Flaig Thomas W, Nordeen Steven K, Lucia M Scott, Harrison Gail S, Glodé L Michael
Department of Medicine, University of Colorado at Denver and Health Sciences University Denver, Aurora, Colorado 80045, USA.
J Urol. 2007 Apr;177(4):1229-37. doi: 10.1016/j.juro.2006.11.032.
The use of prostate specific antigen screening to diagnose and monitor prostate cancer is associated with well-known shortcomings. A 2-day Prostate Cancer Biomarker Conference was convened to identify promising areas of research and focus efforts on the most critical needs.
The conference provided a forum for the presentation and discussion of ongoing prostate cancer biomarker research. This meeting also sought to identify a range of critical issues in the development and validation of biomarkers, foster research collaboration between groups representing government, academic and industry initiatives, and coordinate efforts with planned and ongoing clinical trials.
Taken collectively the conference presentations offered various new technologies for biomarker discovery and pathological assessment of clinical disease as well as the promise of biomarkers for improving prostate cancer diagnosis and treatment decisions. However, research efforts focused on biomarker validation and implementation clearly lag behind those directed toward initial biomarker discovery. It is apparent that guidelines are desperately needed to ensure the consistency of sample collection across institutions.
Several ongoing and planned adjuvant prostate cancer trials will provide a tremendous opportunity for biological sample collection along with the potential to validate many biomarkers. Practicing urologists have an opportunity to have a critical role in the successful accrual of patients into these trials.
使用前列腺特异性抗原筛查来诊断和监测前列腺癌存在一些众所周知的缺点。召开了为期两天的前列腺癌生物标志物会议,以确定有前景的研究领域,并将精力集中在最关键的需求上。
该会议提供了一个展示和讨论正在进行的前列腺癌生物标志物研究的论坛。本次会议还试图确定生物标志物开发和验证中的一系列关键问题,促进代表政府、学术和行业倡议的团体之间的研究合作,并与计划中和正在进行的临床试验协调工作。
总体而言,会议报告提供了用于生物标志物发现和临床疾病病理评估的各种新技术,以及生物标志物有望改善前列腺癌诊断和治疗决策。然而,专注于生物标志物验证和实施的研究工作明显落后于针对初始生物标志物发现的工作。显然迫切需要指南来确保各机构间样本采集的一致性。
几项正在进行和计划中的前列腺癌辅助试验将为生物样本采集提供巨大机会,同时也有潜力验证许多生物标志物。执业泌尿科医生有机会在成功招募患者参加这些试验中发挥关键作用。