Doctoral Program of Medical Science, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Helicobacter pylori and Microbiota Study Group, Institute of Tropical Disease, Universitas Airlangga, Surabaya, Indonesia.
J Med Life. 2024 Jan;17(1):4-14. doi: 10.25122/jml-2023-0269.
Colorectal cancer (CRC) is one of the most frequent types of cancer, with high incidence rates and mortality globally. The extended timeframe for developing CRC allows for the potential screening and early identification of the disease. Furthermore, studies have shown that survival rates for patients with cancer are increased when diagnoses are made at earlier stages. Recent research suggests that the development of CRC, including its precancerous lesion, is influenced not only by genetic factors but also by epigenetic variables. Studies suggest epigenetics plays a significant role in cancer development, particularly CRC. While this approach is still in its early stages and faces challenges due to the variability of CRC, it shows promise as a potential method for understanding and addressing the disease. This review examined the current evidence supporting genetic and epigenetic biomarkers for screening and diagnosis. In addition, we also discussed the feasibility of translating these methodologies into clinical settings. Several markers show promising potential, including the methylation of vimentin (), syndecan-2 (), and septin 9 (). However, their application as screening and diagnostic tools, particularly for early-stage CRC, has not been fully optimized, and their effectiveness needs validation in large, multi-center patient populations. Extensive trials and further investigation are required to translate genetic and epigenetic biomarkers into practical clinical use. biomarkers, diagnostic biomarkers.
结直肠癌(CRC)是最常见的癌症类型之一,全球发病率和死亡率都很高。CRC 的发展时间较长,因此有潜力进行筛查和早期发现。此外,研究表明,癌症患者的生存率在早期诊断时会提高。最近的研究表明,CRC 的发展,包括其癌前病变,不仅受遗传因素的影响,还受表观遗传变量的影响。研究表明,表观遗传学在癌症发展中起着重要作用,尤其是 CRC。虽然这种方法仍处于早期阶段,并且由于 CRC 的可变性而面临挑战,但它作为一种潜在的理解和解决疾病的方法具有很大的潜力。本综述检查了支持用于筛查和诊断的遗传和表观遗传生物标志物的现有证据。此外,我们还讨论了将这些方法转化为临床环境的可行性。一些标志物显示出有希望的潜力,包括波形蛋白()、 syndecan-2()和 septin 9()的甲基化。然而,它们作为筛查和诊断工具的应用,特别是对于早期 CRC,尚未得到充分优化,其有效性需要在大型多中心患者群体中进行验证。需要进行广泛的试验和进一步的研究,以将遗传和表观遗传生物标志物转化为实际的临床应用。生物标志物、诊断生物标志物。