DIAGNOSTIC VALUE OF SHOX2 METHYLATION IN PLASMA FOR NON-SMALL CELL LUNG CANCER
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Abstract
Objective: This study evaluates the methylation status of SHOX2 (mSHOX2) in peripheral blood and its diagnostic value for non-small cell lung cancer (NSCLC). Methods: Blood samples from 149 NSCLC patients and 100 healthy individuals were analyzed using semi-nested quantitative methylation-specific PCR (sqMSP). Diagnostic performance was assessed using ROC curve analysis and multivariate logistic regression. Results: mSHOX2 ΔCt was significantly lower in NSCLC patients than in healthy controls (p < 0.001), indicating higher methylation levels. ROC analysis showed AUC = 0.715, sensitivity 56.38%, and specificity 82.00%. Multivariate logistic regression confirmed that mSHOX2, age, and BMI were independent factors associated with NSCLC risk, while gender and smoking history were no longer significant after adjustment. Conclusion: mSHOX2 is a promising non-invasive biomarker for NSCLC detection. Further studies are needed to enhance diagnostic accuracy by integrating additional biomarkers.
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Keywords
SHOX2 methylation, lung cancer, biomarker, liquid biopsy, methylation-specific PCR
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