← 返回前沿论文

肿瘤相关糖类抗原:生物标志物发现与临床应用

英文原题:Tumor-associated carbohydrate antigens: Biomarker discovery and clinical application.

PubMed 2025/07/20(内容时间) Adv Clin Chem

研究概要

肿瘤相关碳水化合物抗原(TACA)是特异性表达于肿瘤细胞表面的碳水化合物结构,在正常组织中缺失或极少表达。

中文摘要

肿瘤相关糖类抗原(TACA)是独特表达于肿瘤细胞表面、在正常组织中缺失或仅少量表达的糖结构。这些分子标志在肿瘤进展中发挥关键作用,参与细胞黏附、运动、侵袭、免疫逃逸、血管生成、转移和增殖等过程。TACA 源于异常糖基化,这是癌细胞的标志性特征,可导致其在多种恶性肿瘤中过表达。值得注意的是,某些 TACA 水平升高与癌症患者临床结局不佳相关。由于选择性表达,TACA 是癌症检测、预后评估和疾病监测的重要生物标志物。在上皮癌、神经母细胞瘤和黑色素瘤患者血液中检测到 TACA,推动了血清抗原定量检测方法的开发,为临床应用提供了有价值工具。测量生物体液中的 TACA 可实现早期诊断并改善患者管理,使其成为液体活检的有吸引力靶点。除诊断用途外,TACA 在治疗方面也很有前景,尤其适用于癌症免疫治疗。其在癌细胞上的表达受限,使其成为疫苗、单克隆抗体疗法和 CAR-T 的理想靶点。利用免疫系统识别和靶向这些抗原的能力,研究者正在探索增强抗肿瘤免疫的新治疗策略。持续研究 TACA 有望带来创新诊断和治疗进展,改善癌症患者结局并拓宽精准医疗应用范围。

展开英文摘要原文

Tumor-Associated Carbohydrate Antigens (TACAs) are carbohydrate structures uniquely expressed on the surface of tumor cells while being absent or minimally present in normal tissues. These molecular signatures play crucial roles in tumor progression, contributing to essential processes such as cell adhesion, motility, invasion, immune evasion, angiogenesis, metastasis, and proliferation. TACAs arise due to aberrant glycosylation, a hallmark of cancer cells, leading to their overexpression in various malignancies. Notably, elevated levels of certain TACAs have been associated with poor clinical outcomes in cancer patients. Because of their selective expression, TACAs serve as important biomarkers for cancer detection, prognosis, and disease monitoring. Their presence in the bloodstream of patients with epithelial carcinomas, neuroblastomas, and melanomas has led to the development of assays capable of quantifying these antigens in sera, providing valuable tools for clinical applications. The ability to measure TACAs in biological fluids enables early diagnosis and improved patient management, making them attractive targets for liquid biopsy strategies. Beyond their diagnostic utility, TACAs hold great promise for therapeutic applications, particularly in cancer immunotherapy. Their restricted expression on cancer cells makes them ideal targets for vaccine development, monoclonal antibody therapy, and chimeric antigen receptor (CAR) T-cell approaches. By exploiting the immune system's ability to recognize and target these antigens, novel treatment strategies are being explored to enhance anti-tumor immunity. Continued research into TACAs may lead to innovative diagnostic and therapeutic advancements, improving cancer patient outcomes and broadening the scope of precision medicine.

论文信息

作者
Freire T、da Costa V
单位
Laboratorio de Inmunomodulación y Vacunas, Unidad Académica de Inmunobiología, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay. Electronic address: tfreire@fmed.edu.uy.
文献类型
综述
期刊
Advances in clinical chemistry2025
原文标识
PubMed 40849187 · DOI 10.1016/bs.acc.2025.06.006