摘要
已经证明了生物标志物在肿瘤学筛查,诊断,预测对治疗的反应以及监测疾病进展中的应用。考虑到它们在不同疾病阶段所起的关键作用,评估,验证和评估它们以将其纳入常规临床护理中极为重要。在这篇综述中,一些最有希望和成功使用的生物标志物在癌症检测中的作用,即PD-L1,E-钙黏着蛋白,TP53,外来体,cfDNA,EGFR,mTOR,就其结构,作用方式和报告表明它们的作用病理意义,予以解决。而且,已经提出了一些成功地用于癌症医学的生物标记物的概述。该研究还总结了生物标志物驱动的个性化癌症治疗,即根据美国FDA批准的靶标和适应症。该综述还强调了生物标志物在药物开发的各个阶段中日益重要的作用,特别是针对临床试验。从所显示的趋势可以清楚地看出生物标志物在临床试验中用途的增加,其中2019年约55%的肿瘤临床试验都涉及生物标志物,而2001年为15%,这清楚地证明了生物标志物的本质和适用性。生物标记物,用于使临床信息与肿瘤进展协同作用。尽管如此,以有成本效益的方式提供有力的证据来实施这些可能性仍然面临着巨大的挑战。
关键词: 生物标志物,PD-L1,靶向治疗,临床试验,p53,EGFR,e-钙粘蛋白。
图形摘要
[http://dx.doi.org/10.3390/cancers2010190] [PMID: 24281040]
[http://dx.doi.org/10.1016/j.molonc.2012.01.010] [PMID: 22356776]
[http://dx.doi.org/10.1177/1758834009360519] [PMID: 21789130]
[http://dx.doi.org/10.1007/s00428-013-1533-y] [PMID: 24487788]
[http://dx.doi.org/10.1200/JCO.2011.38.3729] [PMID: 22042948]
[http://dx.doi.org/10.1016/j.jprot.2012.03.046] [PMID: 22498886]
[http://dx.doi.org/10.3389/fimmu.2019.02022] [PMID: 31507611]
[http://dx.doi.org/10.1084/jem.192.7.1027] [PMID: 11015443]
[http://dx.doi.org/10.1038/nm730] [PMID: 12091876]
[http://dx.doi.org/10.1186/s40425-019-0768-9] [PMID: 31655605]
[http://dx.doi.org/10.1158/1535-7163.MCT-14-0983] [PMID: 25695955]
[http://dx.doi.org/10.1080/2162402X.2017.1408747] [PMID: 29632720]
[http://dx.doi.org/10.1097/PAS.0000000000001077] [PMID: 29762141]
[http://dx.doi.org/10.3389/fimmu.2018.01774] [PMID: 30105035]
[http://dx.doi.org/10.1038/nrc3239] [PMID: 22437870]
[http://dx.doi.org/10.1186/s12957-016-0969-3] [PMID: 27514667]
[http://dx.doi.org/10.1038/nature13480] [PMID: 25079317]
[PMID: 26487950]
[http://dx.doi.org/10.1038/ni1443] [PMID: 17304234]
[http://dx.doi.org/10.1111/j.1749-6632.2010.05919.x] [PMID: 21276005]
[PMID: 32627031]
[http://dx.doi.org/10.1080/14737140.2017.1301207] [PMID: 28277834]
[http://dx.doi.org/10.1136/jclinpath-2017-204853] [PMID: 29097600]
[http://dx.doi.org/10.1158/1055-9965.EPI-18-0779] [PMID: 30487133]
[http://dx.doi.org/10.1016/j.critrevonc.2017.06.001] [PMID: 28693793]
[http://dx.doi.org/10.1146/annurev.immunol.26.021607.090331] [PMID: 18173375]
[http://dx.doi.org/10.1038/nm1517] [PMID: 17159987]
[http://dx.doi.org/10.1182/blood-2006-10-051482] [PMID: 17363736]
[http://dx.doi.org/10.1073/pnas.0931259100] [PMID: 12697896]
[http://dx.doi.org/10.1097/COC.0000000000000239] [PMID: 26558876]
[http://dx.doi.org/10.1016/j.immuni.2007.05.016] [PMID: 17629517]
[http://dx.doi.org/10.1038/s41392-018-0022-9] [PMID: 30275987]
[http://dx.doi.org/10.5812/ircmj.4032] [PMID: 23984001]
[http://dx.doi.org/10.1016/j.febslet.2012.07.045] [PMID: 22841718]
[http://dx.doi.org/10.1101/2020.03.17.996181]
[http://dx.doi.org/10.3748/wjg.v12.i2.199] [PMID: 16482618]
[http://dx.doi.org/10.1200/JCO.2012.44.4612] [PMID: 23341533]
[http://dx.doi.org/10.1038/380360a0] [PMID: 8598933]
[http://dx.doi.org/10.3748/wjg.v12.i2.192] [PMID: 16482617]
[http://dx.doi.org/10.1016/j.yexcr.2005.07.010] [PMID: 16112667]
[PMID: 23749888]
[http://dx.doi.org/10.1002/ijc.10690] [PMID: 12397640]
[http://dx.doi.org/10.1038/sj.onc.1204505] [PMID: 11439345]
[http://dx.doi.org/10.1093/ajcp/111.1.29] [PMID: 9894451]
[http://dx.doi.org/10.1038/bjc.1998.309] [PMID: 9667659]
[http://dx.doi.org/10.1023/B:CLIN.0000017204.38807.22] [PMID: 15065605]
[http://dx.doi.org/10.1002/ijc.25438] [PMID: 20473926]
[http://dx.doi.org/10.1016/j.jss.2011.11.009] [PMID: 22277332]
[http://dx.doi.org/10.3892/ol.2017.6063] [PMID: 28588719]
[http://dx.doi.org/10.3892/ol.2018.8627] [PMID: 29928384]
[http://dx.doi.org/10.1073/pnas.1431692100] [PMID: 12826609]
[http://dx.doi.org/10.1016/S1040-8428(99)00051-7] [PMID: 10714958]
[http://dx.doi.org/10.3402/pba.v3i0.22702] [PMID: 24124625]
[http://dx.doi.org/10.1158/1078-0432.CCR-17-0408] [PMID: 28572266]
[http://dx.doi.org/10.1016/j.ejca.2005.11.032] [PMID: 16644204]
[http://dx.doi.org/10.1158/1078-0432.CCR-05-1029] [PMID: 16489069]
[http://dx.doi.org/10.1155/2011/284584] [PMID: 21760703]
[http://dx.doi.org/10.1038/sj.bjc.6601537] [PMID: 14760384]
[http://dx.doi.org/10.1186/bcr1675] [PMID: 17504517]
[http://dx.doi.org/10.1093/jjco/hyp007] [PMID: 19304743]
[http://dx.doi.org/10.1038/modpathol.2016.39] [PMID: 26939876]
[http://dx.doi.org/10.1182/blood.V84.9.3148.3148] [PMID: 7949187]
[http://dx.doi.org/10.1002/humu.10174] [PMID: 12619115]
[http://dx.doi.org/10.1177/1947601912455199] [PMID: 23150757]
[http://dx.doi.org/10.1101/gad.12.18.2831] [PMID: 9744860]
[http://dx.doi.org/10.1038/sj.onc.1210280] [PMID: 17401423]
[http://dx.doi.org/10.1242/jcs.03293] [PMID: 17158908]
[http://dx.doi.org/10.1002/humu.20495] [PMID: 17311302]
[PMID: 3597417]
[http://dx.doi.org/10.1371/journal.pone.0092921] [PMID: 24705249]
[http://dx.doi.org/10.1002/cncr.31062] [PMID: 29112225]
[http://dx.doi.org/10.3402/jev.v5.31488] [PMID: 27576678]
[http://dx.doi.org/10.3390/cancers11070898] [PMID: 31252648]
[http://dx.doi.org/10.1016/j.omtn.2018.05.009] [PMID: 30195762]
[http://dx.doi.org/10.1016/j.biopha.2019.108758] [PMID: 30877883]
[http://dx.doi.org/10.1515/cclm-2019-0052] [PMID: 30978169]
[http://dx.doi.org/10.1038/srep33935] [PMID: 27659060]
[http://dx.doi.org/10.1007/s13273-018-0014-4]
[http://dx.doi.org/10.1038/ncomms15016] [PMID: 28393839]
[http://dx.doi.org/10.1016/j.ccell.2014.09.005] [PMID: 25446899]
[http://dx.doi.org/10.1038/nature15376] [PMID: 26479035]
[http://dx.doi.org/10.1038/ncb3094] [PMID: 25621950]
[http://dx.doi.org/10.7150/ijbs.15514] [PMID: 27994512]
[http://dx.doi.org/10.7150/ijbs.27796]
[http://dx.doi.org/10.1038/215975b0] [PMID: 4964238]
[http://dx.doi.org/10.1126/science.148.3668.374]
[http://dx.doi.org/10.1186/s12867-017-0098-8] [PMID: 28793862]
[http://dx.doi.org/10.1007/s12038-015-9508-6] [PMID: 25740145]
[http://dx.doi.org/10.1158/0008-5472.CAN-12-3287] [PMID: 23722544]
[http://dx.doi.org/10.1371/journal.pone.0052754] [PMID: 23285175]
[PMID: 837366]
[http://dx.doi.org/10.1038/nm.3519] [PMID: 24705333]
[http://dx.doi.org/10.1126/scitranslmed.3007094] [PMID: 24553385]
[http://dx.doi.org/10.1038/nm.3564] [PMID: 24804754]
[http://dx.doi.org/10.1038/srep40737] [PMID: 28102343]
[http://dx.doi.org/10.1093/abbs/gmy104]
[http://dx.doi.org/10.1371/journal.pone.0131699] [PMID: 26133168]
[http://dx.doi.org/10.1134/S1990750812010052]
[http://dx.doi.org/10.7326/M15-0971] [PMID: 26756902]
[http://dx.doi.org/10.1056/NEJMoa1102873] [PMID: 21714641]
[http://dx.doi.org/10.1016/j.cell.2017.01.030] [PMID: 28187279]
[http://dx.doi.org/10.1126/science.aar3247]
[http://dx.doi.org/10.1186/s12916-016-0667-6] [PMID: 27558279]
[http://dx.doi.org/10.1126/scitranslmed.3004952] [PMID: 23303603]
[http://dx.doi.org/10.1056/NEJMoa1701717] [PMID: 28792880]
[http://dx.doi.org/10.1001/jamaoncol.2015.1883] [PMID: 26355862]
[http://dx.doi.org/10.1073/pnas.1508736112] [PMID: 26392541]
[http://dx.doi.org/10.1158/0008-5472.CAN-05-4556] [PMID: 16818665]
[PMID: 8137272]
[http://dx.doi.org/10.1016/j.bdq.2019.100087]
[http://dx.doi.org/10.1016/S0169-5002(03)00137-5] [PMID: 12867060]
[http://dx.doi.org/10.1001/jama.290.16.2149] [PMID: 14570950]
[http://dx.doi.org/10.1200/JCO.2004.11.057] [PMID: 15310767]
[http://dx.doi.org/10.1056/NEJMoa033025] [PMID: 15269313]
[http://dx.doi.org/10.1056/NEJMoa053422] [PMID: 16467544]
[http://dx.doi.org/10.1056/NEJMoa050736] [PMID: 16014883]
[http://dx.doi.org/10.1200/JCO.2005.01.2823] [PMID: 15998906]
[http://dx.doi.org/10.1093/jnci/dji112] [PMID: 15870435]
[http://dx.doi.org/10.1056/NEJMoa040938] [PMID: 15118073]
[http://dx.doi.org/10.1126/science.1099314] [PMID: 15118125]
[PMID: 2925616]
[PMID: 1988448]
[http://dx.doi.org/10.1002/14651858.CD010383.pub2] [PMID: 27223332]
[http://dx.doi.org/10.1016/j.jtho.2016.05.008] [PMID: 27229180]
[http://dx.doi.org/10.1038/nrc1609] [PMID: 15864276]
[http://dx.doi.org/10.1097/MPA.0000000000000389] [PMID: 26355547]
[http://dx.doi.org/10.1016/j.ctrv.2011.12.004] [PMID: 22226241]
[http://dx.doi.org/10.1097/00004347-199701000-00010] [PMID: 8986534]
[http://dx.doi.org/10.1155/2010/568938] [PMID: 20037743]
[http://dx.doi.org/10.3892/etm.2012.518] [PMID: 22969995]
[http://dx.doi.org/10.1002/cncr.26661] [PMID: 22086503]
[http://dx.doi.org/10.1097/PGP.0000000000000081] [PMID: 24901400]
[http://dx.doi.org/10.1038/sj.bjc.6604471] [PMID: 18628764]
[http://dx.doi.org/10.1002/cncr.22195] [PMID: 16983702]
[http://dx.doi.org/10.7314/APJCP.2014.15.22.9739] [PMID: 25520097]
[http://dx.doi.org/10.3892/etm.2012.481] [PMID: 22969977]
[http://dx.doi.org/10.1007/s11523-015-0369-6] [PMID: 26004768]
[http://dx.doi.org/10.1158/1078-0432.CCR-11-0408] [PMID: 22016507]
[http://dx.doi.org/10.1016/j.anndiagpath.2010.05.005] [PMID: 21074685]
[http://dx.doi.org/10.1186/1471-2407-11-294] [PMID: 21756326]
[http://dx.doi.org/10.2174/156800961509151110143001] [PMID: 26567882]
[http://dx.doi.org/10.1016/j.ejca.2014.07.001] [PMID: 25091798]
[http://dx.doi.org/10.1093/annonc/mdx304]
[http://dx.doi.org/10.1200/JCO.2005.04.8306] [PMID: 16763281]
[http://dx.doi.org/10.1016/j.ejca.2013.12.018] [PMID: 24424107]
[http://dx.doi.org/10.1038/nature14129] [PMID: 25631445]
[http://dx.doi.org/10.4161/cbt.20991] [PMID: 22825335]
[http://dx.doi.org/10.1016/S0959-8049(01)00231-3] [PMID: 11597399]
[http://dx.doi.org/10.1016/j.cell.2012.03.017] [PMID: 22500797]
[http://dx.doi.org/10.1016/j.cell.2017.03.035] [PMID: 28388417]
[http://dx.doi.org/10.2967/jnumed.111.089623] [PMID: 21421716]
[http://dx.doi.org/10.1093/nar/gkq929] [PMID: 20952405]
[http://dx.doi.org/10.2174/156800910791517172] [PMID: 20384580]
[http://dx.doi.org/10.1146/annurev-med-062913-051343] [PMID: 26473415]
[http://dx.doi.org/10.1158/2159-8290.CD-13-0063] [PMID: 24265156]
[http://dx.doi.org/10.1371/journal.pone.0116771] [PMID: 25680114]
[http://dx.doi.org/10.4161/cbt.7.9.6416] [PMID: 18708754]
[http://dx.doi.org/10.1016/j.canlet.2010.04.015] [PMID: 20471160]
[http://dx.doi.org/10.1016/j.ccr.2010.05.026] [PMID: 20579941]
[http://dx.doi.org/10.1038/sj.bjc.6605554] [PMID: 20104229]
[http://dx.doi.org/10.2174/156800909787580999] [PMID: 19275762]
[http://dx.doi.org/10.1186/s13578-020-00396-1] [PMID: 32175074]
[http://dx.doi.org/10.1126/sciadv.aar3938] [PMID: 30258985]
[http://dx.doi.org/10.1038/cr.2015.133] [PMID: 26584640]
[http://dx.doi.org/10.1038/ncb1183] [PMID: 15467718]
[http://dx.doi.org/10.1074/jbc.M114.627794] [PMID: 25882841]
[http://dx.doi.org/10.1038/370527a0] [PMID: 8052307]
[http://dx.doi.org/10.1172/JCI86120] [PMID: 27482884]
[http://dx.doi.org/10.1186/s40164-018-0122-9] [PMID: 30534474]
[http://dx.doi.org/10.1186/s13045-018-0662-9] [PMID: 30219074]
[http://dx.doi.org/10.1158/1078-0432.CCR-06-1503] [PMID: 17289895]
[http://dx.doi.org/10.1634/theoncologist.12-2-142] [PMID: 17296808]
[http://dx.doi.org/10.1200/JCO.2005.05.3934] [PMID: 16782929]
[http://dx.doi.org/10.1515/CCLM.2009.009] [PMID: 19055471]
[http://dx.doi.org/10.1016/S0002-9440(10)64592-0] [PMID: 10980118]
[http://dx.doi.org/10.1158/1078-0432.CCR-08-0186] [PMID: 18698037]
[http://dx.doi.org/10.1158/1078-0432.CCR-07-0408] [PMID: 17634537]
[http://dx.doi.org/10.1093/carcin/bgn086] [PMID: 18375955]
[http://dx.doi.org/10.1093/jnci/djk020] [PMID: 17228000]
[http://dx.doi.org/10.1200/JCO.2007.14.8924] [PMID: 18626007]
[PMID: 12133547]
[http://dx.doi.org/10.1093/annonc/mdl016] [PMID: 16497822]
[http://dx.doi.org/10.1056/NEJMoa065411] [PMID: 17314339]
[http://dx.doi.org/10.1016/j.ejca.2008.03.006] [PMID: 18396036]
[http://dx.doi.org/10.1056/NEJMoa1112302] [PMID: 22356324]
[PMID: 24534473]