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Biomarkers in Colorectal Cancer: Current Research and Future Prospects

Colorectal cancer (CRC) is a leading cause of death worldwide, despite progress made in detection and management through surgery, chemotherapy, radiotherapy, and immunotherapy. Novel therapeutic agents have improved survival in both the adjuvant and advanced disease settings, albeit with an increase...

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Published in:International journal of molecular sciences 2020-07, Vol.21 (15), p.5311
Main Authors: Ogunwobi, Olorunseun O, Mahmood, Fahad, Akingboye, Akinfemi
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description Colorectal cancer (CRC) is a leading cause of death worldwide, despite progress made in detection and management through surgery, chemotherapy, radiotherapy, and immunotherapy. Novel therapeutic agents have improved survival in both the adjuvant and advanced disease settings, albeit with an increased risk of toxicity and cost. However, metastatic disease continues to have a poor long-term prognosis and significant challenges remain due to late stage diagnosis and treatment failure. Biomarkers are a key tool in early detection, prognostication, survival, and predicting treatment response. The past three decades have seen advances in genomics and molecular pathology of cancer biomarkers, allowing for greater individualization of therapy with a positive impact on survival outcomes. Clinically useful predictive biomarkers aid clinical decision making, such as the presence of gene mutations predicting benefit from epidermal growth factor receptor (EGFR) inhibiting antibodies. However, few biomarkers have been translated into clinical practice highlighting the need for further investigation. We review a range of protein, DNA and RNA-based biomarkers under investigation for diagnostic, predictive, and prognostic properties for CRC. In particular, long non-coding RNAs (lncRNA), have been investigated as biomarkers in a range of cancers including colorectal cancer. Specifically, we evaluate the potential role of lncRNA plasmacytoma variant translocation 1 ( ), an oncogene, as a diagnostic, prognostic, and therapeutic biomarker in colorectal cancer.
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subjects biomarker
Biomarkers
Biomarkers, Tumor - genetics
Biomarkers, Tumor - metabolism
Cancer
Chemical compounds
Chemotherapy
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - genetics
Colorectal Neoplasms - metabolism
Colorectal Neoplasms - pathology
Decision making
Deoxyribonucleic acid
diagnosis
Diagnostic systems
DNA
Epidermal growth factor
Epidermal growth factor receptors
ErbB Receptors - genetics
ErbB Receptors - metabolism
Growth factors
Health services
Humans
Immunotherapy
Kinases
Metastases
Mortality
Mutation
Non-coding RNA
Pharmacology
Plasmacytoma
Prognosis
prognostication
Proto-Oncogene Proteins p21(ras) - genetics
Proto-Oncogene Proteins p21(ras) - metabolism
PVT1
Radiation therapy
Review
RNA, Long Noncoding - genetics
RNA, Long Noncoding - metabolism
RNA, Neoplasm - genetics
RNA, Neoplasm - metabolism
screening
Survival
Toxicity
title Biomarkers in Colorectal Cancer: Current Research and Future Prospects
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