Manish Shukla, Jai Chand Patel, Meenakshi Shukla, Karishma Das Purkayastha
{"title":"Biomarkers for cancer screening, diagnosis and targeted therapeutic approaches.","authors":"Manish Shukla, Jai Chand Patel, Meenakshi Shukla, Karishma Das Purkayastha","doi":"10.1016/bs.acr.2025.12.008","DOIUrl":null,"url":null,"abstract":"<p><p>The introduction of molecular diagnostics has completely changed oncology, moving the classification based on histology to biomarker-driven precision medicine. Through the use of biomarkers genomic, transcriptomic, proteomic, metabolomic, and epigenetic changes the cancer field is able to gain much needed insights for detection at an early stage, prognosis that is accurate, and treatment selection that is personalized. The current paper looks at the high-tech molecular processes that make the discovery and use of biomarkers possible, including next-generation sequencing, mass spectrometry, and PCR-based techniques, which are capable of very sensitive detection of everything from single-nucleotide variants to complete proteomic profiles. The talk points out the successful clinical translations like EGFR inhibitors in lung cancer and PARP inhibitors in BRCA-mutant cancers, at the same time acknowledging the biggest hurdles in biomarker validation such as standardization, ethical issues, and making sure no one is left out in access to the benefits. Some of the most promising new technologies like single-cell sequencing, CRISPR-based diagnostics, and artificial intelligence are expected to bring about further revolution in the area by unraveling the complexities of tumor heterogeneity, facilitating super-sensitive detection, and assimilating data from multiple omics. The future of cancer biomarker analysis is in the application of diverse molecular layers to evolve dynamic and comprehensive profiles of individual tumors. This will enable real-time monitoring through liquid biopsy and point-of-care devices. Ultimately, the constant improvement and the interdisciplinary partnership in biomarker science are of utmost importance to the full realization of the personalized oncology's promise and the enhancement of the survival rate of all cancer patients.</p>","PeriodicalId":94294,"journal":{"name":"Advances in cancer research","volume":"170 ","pages":"309-354"},"PeriodicalIF":0.0000,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Advances in cancer research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/bs.acr.2025.12.008","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/19 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
The introduction of molecular diagnostics has completely changed oncology, moving the classification based on histology to biomarker-driven precision medicine. Through the use of biomarkers genomic, transcriptomic, proteomic, metabolomic, and epigenetic changes the cancer field is able to gain much needed insights for detection at an early stage, prognosis that is accurate, and treatment selection that is personalized. The current paper looks at the high-tech molecular processes that make the discovery and use of biomarkers possible, including next-generation sequencing, mass spectrometry, and PCR-based techniques, which are capable of very sensitive detection of everything from single-nucleotide variants to complete proteomic profiles. The talk points out the successful clinical translations like EGFR inhibitors in lung cancer and PARP inhibitors in BRCA-mutant cancers, at the same time acknowledging the biggest hurdles in biomarker validation such as standardization, ethical issues, and making sure no one is left out in access to the benefits. Some of the most promising new technologies like single-cell sequencing, CRISPR-based diagnostics, and artificial intelligence are expected to bring about further revolution in the area by unraveling the complexities of tumor heterogeneity, facilitating super-sensitive detection, and assimilating data from multiple omics. The future of cancer biomarker analysis is in the application of diverse molecular layers to evolve dynamic and comprehensive profiles of individual tumors. This will enable real-time monitoring through liquid biopsy and point-of-care devices. Ultimately, the constant improvement and the interdisciplinary partnership in biomarker science are of utmost importance to the full realization of the personalized oncology's promise and the enhancement of the survival rate of all cancer patients.