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Parameter
Biomarker HE4 Full name Human epididymis protein 4 Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, prognosis
Disease Endometrial Cancer Disease Subtypes /
Organ Endometrium Test Sample / Technology Platform Serum / Plasma (ELISA, electrochemiluminescence method)
Pathobiological Mechanisms Abnormally highly expressed during tumor progression, it participates in tumor cell invasion, adhesion and angiogenesis. Its level is related to tumor burden and is involved in cell proliferation, anti-apoptosis and epithelial-mesenchymal transition. It is specifically higher than CA-125 in endometrial cancer.
Clinical Availability Status Clinical recommendation (diagnosis / stratification): Incorporate the endometrial cancer risk assessment model. The AUC for early diagnosis is superior to that of CA-125.
Notes and Dynamics Combined with CA-125 testing, the sensitivity of early diagnosis can be increased to over 85%, and it is applicable for screening of post-menopausal women.

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This study was supported by the Scientific Research Innovation Capability Support Project for Young Faculty (SRICSPYF-ZY2025112), the Fundamental and Interdisciplinary Disciplines Breakthrough Plan of the Ministry of Education of China (JYB2025XDXM612)

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