研究概要
泌尿生殖系统肿瘤是一组异质性肿瘤,其中肾细胞癌、尿路上皮膀胱癌和前列腺腺癌是最常见的亚型。
中文摘要
泌尿生殖系统癌症是一组异质性肿瘤,其中最常见的亚型为肾细胞癌、膀胱尿路上皮癌和前列腺腺癌。目前研究者正通过多种策略探索泌尿生殖系统癌症的新型生物标志物。这些标志物虽不能取代有创诊断技术,但可用于早期、准确诊断,改善疾病临床管理。此外,根据标志物为应答患者选择合适治疗方案,可降低治疗毒性和成本。通过二代测序和蛋白质组学等先进技术鉴定的标志物,可分为免疫学标志物、组织特异性标志物和液体标志物。免疫学标志物包括CTLA4、PD-1/PD-L1等免疫通路标志物;组织标志物包括PSA等组织特异性分子;液体标志物则包括可在尿液、循环细胞等中检测的指标。本综述简要介绍最常见的泌尿生殖系统恶性肿瘤,包括膀胱癌、肾癌和前列腺癌,并重点讨论新型诊断标志物及在治疗前靶向这些标志物的重要性。了解这些标志物及其诊断潜力,有助于实现泌尿生殖系统癌症的早期准确诊断,也可能推动个体化诊断、预后评估和治疗方案的发展。
展开英文摘要原文
Genitourinary cancers comprise of a heterogenous group of cancers of which renal cell carcinoma, urothelial bladder carcinoma, and prostate adenocarcinoma are the most commonly encountered subtypes. A lot of research is ongoing using various strategies for exploration of novel biomarkers for genitourinary cancers. These biomarkers would not reduce the need for invasive diagnostic techniques but also could be used for early and accurate diagnosis to improve the clinical management required for the disease. Moreover, selecting the appropriate treatment regimen for the responsive patients based on these biomarkers would reduce the treatment toxicity as well as cost. Biomarkers identified using various advanced techniques like next generation sequencing and proteomics, which have been classified as immunological biomarkers, tissue-specific biomarkers and liquid biomarkers. Immunological biomarkers include markers of immunological pathways such as CTLA4, PD-1/PDl-1, tissue biomarkers include tissue specific molecules such as PSA antigen and liquid biomarkers include biomarkers detectable in urine, circulating cells etc. The purpose of this review is to provide a brief introduction to the most prevalent genitourinary malignancies, including bladder, kidney, and prostate cancers along with a major focus on the novel diagnostic biomarkers and the importance of targeting them prior to genitourinary cancers treatment. Understanding these biomarkers and their potential in diagnosis of genitourinary cancer would not help in early and accurate diagnosis as mentioned above but may also lead towards a personalized approach for better diagnosis, prognosis and specified treatment approach for an individual.
论文信息
- 作者
- Merae Alshahrani M
- 单位
- Department of Clinical Laboratory Sciences, Faculty of Applied Medical Sciences, Najran University, 1988, Najran 61441, Saudi Arabia.Saudi Arabia
- 文献类型
- 综述
- 期刊
- Saudi journal of biological sciences2022 Apr