A cancer biomarker signifies a substance or phenomenon that signals the existence of cancer within the body, which could include a molecule released by a tumor or a particular bodily response to cancer presence. Epigenetic, glycomic, and imaging biomarkers serve purposes in cancer prognosis, epidemiology, and diagnosis.
Given their potential roles across all cancer stages, biomarkers undergo rigorous evaluation before being integrated into clinical practice. Ideally, these biomarkers are detectable in minimally invasive biofluids such as blood or serum, showing differential expression or changes during carcinogenesis compared to normal conditions. Consequently, proteins, exosomes, enzymes, DNA, mRNA, micro-RNAs (miRNAs), and metabolites are frequently utilized as cancer biomarkers.
Fig.1 Types of cancer biomarkers.1, 4
Biomolecules | DNA/RNA Biomarkers Hormone & Small Molecular Biomarkers Protein/Enzyme Biomarkers |
Clinical Utility | Prediction Biomarker (p53, KRAS, erbB2, EGFR) Prognostic Biomarkers (TIMP1, HER2, GIST) Diagnostic Biomarkers (chromosomal alterations) Pharmacodynamic Biomarkers (TPMPT) Risk Assessment/Screening Biomarkers (BRCA-1) Biomarkers for Cancer Surveillance and Monitoring Therapy (S100-β) |
Cancer Types | Breast Cancer Biomarkers (progesterone receptor) Colorectal Cancer Biomarker (UGT1A1, EGFR) Head and Neck Cancer Biomarkers Gastric Cancer Biomarkers (HER2) Bladder Cancer Biomarkers Liver Cancer Biomarkers Melanoma Biomarkers (BRAF) Lung Cancer Biomarkers (KRAS, ALK) Medulloblastoma Biomarkers Glioma Biomarkers Ovarian Cancer Biomarkers (CA125) Pancreatic Cancer Biomarkers Prostate Cancer Biomarkers Osteosarcoma Biomarkers |
Other Criteria | Pathological Biomarkers Imaging Biomarkers |
Genetic, protein, and cellular components can function as diagnostic, prognostic, predictive, and on-treatment biomarkers in cancer. Diagnostic biomarkers detect cancer presence, while prognostic biomarkers provide recurrence risk and outcome information. Predictive biomarkers indicate the potential benefit of specific treatments, and on-treatment biomarkers distinguish early progressors from long responders. Beyond cancer medicine, biomarkers are integral to cancer drug discovery. Additionally, in surrogate endpoint applications, biomarkers serve as proxies for drug effects on cancer progression and survival, potentially reducing the need for tumor biopsies and lengthy clinical trials.
Fig.2 Clinical utilization of cancer biomarkers.2, 4
Cancer cell signatures are valuable biomarkers in clinical cancer research for risk assessment, detection, diagnosis, prognosis, and treatment response evaluation. These biomarkers are analyzed using high-throughput genomic, proteomic, and metabolomic technologies.
Fig.3 Strategies for clinical biomarker discovery.3, 4
References