尿路上皮癌中已建立的和新兴的生物标志物方法。

IF 2.8 3区 医学 Q2 ONCOLOGY
Sara Coca Membribes, Elizabeth Nally, Francesca Jackson-Spence, Catherine Graham, Salina Lalwani, Bernadett Szabados, Thomas Powles
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引用次数: 0

摘要

导读:尿路上皮癌(UC)以显著的分子异质性为特征,这种复杂性对精准医学提出了挑战。最近的进展已经改善了UC诊断、预后和治疗的生物标志物开发。涵盖领域:本综述讨论了UC中已建立和新兴的生物标志物,包括FGFR3和HER2改变、PD-L1表达和循环肿瘤DNA (ctDNA)。它还总结了新的生物标志物,如Nectin-4、TROP-2、HER3、肿瘤突变负荷(TMB)和干扰素- γ信号。人工智能在生物标志物发现和解释中的作用也在不断扩大。目前的文献是通过PubMed的系统搜索来回顾的,重点是高影响力的临床试验、指南和最近发表的评论,截止到2025年5月。专家意见:尽管取得了进展,但UC中生物标志物的临床应用受到方法不一致和缺乏标准化的限制。强有力的临床试验和多模式方法,包括液体活检、组织分析和人工智能驱动的工具,对于推进UC的精确肿瘤学至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Established and emerging biomarkers approaches in urothelial carcinoma.

Introduction: Urothelial carcinoma (UC) is marked by significant molecular heterogeneity and this complexity challenges precision medicine. Recent advances have improved biomarker development for UC diagnosis, prognosis and treatment.

Areas covered: This review discusses established and emerging biomarkers in UC, including FGFR3 and HER2 alterations, PD-L1 expression and circulating tumor DNA (ctDNA). It also summarizes novel biomarkers such as Nectin-4, TROP-2, HER3, tumor mutational burden (TMB), and interferon-gamma signatures. The expanding role of artificial intelligence in biomarker discovery and interpretation is also addressed. Current literature was reviewed by a systematic search using PubMed, focusing on high-impact clinical trials, guidelines and recent reviews published up to May 2025.

Expert opinion: Despite advances, clinical implementation of biomarkers in UC is limited by methodological inconsistencies and lack of standardization. Robust clinical trials and multi-modal approaches, including liquid biopsy, tissue analysis, and AI-driven tools, will be essential to advance precision oncology in UC.

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来源期刊
CiteScore
5.10
自引率
3.00%
发文量
100
审稿时长
4-8 weeks
期刊介绍: Expert Review of Anticancer Therapy (ISSN 1473-7140) provides expert appraisal and commentary on the major trends in cancer care and highlights the performance of new therapeutic and diagnostic approaches. Coverage includes tumor management, novel medicines, anticancer agents and chemotherapy, biological therapy, cancer vaccines, therapeutic indications, biomarkers and diagnostics, and treatment guidelines. All articles are subject to rigorous peer-review, and the journal makes an essential contribution to decision-making in cancer care. Comprehensive coverage in each review is complemented by the unique Expert Review format and includes the following sections: Expert Opinion - a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results Article Highlights – an executive summary of the author’s most critical points.
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