Ferrari Luca, Carugno Michele, Mensi Carolina, Pesatori Angela Cecilia
EPIGET LAB, Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy.
Epidemiology Unit, Department of Preventive Medicine, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Front Oncol. 2020 Apr 3;10:445. doi: 10.3389/fonc.2020.00445. eCollection 2020.
Malignant pleural mesothelioma (MPM) is a rare and aggressive cancer, which originates from the mesothelial cells of the pleura and is associated with asbestos exposure. In light of its aggressive nature, late diagnosis and dismal prognosis, there is an urgent need for identification of biomarkers in easily accessible samples (such as blood) for early diagnosis of MPM. In the last 10 years, epigenetic markers, such as DNA methylation and microRNAs (miRNAs), have gained popularity as possible early diagnostic and prognostic biomarkers in cancer research. The aim of this review is to provide a critical analysis of the current evidences on circulating epigenetic biomarkers for MPM and on their translational potential to the clinical practice for early diagnosis and for prognosis.
恶性胸膜间皮瘤(MPM)是一种罕见且侵袭性强的癌症,起源于胸膜间皮细胞,与石棉暴露有关。鉴于其侵袭性、诊断延迟和预后不良的特点,迫切需要在易于获取的样本(如血液)中鉴定生物标志物,以实现MPM的早期诊断。在过去十年中,表观遗传标志物,如DNA甲基化和微小RNA(miRNA),在癌症研究中作为可能的早期诊断和预后生物标志物受到了广泛关注。本综述的目的是对MPM循环表观遗传生物标志物的现有证据及其在早期诊断和预后临床实践中的转化潜力进行批判性分析。