Bratu Ovidiu, Mischianu Dan, Marcu Dragos, Spinu Dan, Iorga Lucian, Cherciu Alexandru, Balescu Irina, Bacalbasa Nicolae, Diaconu Camelia, Savu Cornel, Savu Carmen, Anghel Radu
Department of Urology, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of Urology, University Emergency Central Military Hospital, 010825 Bucharest, Romania.
Exp Ther Med. 2021 Nov;22(5):1297. doi: 10.3892/etm.2021.10732. Epub 2021 Sep 14.
One of the most common types of cancer worldwide (9th most commonly diagnosed) is renal cell carcinoma (RCC). It is more common in developed countries and it usually develops in individuals between 60 and 70 years of age. The earlier the disease is identified, the lower the morbidity. Therefore molecular markers that exist in blood and urine may be used for earlier detection and diagnosis but also for the follow-up of the patient after treatment, whether surgical or oncological. The trend is to analyze the gene and protein expression as they constitute a source for new biomarkers. These markers are promising but in clinical practice regarding disease management, they are rarely used. Biological markers can be employed in many tumors because they can identify the prognostic value for individual treatment. However, markers for RCC are not validated, and their analysis is currently under investigation. Previous findings have demonstrated that the metastatic potential of RCC can be predicted using the biological features of the tumor cell. It is believed that the transformation from epithelial to mesenchymal phenotype gives the tumor cell the ability to metastasize. The purpose of this review was to identify the most valuable tumor markers that can be clinically used for the prognosis, treatment and follow-up of patients with renal tumors.
全球最常见的癌症类型之一(诊断率排名第九)是肾细胞癌(RCC)。它在发达国家更为常见,通常发生于60至70岁的人群。疾病发现得越早,发病率越低。因此,血液和尿液中存在的分子标志物可用于早期检测和诊断,也可用于患者治疗后(无论是手术治疗还是肿瘤治疗)的随访。目前的趋势是分析基因和蛋白质表达,因为它们构成了新生物标志物的来源。这些标志物很有前景,但在疾病管理的临床实践中,它们很少被使用。生物标志物可用于许多肿瘤,因为它们可以确定个体治疗的预后价值。然而,RCC的标志物尚未得到验证,目前其分析正在研究中。先前的研究结果表明,可利用肿瘤细胞的生物学特征预测RCC的转移潜能。据信,从上皮表型向间充质表型的转变赋予了肿瘤细胞转移的能力。本综述的目的是确定最有价值的肿瘤标志物,这些标志物可在临床上用于肾肿瘤患者的预后、治疗和随访。