Nakagawa Hidewaki
Laboratory for Biomarker Development, Center for Genomic Medicine, RIKEN.
Nihon Rinsho. 2012 May;70(5):743-7.
Cancer is a very heterogeneous group of diseases whose pathogenesis, aggressiveness, metastatic potential, and response to treatment can be different among individual patients. Personalized medicine should be practiced to take care of these cancer patients to improve medical care quality and reduce health care cost. Biomarker discovery and development are one of the cores of personalized medicine for cancer, which encompasses screening, early diagnosis, prognosis, cancer stratification, prediction of treatment efficacy and adverse reaction. Thanks to the emergence of new innovated high-throughput technologies, biomarker research and development are now efficiently performed in many laboratories and several candidates have been identified and applied to cancer patient care. To perform biomarker research and development more efficiently, we need to determine the endpoint of biomarkers clearly, to obtain a number of high-quality clinical samples with solid clinical information, and to performed high-throughput analysis in non-bias way. Once we discover biomarker candidates, we definitely need to validate their potential as biomarkers by analyzing independent sample sets with more accurate and focusing methods. Recently, pharmaceutical companies are trying to develop a drug-specific companion biomarker kits that can predict the efficacy or side effect of drugs in the early stage of development of anti-cancer drugs.
癌症是一类极具异质性的疾病,其发病机制、侵袭性、转移潜能以及对治疗的反应在个体患者之间可能存在差异。应实施个性化医疗来照料这些癌症患者,以提高医疗质量并降低医疗成本。生物标志物的发现与开发是癌症个性化医疗的核心之一,它涵盖筛查、早期诊断、预后评估、癌症分层、治疗疗效预测以及不良反应预测。得益于新型创新高通量技术的出现,生物标志物的研发如今在许多实验室中得以高效开展,并且已经鉴定出了一些候选生物标志物并应用于癌症患者的治疗。为了更高效地进行生物标志物的研发,我们需要明确生物标志物的终点,获取大量带有可靠临床信息的高质量临床样本,并以无偏倚的方式进行高通量分析。一旦我们发现了候选生物标志物,就绝对需要通过使用更准确且针对性更强的方法分析独立样本集来验证它们作为生物标志物的潜力。最近,制药公司正试图开发特定药物的伴随生物标志物试剂盒,这些试剂盒能够在抗癌药物研发的早期阶段预测药物的疗效或副作用。