, Vol. 12 ›› Issue (04) : 281 -286. doi: 10.3877/cma.j.issn.2095-655X.2024.04.013

综述

食管鳞状上皮内瘤变诊断的生物标志物研究进展及其非内镜治疗现状
胡瑞芳1, 樊丽娟2,()   
  1. 1.272067 济宁医学院临床医学院
    2.272011 济宁市第一人民医院消化内科
  • 收稿日期:2024-06-30 出版日期:2024-11-26
  • 通信作者: 樊丽娟

Research progress on diagnostic biomarkers of esophageal squamous intraepithelial neoplasia and status of non-endoscopic treatment

Ruifang Hu1, Lijuan Fan2,()   

  1. 1.College of Clinical Medicine,Jining Medical University,Jining 272067,China
    2.Department of Gastroenterology,Jining No.1 People′s Hospital,Jining 272011,China
  • Received:2024-06-30 Published:2024-11-26
  • Corresponding author: Lijuan Fan
引用本文:

胡瑞芳, 樊丽娟. 食管鳞状上皮内瘤变诊断的生物标志物研究进展及其非内镜治疗现状[J]. 中华诊断学电子杂志, 2024, 12(04): 281-286.

Ruifang Hu, Lijuan Fan. Research progress on diagnostic biomarkers of esophageal squamous intraepithelial neoplasia and status of non-endoscopic treatment[J]. Chinese Journal of Diagnostics(Electronic Edition), 2024, 12(04): 281-286.

食管癌是最常见的消化系统恶性肿瘤之一,食管鳞状上皮内瘤变(ESIN)被公认为是食管鳞状细胞癌的癌前病变。因此,癌前的诊断与治疗成为预防食管癌的关键环节。目前,内窥镜检查及治疗是检测与诊治ESIN 的主要手段。然而,至今临床上尚未推广应用特异性生物标志物,也缺乏有效治疗ESIN 的药物。近些年来,针对上述问题的研究不断开展并向前推进,部分生物标志物和非内镜治疗方法在ESIN 的诊治方面显示出潜在价值。笔者旨在对这些研究进展进行全面梳理和综述,以期为食管癌的早期防治提供有益参考。

Esophageal cancer is one of the most common malignant tumors of the digestive system,and esophageal squamous intraepithelial neoplasia (ESIN) is widely recognized as a precancerous lesion of esophageal squamous cell carcinoma.Consequently,the diagnosis and treatment of these precancerous conditions are pivotal in the prevention of esophageal cancer.At present,endoscopic examination and treatment are the main means to detect,diagnose and treat ESIN.However,to date,specific biomarkers have not been widely promoted for clinical application,and there is a lack of effective medication for the treatment of ESIN.In recent years,research on the above issues has been continuously carried out and advanced,and some biomarkers and non-endoscopic treatment methods have shown potential value in the diagnosis and treatment of ESIN.The purpose of this paper is to comprehensively review and summarize these research advancements,with the aim of providing valuable references for the early prevention and treatment of esophageal cancer.

[1]
Harada K,Rogers JE,Iwatsuki M,et al.Recent advances in treating oesophageal cancer[J].F1000Res,2020(9):F1000 Facutty Rev-1189.DOI:10.12688/f1000research.22926.1.
[2]
Bray F,Laversanne M,Sung H,et al.Global cancer statistics 2022:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J].CA Cancer J Clin,2024,74(3):229-263.DOI:10.3322/caac.21834.
[3]
张希,杨雷,刘硕,等.2022 年全球恶性肿瘤统计报告解读[J].中华肿瘤杂志,2024,46(7):710-721.DOI:10.3760/cma.j.cn112152-20240416-00152.
[4]
Qi JH,Huang SL,Jin SZ.Novel milestones for early esophageal carcinoma:from bench to bed[J].World J Gastrointest Oncol,2024,16(4):1104-1118.DOI:10.4251/wjgo.v16.i4.1104.
[5]
Liang H,Fan JH,Qiao YL.Epidemiology,etiology,and prevention of esophageal squamous cell carcinoma in China[J].Cancer Biol Med,2017,14(1):33-41.DOI:10.20892/j.issn.2095-3941.2016.0093.
[6]
上海国家消化系统疾病临床医学研究中心,中华医学会消化内镜学分会,中国医师协会内镜医师分会消化内镜专业委员会,等.中国食管鳞癌癌前状态及癌前病变诊治策略专家共识[J].中华消化内镜杂志,2020,37(12):853-867.DOI:10.3760/cma.j.cn321463-20200928-00807.
[7]
Wen T,Wang W,Chen X.Recent advances in esophageal squamous cell precancerous conditions:a review[J].Medicine (Baltimore),2022,101(50):e32192.DOI:10.1097/MD.0000000000032192.
[8]
邢洁,李鹏.早期食管鳞状细胞癌及癌前病变的诊断与治疗策略[J].中华内科杂志,2020,59(4):318-321.DOI:10.3760/cma.j.cn112138-20200210-00061.
[9]
Chu LY,Peng YH,Weng XF,et al.Blood-based biomarkers for early detection of esophageal squamous cell carcinoma[J].World J Gastroenterol,2020,26(15):1708-1725.DOI:10.3748/wjg.v26.i15.1708.
[10]
Chen ZB,Xing J,Zheng CL,et al.Identification of novel serum autoantibody biomarkers for early esophageal squamous cell carcinoma and high-grade intraepithelial neoplasia detection[J].Front Oncol,2023(13):1161489.DOI:10.3389/fonc.2023.1161489.
[11]
杨时煌,罗育豪,翁雪芬,等.血清p53 自身抗体在乳腺癌中的诊断价值[J].中国老年学杂志,2018,38(14):3373-3375.DOI:10.3969/j.issn.1005-9202.2018.14.017.
[12]
Yasuda M,Kuwano H,Watanabe M,et al.p53 expression in squamous dysplasia associated with carcinoma of the oesophagus:evidence for field carcinogenesis[J].Br J Cancer,2000,83(8):1033-1038.DOI:10.1054/bjoc.2000.1443.
[13]
Sabapathy K,Lane DP.Understanding p53 functions through p53 antibodies[J].J Mol Cell Biol,2019,11(4):317-329.DOI:10.1093/jmcb/mjz010.
[14]
Krothapalli M,Kini JR,Kini H,et al.Evaluation of p53 protein expression in Barrett esophagus[J].Indian J Pathol Microbiol,2018,61(2):170-175.DOI:10.4103/IJPM.IJPM_369_16.
[15]
Wang LD,Hong JY,Qiu SL,et al.Accumulation of p53 protein in human esophageal precancerous lesions:a possible early biomarker for carcinogenesis[J].Cancer Res,1993,53(8):1783-1787.
[16]
Lingle WL,Barrett SL,Negron VC,et al.Centrosome amplification drives chromosomal instability in breast tumor development[J].Proc Natl Acad Sci U S A,2002,99(4):1978-1983.DOI:10.1073/pnas.032479999.
[17]
Li Q,Wang J,Ma XD,et al.POFUT1 acts as a tumor promoter in glioblastoma by enhancing the activation of Notch signaling[J].J Bioenerg Biomembr,2021,53 (5): 621-632.DOI: 10.1007/s10863-021-09912-5.
[18]
Xu YW,Peng YH,Chen B,et al.Autoantibodies as potential biomarkers for the early detection of esophageal squamous cell carcinoma[J].Am J Gastroenterol,2014,109(1):36-45.DOI:10.1038/ajg.2013.384.
[19]
林琳,曹伟娟.p53 抗体、miR-451、CYFRA21-1、CEA 联合检测对食管鳞状细胞癌的诊断价值[J].河南医学高等专科学校学报,2023,35(5):548-551.DOI:10.3969/j.issn.1008-9276.2023.05.018.
[20]
Zhou SL,Yue WB,Fan ZM,et al.Autoantibody detection to tumorassociated antigens of P53,IMP1,P16,cyclin B1,P62,C-myc,Survivn,and Koc for the screening of high-risk subjects and early detection of esophageal squamous cell carcinoma[J].Dis Esophagus,2014,27(8):790-797.DOI:10.1111/dote.12145.
[21]
Nicholson JK,Lindon JC,Holmes E.'Metabonomics':understanding the metabolic responses of living systems to pathophysiological stimuli via multivariate statistical analysis of biological NMR spectroscopic data[J].Xenobiotica,1999,29(11):1181-1189.DOI:10.1080/004982599238047.
[22]
Anwardeen NR,Diboun I,Mokrab Y,et al.Statistical methods and resources for biomarker discovery using metabolomics[J].BMC Bioinformatics,2023,24(1):250.DOI:10.1186/s12859-023-05383-0.
[23]
Zhang S,Lu X,Hu CX,et al.Serum metabolomics for biomarker screening of esophageal squamous cell carcinoma and esophageal squamous dysplasia using gas chromatography-mass spectrometry[J].ACS Omega,2020,5 ( 41): 26402-26412.DOI: 10.1021/acsomega.0c02600.
[24]
徐小梦,孔祥图,于慧,等.基于液相色谱-质谱技术的多发性骨髓瘤患者血清代谢组学分析[J].中国实验血液学杂志,2021,29(2):520-524.DOI:10.19746/j.cnki.issn1009-2137.2021.02.033.
[25]
Yang QJ,Zhao JR,Hao J,et al.Serum and urine metabolomics study reveals a distinct diagnostic model for cancer cachexia[J].J Cachexia Sarcopenia Muscle,2018,9(1):71-85.DOI:10.1002/jcsm.12246.
[26]
Zhu ZJ,Qi Z,Zhang J,et al.Untargeted metabolomics analysis of esophageal squamous cell carcinoma discovers dysregulated metabolic pathways and potential diagnostic biomarkers [J].J Cancer,2020,11(13):3944-3954.DOI:10.7150/jca.41733.
[27]
Yang ZX,Liu YY,Ma LM,et al.Exploring potential biomarkers of early stage esophageal squamous cell carcinoma in pre- and postoperative serum metabolomic fingerprint spectrum using (1)H-NMR method[J].Am J Transl Res,2019,11(2):819-831.
[28]
Liu M,Tian H,Wang M,et al.Construction and validation of serum Metabolic Risk Score for early warning of malignancy in esophagus[J].iScience,2024,27(6):109965.DOI:10.1016/j.isci.2024.109965.
[29]
Li X,Zhao LH,Wei MK,et al.Serum metabolomics analysis for the progression of esophageal squamous cell carcinoma[J].J Cancer,2021,12(11):3190-3197.DOI:10.7150/jca.54429.
[30]
Yu MJ,Wen W,Yi X,et al.Plasma metabolomics reveals diagnostic biomarkers and risk factors for esophageal squamous cell carcinoma[J].Front Oncol,2022(12):829350.DOI:10.3389/fonc.2022.829350.
[31]
Zhao C,Zhang H,Zhou JJ,et al.Metabolomic transition trajectory and potential mechanisms of N-nitrosomethylbenzylamine induced esophageal squamous cell carcinoma in rats[J].Ecotoxicol Environ Saf,2022(244):114071.DOI:10.1016/j.ecoenv.2022.114071.
[32]
Che JJ,Zhao YB,Gu BB,et al.Untargeted serum metabolomics reveals potential biomarkers and metabolic pathways associated with the progression of gastroesophageal cancer[J].BMC Cancer,2023,23(1):1238.DOI:10.1186/s12885-023-11744-y.
[33]
Yang X,Tang Z,Li J,et al.Esophagus cancer and essential trace elements[J].Front Public Health,2022(10):1038153.DOI:10.3389/fpubh.2022.1038153.
[34]
Wang NN,Pan D,Zhu XP,et al.Selenium may be involved in esophageal squamous cancer prevention by affecting GPx3 and FABP1 expression:a case-control study based on bioinformatic analysis[J].Nutrients,2024,16(9).DOI:10.3390/nu16091322.
[35]
Pan D,Wang SK,Su M,et al.Vitamin B(12) may play a preventive role in esophageal precancerous lesions:a case-control study based on markers in blood and 3-day duplicate diet samples[J].Eur J Nutr,2021,60(6):3375-3386.DOI:10.1007/s00394-021-02516-0.
[36]
Pan D,Su M,Xu DF,et al.Exploring the interplay between vitamin b(12)-related biomarkers,DNA methylation,and gene-nutrition interaction in esophageal precancerous lesions[J].Arch Med Res,2023,54(7):102889.DOI:10.1016/j.arcmed.2023.102889.
[37]
Liu CM,Liang D,Jin J,et al.Research progress on the relationship between zinc deficiency,related microRNAs,and esophageal carcinoma[J].Thorac Cancer,2017,8(6):549-557.DOI:10.1111/1759-7714.12493.
[38]
Taccioli C,Chen H,Jiang Y,et al.Dietary zinc deficiency fuels esophageal cancer development by inducing a distinct inflammatory signature[J].Oncogene,2012,31(42):4550-4558.DOI:10.1038/onc.2011.592.
[39]
Taccioli C,Wan SG,Liu CG,et al.Zinc replenishment reverses overexpression of the proinflammatory mediator S100A8 and esophageal preneoplasia in the rat[J].Gastroenterology,2009,136(3):953-966.DOI:10.1053/j.gastro.2008.11.039.
[40]
Meng C,Bai C,Brown TD,et al.Human gut microbiota and gastrointestinal cancer[J].Genomics Proteomics Bioinformatics,2018,16(1):33-49.DOI:10.1016/j.gpb.2017.06.002.
[41]
Liu Y,Baba Y,Ishimoto T,et al.Gut microbiome in gastrointestinal cancer:a friend or foe? [J].Int J Biol Sci,2022,18(10):4101-4117.DOI:10.7150/ijbs.69331.
[42]
Jiang ZD,Wang J,Shen ZY,et al.Characterization of esophageal microbiota in patients with esophagitis and esophageal squamous cell carcinoma [J].Front Cell Infect Microbiol,2021 (11):774330.DOI:10.3389/fcimb.2021.774330.
[43]
Li MJ,Shao DT,Fan ZY,et al.Non-invasive early detection on esophageal squamous cell carcinoma and precancerous lesions by microbial biomarkers combining epidemiological factors in China[J].J Gastroenterol,2024,59(7):531-542.DOI:10.1007/s00535-024-02117-8.
[44]
Li MJ,Shao DT,Zhou JC,et al.Signatures within esophageal microbiota with progression of esophageal squamous cell carcinoma[J].Chin J Cancer Res,2020,32(6):755-767.DOI:10.21147/j.issn.1000-9604.2020.06.09.
[45]
Berman JJ,Albores-Saavedra J,Bostwick D,et al.Precancer: a conceptual working definition-results of a consensus conference[J].Cancer Detect Prev,2006,30(5):387-394.DOI:10.1016/j.cdp.2006.09.002.
[46]
高山,季坤,赵丽,等.食管鳞状上皮内瘤变的研究进展[J].实用医学杂志,2024,40(3):432-438.DOI:10.3969/j.issn.1006-5725.2024.03.027.
[47]
徐玥,廖应英,孙泽群.食管癌的流行病学特征及发病高危因素研究进展[J].中国现代医生,2024,62(7):113-117.DOI:10.3969/j.issn.1673-9701.2024.07.027.
[48]
Rapozo DC,Blanco TC,Reis BB,et al.Recurrent acute thermal lesion induces esophageal hyperproliferative premalignant lesions in mice esophagus[J].Exp Mol Pathol,2016,100(2):325-331.DOI:10.1016/j.yexmp.2016.02.005.
[49]
Lander S,Lander E,Gibson MK.Esophageal cancer:overview,risk factors,and reasons for the rise[J].Curr Gastroenterol Rep,2023,25(11):275-279.DOI:10.1007/s11894-023-00899-0.
[50]
Li P,Jing J,Liu WJ,et al.Spatiotemporal patterns of esophageal cancer burden attributable to behavioral,metabolic,and dietary risk factors from 1990 to 2019:longitudinal observational study[J].JMIR Public Health Surveill,2023(9):e46051.DOI:10.2196/46051.
[51]
Aversa J,Song M,Shimazu T,et al.Prediagnostic circulating inflammation biomarkers and esophageal squamous cell carcinoma:a case-cohort study in Japan[J].Int J Cancer,2020,147(3):686-691.DOI:10.1002/ijc.32763.
[52]
Han LH,Song QX,Jia YB,et al.The clinical significance of systemic inflammation score in esophageal squamous cell carcinoma[J].Tumour Biol,2016,37(3):3081-3090.DOI:10.1007/s13277-015-4152-1.
[53]
Wang X,Li TT,Li HR,et al.Association of dietary inflammatory potential with blood inflammation:the prospective markers on mild cognitive impairment[J].Nutrients,2022,14(12).DOI:10.3390/nu14122417.
[54]
Dong JW,Gao M,Li L,et al.Associations of dietary inflammatory potential with esophageal precancerous lesions and esophageal squamous-cell cancer:a cross-sectional study[J].Nutrients,2023,15(18).DOI:10.3390/nu15184078.
[55]
Li S,Ye J,Lin Z,et al.Dietary inflammatory nutrients and esophageal squamous cell carcinoma risk:a case-control study[J].Nutrients,2022,14(23):5197.DOI:10.3390/nu14235179.
[56]
林培中,张金生,戎振鹏,等.食管癌前病变的药物阻断性治疗-抗癌乙片、维胺酯和核黄素三年和五年的阻断效果[J].中国医学科学院学报,1990(4):235-245.
[57]
Shi HJ,Chen XY,Chen XR,et al.Chinese Medicine formula siwuyin inhibits esophageal precancerous lesions by improving intestinal flora and macrophage polarization [J].Front Pharmacol,2022(13):812386.DOI:10.3389/fphar.2022.812386.
[58]
樊李妍,范修琦,韩懿存,等.六君子汤治疗食管癌的研究进展[J].中医学报,2024,39(4):765-772.DOI:10.16368/j.issn.1674-8999.2024.04.130.
[59]
田晶晶,袁红霞,张月林,等.基于Caspase-3/Bcl-2/Bax 信号通路探究加味旋覆代赭汤治疗食管癌前病变的作用机制[J].中国中西医结合外科杂志,2024,30(2):258-264.DOI:10.3969/j.issn.1007-6948.2024.02.022.
[60]
Kresty LA,Morse MA,Morgan C,et al.Chemoprevention of esophageal tumorigenesis by dietary administration of lyophilized black raspberries[J].Cancer Res,2001,61(16):6112-6119.
[61]
Kresty LA,Frankel WL,Hammond CD,et al.Transitioning from preclinical to clinical chemopreventive assessments of lyophilized black raspberries:interim results show berries modulate markers of oxidative stress in Barrett's esophagus patients[J].Nutr Cancer,2006,54(1):148-156.DOI:10.1207/s15327914nc5401_15.
[62]
Shi N,Chen F,Zhang XL,et al.Suppression of oxidative stress and NF-κB/MAPK signaling by lyophilized black raspberries for esophageal cancer prevention in rats[J].Nutrients,2017,9(4):413.DOI:10.3390/nu9040413.
[63]
Jiang YX,Chen Y,Sun HH,et al.Effects of cyclooxygenase-2 inhibitors on gastrointestinal malignancies:a systematic review and meta-analysis[J].Indian J Surg Oncol,2022,13(2):348-355.DOI:10.1007/s13193-022-01547-1.
[64]
吕学宁,杨炳银,宗君,等.二甲双胍抑制食管癌前病变中HIF-1α 和p53 的表达[J].现代肿瘤医学,2022,30(20):3703-3709.DOI:10.3969/j.issn.1672-4992.2022.20.013.
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