Departamento Clínico de Hematologia, Division Onco-Hematologia, UMAE, Hospital de Especialidades (HE), Centro Médico Nacional de Occidente (CMNO), Instituto Mexicano del Seguro Social (IMSS), Guadalajara, Jalisco, Mexico; Unidad de Investigación Biomédica 02, UMAE HE, CMNO, IMSS, Guadalajara, Jalisco, Mexico; Extensión, Consulting and Research Division, Universidad de Monterrey, San Pedro Garza Garcia, Mexico.
Departamento Clínico de Hematologia, Division Onco-Hematologia, UMAE, Hospital de Especialidades (HE), Centro Médico Nacional de Occidente (CMNO), Instituto Mexicano del Seguro Social (IMSS), Guadalajara, Jalisco, Mexico.
Adv Clin Chem. 2020;96:19-53. doi: 10.1016/bs.acc.2019.11.002. Epub 2020 Mar 3.
Biomarkers play a critical role in the medical care of patients with cancer, including in early detection of the disease, diagnostic accuracy, risk stratification, treatment, and follow-up. Biomarkers in hematological malignancies can support the redefinition of the diagnosis and adjustments in the treatment plan. Biomarkers can be classified into 4 categories: (1) protein antigens, (2) cytogenetic abnormalities, (3) genetic polymorphisms, and (4) gene expression. Efforts in genomics, proteomics, and metabolomics to observe new biomarkers that contribute to the development of clinical medicine with greater precision in the strategies that improve prevention, diagnosis, and treatment of patients with malignant hematological disease. New biomarkers should accomplish several issues such as the biological plausibility, methodology used, analytical validation, intellectual property registry, and legal framework of application. This knowledge should be transferred to health professionals who can carry out the process of its implementation in clinical practice.
生物标志物在癌症患者的医疗护理中起着至关重要的作用,包括疾病的早期发现、诊断准确性、风险分层、治疗和随访。血液系统恶性肿瘤的生物标志物可以支持重新定义诊断和调整治疗计划。生物标志物可分为 4 类:(1)蛋白质抗原,(2)细胞遗传学异常,(3)遗传多态性,和(4)基因表达。基因组学、蛋白质组学和代谢组学领域的努力旨在观察新的生物标志物,以提高恶性血液病患者预防、诊断和治疗策略的精准度,推动临床医学的发展。新的生物标志物应解决几个问题,如生物学合理性、使用的方法、分析验证、知识产权注册和应用的法律框架。这些知识应传递给能够在临床实践中实施该过程的卫生专业人员。