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用于早期癌症检测和诊断的新兴生物标志物:挑战、创新与临床前景

Emerging biomarkers for early cancer detection and diagnosis: challenges, innovations, and clinical perspectives.

作者信息

Zafar Sameen, Hafeez Amna, Shah Hania, Mutiullah Iqra, Ali Arslan, Khan Khushbukhat, Figueroa-González Gabriela, Reyes-Hernández Octavio Daniel, Quintas-Granados Laura Itzel, Peña-Corona Sheila I, Kiyekbayeva Lashyn N, Butnariu Monica, Tota Cristina-Elena, Caunii Angela, Büsselberg Dietrich, Sharifi-Rad Javad, Leyva-Gómez Gerardo

机构信息

National University of Sciences and Technology, Islamabad, Pakistan.

Cancer Clinical Research Unit, Trials360 CRO, Lahore, Pakistan.

出版信息

Eur J Med Res. 2025 Aug 18;30(1):760. doi: 10.1186/s40001-025-03003-6.

Abstract

Early detection and accurate cancer diagnosis are crucial for improving patient outcomes and survival rates. This review presents a comprehensive and updated synthesis of emerging biomarkers, essential for providing non-invasive, efficient, and reliable methods to identify cancer in its early stages. An extensive literature review focuses on recent studies and advancements in both traditional and emerging biomarkers, including circulating tumor DNA (ctDNA), exosomes, liquid biopsies, microRNAs (miRNAs), and immunotherapy biomarkers, which show promising potential for early cancer detection. Liquid biopsies, nanobiosensors, artificial intelligence, and next-generation sequencing (NGS) are transforming biomarker discovery and application. Key challenges include low concentration and fragmentation, as well as clearance of ctDNA, the complexity of exosome isolation, inter-patient variability in miRNA expression, and the absence of clinical standardization. We also highlight the translational barriers in low-resource settings and suggest strategies for future implementation. We also underscore the limited diagnostic accessibility in low-resource settings, emphasizing the importance of equity in future applications. Future research should prioritize overcoming current challenges, promoting multidisciplinary collaboration, and creating standardized protocols to enhance the clinical utility of this approach.

摘要

早期发现和准确的癌症诊断对于改善患者预后和生存率至关重要。本综述全面且更新地综合了新兴生物标志物,这些生物标志物对于提供非侵入性、高效且可靠的早期癌症识别方法至关重要。广泛的文献综述聚焦于传统和新兴生物标志物的近期研究与进展,包括循环肿瘤DNA(ctDNA)、外泌体、液体活检、微小RNA(miRNA)以及免疫治疗生物标志物,它们在早期癌症检测中显示出了有前景的潜力。液体活检、纳米生物传感器、人工智能和下一代测序(NGS)正在改变生物标志物的发现和应用。关键挑战包括ctDNA的低浓度和片段化以及清除、外泌体分离的复杂性、miRNA表达的患者间变异性以及缺乏临床标准化。我们还强调了低资源环境中的转化障碍,并提出了未来实施的策略。我们还强调了低资源环境中有限的诊断可及性,强调了未来应用中公平性的重要性。未来研究应优先克服当前挑战,促进多学科合作,并制定标准化方案以提高这种方法的临床效用。

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