Emelyanova Marina A, Ikonnikova Anna Y
Center for Precision Genome Editing and Genetic Technologies for Biomedicine, Engelhardt Institute of Molecular Biology, Russian Academy of Sciences, Moscow 119991, Russia.
World J Gastroenterol. 2024 Dec 14;30(46):4950-4957. doi: 10.3748/wjg.v30.i46.4950.
The feasibility of population screening for colorectal cancer has been demonstrated in several studies. Most of these studies have considered individual characteristics, diagnostic approaches, epidemiological data, and socioeconomic factors. In this article, we comment on an editorial by Metaxas published in the recent issue of the journal. The authors emphasized the need to raise public awareness through health education programs and the possibility of using easily accessible non-invasive screening methods. Here, we focus on non-invasive molecular genetic approaches that can aid in colorectal cancer screening. On the one hand, we highlighted the use of tumor DNA/RNA markers directly for screening and, on the other hand, underline the use of polygenic risk assessment and hereditary predisposition to select individuals for more thorough cancer screening.
多项研究已证明了对结直肠癌进行人群筛查的可行性。这些研究大多考虑了个体特征、诊断方法、流行病学数据和社会经济因素。在本文中,我们对梅塔克萨斯近期在该期刊上发表的一篇社论发表评论。作者强调了通过健康教育项目提高公众意识的必要性以及使用易于获取的非侵入性筛查方法的可能性。在此,我们关注可辅助结直肠癌筛查的非侵入性分子遗传学方法。一方面,我们强调直接使用肿瘤DNA/RNA标志物进行筛查,另一方面,强调利用多基因风险评估和遗传易感性来选择个体进行更全面的癌症筛查。