Application of combined quantitative detection of IL-1[beta], IL-6, IL-10, IL-17, IL-23 and TNF-[alpha] in serum in early-stage prediction of liver cancer
A technology of IL-23 and IL-6, which can be used in measurement devices, instruments, scientific instruments, etc., can solve the problem of lack of literature reports on the value of liver cancer diagnosis and early warning
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Embodiment 1
[0110]From 1996 to 1999, in Qidong City, Jiangsu Province, patients with chronic HBV infection who tested positive for HBV surface antigen at least twice within 2 years were recruited to establish a follow-up cohort of chronic HBV infected patients. Patients with hepatitis (HCV) virus or human immunodeficiency virus (HIV) co-infection and other concomitant chronic liver diseases were excluded from this study, and those with liver cirrhosis or hepatocellular carcinoma detected by B ultrasound at the time of enrollment were also excluded In the analysis of this study, the cohort population had not received formal antiviral treatment. The study protocol was approved by the Ethics Committee of Cancer Institute / Hospital, Chinese Academy of Medical Sciences and Qidong Liver Cancer Institute, Chinese Academy of Medical Sciences and Qidong Liver Cancer Institute (approval number: #09-59 / 354 ).
[0111] All patients who progressed to liver cancer were diagnosed according to the "Clini...
Embodiment 2
[0113] Embodiment 2: experiment and statistical method
[0114] Quansys (Quansys Biosciences, Logan, Utah) Human 9-plex assay kit was used to detect the levels of inflammatory cytokines in patient serum, which contained the following nine cytokines: IL-1α, IL-1β, IL- 6. IL-8, IL-10, IL-17, IL-23, IFNγ and TNFα. The experimental procedure was carried out according to the guidance of the manufacturer's manual, and the detection range of this analysis was as follows:
[0115] IL-1α: 0.87-450pg / ml;
[0116] IL-1β: 3.24-1400pg / ml;
[0117] IL-6: 3.81-475pg / ml;
[0118] IL-8: 0.21-125pg / ml;
[0119] IL-10: 0.22-190pg / ml;
[0120] IL-17: 1.63-450pg / ml;
[0121] IL-23: 18.64-8000pg / ml;
[0122] TNFα: 0.73-350pg / ml;
[0123] IFNγ: 0.25-100 pg / ml.
[0124] Cytokine concentrations outside the detection range were estimated by the software. Each sample was tested in duplicate, and the average value was used for data analysis. To assess the effect of storage time on cytokine sta...
Embodiment 3
[0126] Embodiment 3: experimental result
[0127] As of June 2009, 47 cases of chronic HBV infection who met the above analysis conditions had progressed to liver cancer. According to the ratio of 1:3, in the same research cohort, 141 cases matched in age and sex were selected and undiagnosed Liver cancer patients were used as controls for nested case-control study analysis. For patients who developed from chronic HBV infection to liver cancer, the follow-up time (expressed as the median (25%-75%) quantile) was 108 (84-132) months, and the chronic HBV infection group that was not diagnosed as liver cancer was 144 (132-144) months (p<0.001). Some characteristics between the HCC group (patients who progressed from chronic HBV infection to HCC) and the control group (patients who maintained chronic HBV infection status without being diagnosed with HCC) are as follows (Table 2). The median age of both the liver cancer group and the control group at enrollment was 44 years old (p...
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