毛細管電泳法具有進樣量量少,分離離效率率率高,分離離時間短,及具自動化分析等 優點。然而若若單純搭配紫外光偵測器,則毛細管電泳法的偵測極限往往過高,造 成偵測不不到的情況。這也是本實驗中,在癌症或健康對照組皆偵測不不到 8-羥基 去氧鳥苷與雙甲基鳥苷的原因。一般作法是增加一個萃取的步驟,在進樣至儀器 前先進行行萃取,使分析物濃度度高於儀器的偵測極限,以增進分析的靈靈敏度度,同時 可以去除基質干擾,而選擇更更靈靈敏的偵測器,如電化學偵測、雷雷射誘導螢光偵測 或質譜儀。然而考量量到癌症生物標記篩檢所需要的快速大量量分析能力力與經濟性,
吾人初步將朝向線上濃縮方向發展,使用大樣品體積堆積(Large-Volum Sample Stacking,LVSS)、樣品掃集法 (sweeping) 或 pH 值界面堆積 (Dynamic pH junction stacking) 等方法,進一步提昇偵測的靈靈敏度度。
單一種核苷的正常值還未有定論論,且無法直接用於診斷單一種癌症,然而數數 種尿尿中核苷的濃度度所組成代謝體學,與癌症疾病的關係是一個很有潛力力的研究方 向。此外尿尿中核苷的角色也不不僅止於輔助診斷,還可應用於疾病治療療效果的評估,
如 Sung-Hee Cho 等人檢測了了乳癌病人手術前後尿尿中核苷的變化 [28],認為這種 目標性的代謝體學,能應用於監測治療療效果。因此吾人未來來研究方向也包括增加 偵測尿尿液中核苷的數數目,以及收集癌症病患治療療前後的尿尿液檢體進行行分析,期望 能發現有助於臨臨床應用的癌症生物標記。
74
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