Kretschmer A, Tolkach Y, Ellinger J, Kristiansen G
Urologische Klinik und Poliklinik, Klinikum der Universität München, Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland.
Institut für Pathologie, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Deutschland.
Urologe A. 2017 Jul;56(7):933-944. doi: 10.1007/s00120-017-0418-0.
In the era of personalized medicine and precision oncology, innovative genetic biomarkers are of emerging interest to close the diagnostic and prognostic gap that is left by current clinicopathologic risk classifiers. The current review article summarizes evidence regarding prognostic and predictive genetic biomarkers that are currently in widespread clinical use at initial diagnosis as well as following definitive treatment of prostate cancer. We give a brief summary about basic principles of biomarker research studies and present current data for the Progensa PC3 test, TMPRSS2:ERG gene fusion, ConfirmMDx, Prolaris gene panel, OncotypeDX Genomic Prostate score, and Decipher classifier. Evidence regarding those genetic biomarkers has heavily increased recently. However, there is still a lack of large, multicentric and prospective clinical validation studies. Furthermore, comparative studies that investigate the prognostic value of various genetic biomarkers are needed.
在个性化医疗和精准肿瘤学时代,创新的基因生物标志物日益受到关注,以弥合当前临床病理风险分类器所留下的诊断和预后差距。当前这篇综述文章总结了有关预后和预测性基因生物标志物的证据,这些生物标志物目前在前列腺癌初始诊断以及确定性治疗后广泛应用于临床。我们简要概述了生物标志物研究的基本原则,并展示了Progensa PC3检测、TMPRSS2:ERG基因融合、ConfirmMDx、Prolaris基因panel、OncotypeDX基因组前列腺评分和Decipher分类器的当前数据。最近,关于这些基因生物标志物的证据大量增加。然而,仍然缺乏大型、多中心和前瞻性的临床验证研究。此外,还需要进行比较研究来调查各种基因生物标志物的预后价值。