Hong Liu, Ahuja Nita
Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi'an, China.
Genet Test Mol Biomarkers. 2013 May;17(5):401-6. doi: 10.1089/gtmb.2012.0478. Epub 2013 Feb 13.
Detection of colorectal cancer at an early stage may significantly decrease mortality from the disease. The current screening test of colonoscopy is of high efficacy, but its acceptance in the general public is rather low. Availability of a blood- or stool-based test of DNA methylation markers is expected to improve the screening compliance for colon cancer in the general population. The goal of this review is to describe the recent advances in DNA methylation markers of stool and blood for early detection of colon cancer, and envisage future developments toward their clinical availability. More investigations should be performed to promote both basic and clinical research of DNA methylation markers in patients with colon cancer.
早期检测结直肠癌可显著降低该疾病的死亡率。目前的结肠镜筛查测试效果良好,但在普通公众中的接受度较低。基于血液或粪便的DNA甲基化标志物检测有望提高普通人群对结肠癌筛查的依从性。本综述的目的是描述用于早期检测结肠癌的粪便和血液DNA甲基化标志物的最新进展,并展望其临床应用的未来发展。应开展更多研究以促进结肠癌患者DNA甲基化标志物的基础研究和临床研究。