Diagnostic and prognostic epigenetic biomarkers in cancer

Epigenomics. 2015;7(6):1003-15. doi: 10.2217/epi.15.56. Epub 2015 Oct 7.

Abstract

Growing cancer incidence and mortality worldwide demands development of accurate biomarkers to perfect detection, diagnosis, prognostication and monitoring. Urologic (prostate, bladder, kidney), lung, breast and colorectal cancers are the most common and despite major advances in their characterization, this has seldom translated into biomarkers amenable for clinical practice. Epigenetic alterations are innovative cancer biomarkers owing to stability, frequency, reversibility and accessibility in body fluids, entailing great potential of assay development to assist in patient management. Several studies identified putative epigenetic cancer biomarkers, some of which have been commercialized. However, large multicenter validation studies are required to foster translation to the clinics. Herein we review the most promising epigenetic detection, diagnostic, prognostic and predictive biomarkers for the most common cancers.

Keywords: bladder; breast; cancer; colorectal; diagnostic/prognostic biomarkers; epigenetics; kidney; lung; prostate.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Biomarkers, Tumor / genetics*
  • CpG Islands
  • DNA Methylation
  • Epigenesis, Genetic*
  • Epigenomics* / methods
  • Female
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Male
  • Neoplasms / diagnosis*
  • Neoplasms / epidemiology
  • Neoplasms / genetics*
  • Neoplasms / mortality
  • Prognosis

Substances

  • Biomarkers, Tumor