Boulaiz Houria, Ramos María C, Griñán-Lisón Carmen, García-Rubiño Maria E, Vicente Francisca, Marchal Juan Antonio
a Biopathology and Regenerative Medicine Institute (IBIMER), Centre for Biomedical Research , University of Granada , Granada , Spain .
b Biosanitary Institute of Granada (ibs.GRANADA) , University Hospitals of Granada-University of Granada , Granada , Spain.
Expert Opin Ther Pat. 2017 Dec;27(12):1319-1328. doi: 10.1080/13543776.2017.1379991. Epub 2017 Sep 21.
Pancreatic cancer (PC) is the fourth leading cause of cancer-related death in the US with a 5-year survival rate of about 5%. Most patients have advanced metastatic disease mainly due to the lack of an effective early detection, and an extremely poor prognosis. Advancing in the fight against PC requires developing novel observable biomarkers at preclinical stages for early detection. Areas covered: This manuscript is an overview of different PC diagnostic modalities and the latest innovations made to enhance early PC detection through the patents published from 2011 to 2017. It also comments on the ongoing clinical trials and highlights the main challenges to be addressed in the future. Expert opinion: At present, real efforts are being made to identify new specific biomarkers with a potential clinical applicability, and to develop new devices that integrate several biomarkers in order to be more sensitive and specific for the early detection of PC. Although many biomarkers have been patented recently, they will not reach the clinic until they have been validated by clinical trials. We believe that the high-throughput screening of '-omic' technologies to detect tumor-specific molecular alterations can lead to an enhanced understanding of the disease mechanisms and the discovery of new clinical diagnostic biomarkers.
胰腺癌(PC)是美国癌症相关死亡的第四大原因,5年生存率约为5%。大多数患者患有晚期转移性疾病,主要原因是缺乏有效的早期检测手段,且预后极差。要在抗击胰腺癌方面取得进展,需要在临床前阶段开发新的可观察生物标志物用于早期检测。涵盖领域:本手稿概述了不同的胰腺癌诊断方法,以及通过2011年至2017年公布的专利在增强胰腺癌早期检测方面取得的最新创新成果。还对正在进行的临床试验进行了评论,并强调了未来需要解决的主要挑战。专家观点:目前,人们正在切实努力寻找具有潜在临床适用性的新的特异性生物标志物,并开发整合多种生物标志物的新设备,以便在胰腺癌早期检测中更加灵敏和特异。尽管最近有许多生物标志物已获得专利,但在通过临床试验验证之前,它们无法进入临床应用。我们认为,通过“组学”技术进行高通量筛选以检测肿瘤特异性分子改变,能够增进对疾病机制的理解,并发现新的临床诊断生物标志物。