Dai Xiaofeng, Zhang Xuanhao, Lu Peihua
Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, PR China.
School of Biotechnology, Jiangnan University, Wuxi, Jiangsu, PR China.
Biomark Med. 2019 Oct 31;13(17):1509-1533. doi: 10.2217/bmm-2019-0143.
Powered by rapid technology developments, biomarkers become increasingly diverse, including those detected at genomic, transcriptomic, proteomic, metabolomic and cellular levels. While diverse sets of biomarkers have been utilized in breast cancer predisposition, diagnosis, prognosis, treatment and management, recent additions derived from lincRNA, circular RNA, circulating DNA together with its methylated and hydroxymethylated forms and immune signatures are likely to further transform clinical practice. Here, we take breast cancer as an example of heterogeneous diseases that require many informed decisions from treatment to care to review the huge variety of biomarkers. By assessing the advantages and limitations of modern biomarkers in diverse use scenarios, this article outlines the prospects and challenges of releasing complimentary advantages by augmentation of multiscale molecular biomarkers.
在快速的技术发展推动下,生物标志物变得越来越多样化,包括在基因组、转录组、蛋白质组、代谢组和细胞水平上检测到的那些。虽然各种各样的生物标志物已被用于乳腺癌的易感性、诊断、预后、治疗和管理,但最近来自长链非编码RNA(lincRNA)、环状RNA、循环DNA及其甲基化和羟甲基化形式以及免疫特征的新增生物标志物可能会进一步改变临床实践。在这里,我们以乳腺癌这种需要从治疗到护理做出许多明智决策的异质性疾病为例,来审视各种各样的生物标志物。通过评估现代生物标志物在不同使用场景中的优势和局限性,本文概述了通过增强多尺度分子生物标志物来释放互补优势的前景和挑战。