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Role of Biomarkers in the Development of PARP Inhibitors. 生物标志物在PARP抑制剂开发中的作用
Pub Date : 2016-03-09 eCollection Date: 2016-01-01 DOI: 10.4137/BIC.S36679
Bratati Ganguly, Sonia C Dolfi, Lorna Rodriguez-Rodriguez, Shridar Ganesan, Kim M Hirshfield

Defects in DNA repair lead to genomic instability and play a critical role in cancer development. Understanding the process by which DNA damage repair is altered or bypassed in cancer may identify novel therapeutic targets and lead to improved patient outcomes. Poly(adenosine diphosphate-ribose) polymerase 1 (PARP1) has an important role in DNA repair, and novel therapeutics targeting PARP1 have been developed to treat cancers with defective DNA repair pathways. Despite treatment successes with PARP inhibitors (PARPi), intrinsic and acquired resistances have been observed. Preclinical studies and clinical trials in cancer suggest that combination therapy using PARPi and platinating agents is more effective than monotherapy in circumventing drug resistance mechanisms. Additionally, identification of biomarkers in response to PARPi will lead to improved patient selection for targeted cancer treatment. Recent technological advances have provided the necessary tools to examine many potential avenues to develop such biomarkers. This review examines the mechanistic rationale of PARP inhibition and potential biomarkers in their development for personalized therapy.

DNA修复缺陷导致基因组不稳定,并在癌症发展中发挥关键作用。了解癌症中DNA损伤修复被改变或绕过的过程,可能会发现新的治疗靶点,并改善患者的预后。聚腺苷二磷酸核糖聚合酶1 (PARP1)在DNA修复中起重要作用,针对PARP1的新疗法已被开发用于治疗DNA修复途径缺陷的癌症。尽管PARP抑制剂(PARPi)治疗成功,但已经观察到内在和获得性耐药。癌症的临床前研究和临床试验表明,PARPi和铂化药物联合治疗在规避耐药机制方面比单一治疗更有效。此外,识别对PARPi有反应的生物标志物将改善患者对靶向癌症治疗的选择。最近的技术进步提供了必要的工具来检查许多潜在的途径来开发这样的生物标志物。本文综述了PARP抑制的机制原理和潜在的生物标志物在其个性化治疗中的发展。
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引用次数: 0
Emerging Role of Genomic Rearrangements in Breast Cancer: Applying Knowledge from Other Cancers. 基因组重排在乳腺癌中的新作用:应用其他癌症的知识
Pub Date : 2016-02-11 eCollection Date: 2016-01-01 DOI: 10.4137/BIC.S34417
Bhavna S Paratala, Sonia C Dolfi, Hossein Khiabanian, Lorna Rodriguez-Rodriguez, Shridar Ganesan, Kim M Hirshfield

Significant advances in our knowledge of cancer genomes are rapidly changing the way we think about tumor biology and the heterogeneity of cancer. Recent successes in genomically-guided treatment approaches accompanied by more sophisticated sequencing techniques have paved the way for deeper investigation into the landscape of genomic rearrangements in cancer. While considerable research on solid tumors has focused on point mutations that directly alter the coding sequence of key genes, far less is known about the role of somatic rearrangements. With many recurring alterations observed across tumor types, there is an obvious need for functional characterization of these genomic biomarkers in order to understand their relevance to tumor biology, therapy, and prognosis. As personalized therapy approaches are turning toward genomic alterations for answers, these biomarkers will become increasingly relevant to the practice of precision medicine. This review discusses the emerging role of genomic rearrangements in breast cancer, with a particular focus on fusion genes. In addition, it raises several key questions on the therapeutic value of such rearrangements and provides a framework to evaluate their significance as predictive and prognostic biomarkers.

我们在癌症基因组知识方面取得的重大进展正在迅速改变我们对肿瘤生物学和癌症异质性的看法。最近在基因组指导治疗方法方面取得的成功以及更先进的测序技术为深入研究癌症基因组重排的情况铺平了道路。对实体瘤的大量研究都集中在直接改变关键基因编码序列的点突变上,而对体细胞重排的作用却知之甚少。由于在各种肿瘤类型中观察到许多重复发生的改变,因此显然需要对这些基因组生物标记物进行功能表征,以了解它们与肿瘤生物学、治疗和预后的相关性。随着个性化治疗方法转向基因组变化寻找答案,这些生物标志物与精准医疗的实践将变得越来越相关。本综述讨论了基因组重排在乳腺癌中的新作用,尤其关注融合基因。此外,它还提出了有关此类重排的治疗价值的几个关键问题,并提供了一个评估其作为预测和预后生物标志物的意义的框架。
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引用次数: 0
The VA Point-of-Care Precision Oncology Program: Balancing Access with Rapid Learning in Molecular Cancer Medicine VA点护理精确肿瘤学项目:在分子癌症医学中平衡获取与快速学习
Pub Date : 2016-01-01 DOI: 10.4137/BIC.S37548
L. Fiore, M. Brophy, Sara Turek, V. Kudesia, N. Ramnath, Colleen Shannon, Ryan E Ferguson, S. Pyarajan, Melissa Fiore, J. Hornberger, P. Lavori
The Department of Veterans Affairs (VA) recognized the need to balance patient-centered care with responsible creation of generalizable knowledge on the effectiveness of molecular medicine tools. Embracing the principles of the rapid learning healthcare system, a new clinical program called the Precision Oncology Program (POP) was created in New England. The POP integrates generalized knowledge about molecular medicine in cancer with a database of observations from previously treated veterans. The program assures access to modern genomic oncology practice in the veterans affairs (VA), removes disparities of access across the VA network of clinical centers, disseminates the products of learning that are generalizable to non-VA settings, and systematically presents opportunities for patients to participate in clinical trials of targeted therapeutics.
退伍军人事务部(VA)认识到需要平衡以病人为中心的护理和负责任地创造分子医学工具有效性的可推广知识。采用快速学习医疗保健系统的原则,在新英格兰创建了一个新的临床项目,称为精确肿瘤学项目(POP)。POP将癌症分子医学的一般知识与先前接受治疗的退伍军人的观察数据库结合起来。该项目确保在退伍军人事务部(VA)获得现代基因组肿瘤学实践,消除退伍军人事务部临床中心网络之间的访问差异,传播可推广到非退伍军人事务部环境的学习成果,并系统地为患者提供参与靶向治疗临床试验的机会。
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引用次数: 19
Selecting Targets for Tumor Imaging: An Overview of Cancer-Associated Membrane Proteins 肿瘤成像的目标选择:癌症相关膜蛋白的概述
Pub Date : 2016-01-01 DOI: 10.4137/BIC.S38542
M. C. Boonstra, S. D. de Geus, H. A. Prevoo, L. Hawinkels, C. J. van de Velde, P. Kuppen, A. Vahrmeijer, C. Sier
Tumor targeting is a booming business: The global therapeutic monoclonal antibody market accounted for more than $78 billion in 2012 and is expanding exponentially. Tumors can be targeted with an extensive arsenal of monoclonal antibodies, ligand proteins, peptides, RNAs, and small molecules. In addition to therapeutic targeting, some of these compounds can also be applied for tumor visualization before or during surgery, after conjugation with radionuclides and/or near-infrared fluorescent dyes. The majority of these tumor-targeting compounds are directed against cell membrane-bound proteins. Various categories of targetable membrane-bound proteins, such as anchoring proteins, receptors, enzymes, and transporter proteins, exist. The functions and biological characteristics of these proteins determine their location and distribution on the cell membrane, making them more, or less, accessible, and therefore, it is important to understand these features. In this review, we evaluate the characteristics of cancer-associated membrane proteins and discuss their overall usability for cancer targeting, especially focusing on imaging applications.
肿瘤靶向治疗是一项蓬勃发展的业务:2012年,全球治疗性单克隆抗体市场规模超过780亿美元,并呈指数级增长。肿瘤可以用广泛的单克隆抗体、配体蛋白、多肽、rna和小分子靶向。除了靶向治疗外,其中一些化合物还可以在手术前或手术中,在与放射性核素和/或近红外荧光染料结合后用于肿瘤可视化。这些肿瘤靶向化合物中的大多数是针对细胞膜结合蛋白的。存在各种类型的可靶向膜结合蛋白,如锚定蛋白、受体、酶和转运蛋白。这些蛋白质的功能和生物学特性决定了它们在细胞膜上的位置和分布,使它们更容易或更不容易接近,因此,了解这些特性非常重要。在这篇综述中,我们评估了癌症相关膜蛋白的特征,并讨论了它们在癌症靶向方面的总体可用性,特别是在成像方面的应用。
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引用次数: 80
Imaging Biomarkers in Immunotherapy 免疫治疗中的成像生物标志物
Pub Date : 2016-01-01 DOI: 10.4137/BIC.S31805
R. Juergens, K. Zukotynski, A. Singnurkar, D. Snider, J. Valliant, K. Gulenchyn
Immune-based therapies have been in use for decades but recent work with immune checkpoint inhibitors has now changed the landscape of cancer treatment as a whole. While these advances are encouraging, clinicians still do not have a consistent biomarker they can rely on that can accurately select patients or monitor response. Molecular imaging technology provides a noninvasive mechanism to evaluate tumors and may be an ideal candidate for these purposes. This review provides an overview of the mechanism of action of varied immunotherapies and the current strategies for monitoring patients with imaging. We then describe some of the key researches in the preclinical and clinical literature on the current uses of molecular imaging of the immune system and cancer.
基于免疫的疗法已经使用了几十年,但最近的免疫检查点抑制剂的研究现在已经改变了整个癌症治疗的格局。虽然这些进展令人鼓舞,但临床医生仍然没有一个一致的生物标志物,可以准确地选择患者或监测反应。分子成像技术提供了一种非侵入性的机制来评估肿瘤,可能是这些目的的理想选择。本文综述了各种免疫疗法的作用机制和目前影像学监测患者的策略。然后,我们描述了目前免疫系统和癌症分子成像应用的临床前和临床文献中的一些关键研究。
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引用次数: 39
PET Metabolic Biomarkers for Cancer 癌症的PET代谢生物标志物
Pub Date : 2016-01-01 DOI: 10.4137/BIC.S27483
E. Croteau, J. Renaud, M. Richard, T. Ruddy, F. Bénard, R. deKemp
The body's main fuel sources are fats, carbohydrates (glucose), proteins, and ketone bodies. It is well known that an important hallmark of cancer cells is the overconsumption of glucose. Positron emission tomography (PET) imaging using the glucose analog 18F-fluorodeoxyglucose (18F-FDG) has been a powerful cancer diagnostic tool for many decades. Apart from surgery, chemotherapy and radiotherapy represent the two main domains for cancer therapy, targeting tumor proliferation, cell division, and DNA replication–-all processes that require a large amount of energy. Currently, in vivo clinical imaging of metabolism is performed almost exclusively using PET radiotracers that assess oxygen consumption and mechanisms of energy substrate consumption. This paper reviews the utility of PET imaging biomarkers for the detection of cancer proliferation, vascularization, metabolism, treatment response, and follow-up after radiation therapy, chemotherapy, and chemotherapy-related side effects.
人体的主要燃料来源是脂肪、碳水化合物(葡萄糖)、蛋白质和酮体。众所周知,癌细胞的一个重要特征是过度消耗葡萄糖。使用葡萄糖类似物18f -氟脱氧葡萄糖(18F-FDG)的正电子发射断层扫描(PET)成像几十年来一直是一种强大的癌症诊断工具。除了手术,化疗和放疗代表了癌症治疗的两个主要领域,针对肿瘤增殖、细胞分裂和DNA复制——所有这些过程都需要大量的能量。目前,体内代谢的临床成像几乎完全使用PET放射性示踪剂来评估氧气消耗和能量底物消耗机制。本文综述了PET成像生物标志物在检测肿瘤增殖、血管化、代谢、治疗反应、放疗、化疗后随访和化疗相关副作用方面的应用。
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引用次数: 21
Circulating Neutrophil MicroRNAs as Biomarkers for the Detection of Lung Cancer 循环中性粒细胞microrna作为肺癌检测的生物标志物
Pub Date : 2016-01-01 DOI: 10.4137/BIC.S37333
Jie Ma, Ning Li, Yanli Lin, C. Gupta, F. Jiang
Peripheral neutrophils are the predominant circulating leukocytes and an important component of innate and adaptive immune systems, which is a primary defense against cancer. MicroRNAs (miRNAs) can modulate neutrophil functions and play important roles in cancer pathogenesis by regulating neutrophil gene expression. To investigate if assessment of differential miRNA levels of peripheral neutrophils has the potential for diagnosis of non-small-cell lung cancer (NSCLC), we examine neutrophils of 15 patients with stage I NSCLC and 15 smokers without cancer. We identify five neutrophil miRNAs that have an abnormal level in patients with NSCLC versus smokers without cancer. In a training set of 82 patients with lung cancer and 73 controls, a set of two genes (miRs-26a-2-3p and 574-3p) are developed, producing 77.8% sensitivity and 78.1% specificity for NSCLC detection. Furthermore, in a testing set of 60 patients with lung cancer and 58 smokers, the performance of analyzing the two miRNAs for lung cancer detection is confirmed. This study for the first time shows that a neutrophil miRNA profile may serve as a new category of circulating biomarkers for the detection of NSCLC.
外周中性粒细胞是主要的循环白细胞,是先天和适应性免疫系统的重要组成部分,是对抗癌症的主要防御。MicroRNAs (miRNAs)通过调节中性粒细胞基因的表达,调节中性粒细胞的功能,在肿瘤的发病过程中发挥重要作用。为了研究评估外周中性粒细胞的差异miRNA水平是否有可能诊断非小细胞肺癌(NSCLC),我们检查了15名I期NSCLC患者和15名没有癌症的吸烟者的中性粒细胞。我们在非小细胞肺癌患者和未患癌症的吸烟者中发现了5种异常水平的中性粒细胞mirna。在82例肺癌患者和73例对照组的训练集中,开发了一组两个基因(miRs-26a-2-3p和574-3p),检测NSCLC的灵敏度为77.8%,特异性为78.1%。此外,在60例肺癌患者和58例吸烟者的测试集中,证实了分析这两种mirna在肺癌检测中的性能。本研究首次表明,中性粒细胞miRNA谱可作为检测非小细胞肺癌的一种新的循环生物标志物。
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引用次数: 16
Association of MTHFR (C677T) Gene Polymorphism With Breast Cancer in North India 北印度MTHFR (C677T)基因多态性与乳腺癌的关系
Pub Date : 2016-01-01 DOI: 10.4137/BIC.S40446
M. Waseem, Syed Rizwan Hussain, Shashank Kumar, M. Serajuddin, F. Mahdi, S. Sonkar, C. Bansal, M. Ahmad
Background Breast cancer is one of the most common malignancies in women and is associated with a variety of risk factors. The functional single-nucleotide polymorphism (SNP) C677T in the gene encoding 5,10-methylenetetrahydrofolate reductase (MTHFR) may lead to decreased enzyme activity and affect the chemosensitivity of tumor cells. This study was designed to investigate the association of MTHFR gene polymorphism (SNP) in the pathogenesis of breast cancer among the North Indian women population. Materials and Methods Genotyping was performed by polymerase chain reaction (PCR) using genomic DNA, extracted from the peripheral blood of subjects with (275 cases) or without (275 controls) breast cancer. Restriction fragment length polymorphism was used to study C677T polymorphism in the study groups. Results The distribution of MTHFR (C677T) genotype frequencies, ie, CC, TT, and CT, among the patients was 64.7%, 2.18%, and 33.09%, respectively. In the healthy control group, the CC, TT, and CT frequencies were 78.91%, 1.09%, and 20.1%, respectively. The frequencies of C and T alleles were 81.2% and 18.7%, respectively, in the patient subjects, while they were 88.9% and 11.09%, respectively, among the healthy control group. Frequencies of the CT genotype and the T allele were significantly different (P = 0.007 and P = 0.005, respectively) between the control and the case subjects. Conclusion This study shows an association of the CT genotype and the T allele of the MTHFR (C667T) gene with increased genetic risk for breast cancer among Indian women.
乳腺癌是女性最常见的恶性肿瘤之一,与多种危险因素有关。编码5,10-亚甲基四氢叶酸还原酶(MTHFR)基因的功能性单核苷酸多态性(SNP) C677T可能导致酶活性降低,影响肿瘤细胞的化学敏感性。本研究旨在探讨北印度女性人群中MTHFR基因多态性(SNP)与乳腺癌发病机制的关系。材料与方法采用聚合酶链反应(PCR)技术,从275例乳腺癌患者和275例对照组的外周血中提取基因组DNA进行基因分型。采用限制性内切片段长度多态性研究研究组C677T多态性。结果MTHFR (C677T)基因型频率(即CC、TT和CT)在患者中的分布分别为64.7%、2.18%和33.09%。健康对照组的CC、TT和CT分别为78.91%、1.09%和20.1%。C和T等位基因的频率在患者中分别为81.2%和18.7%,在健康对照组中分别为88.9%和11.09%。CT基因型和T等位基因频率在对照组和病例组间差异有统计学意义(P = 0.007和P = 0.005)。结论本研究显示CT基因型和MTHFR (C667T)基因的T等位基因与印度女性乳腺癌遗传风险增加有关。
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引用次数: 21
A Unique Procedure to Identify Cell Surface Markers Through a Spherical Self-Organizing Map Applied to DNA Microarray Analysis 通过球形自组织图谱识别细胞表面标记的独特程序应用于DNA微阵列分析
Pub Date : 2016-01-01 DOI: 10.4137/BIC.S33542
Yuh Sugii, T. Kasai, Masashi Ikeda, Arun Vaidyanath, Kazuki Kumon, Akifumi Mizutani, Akimasa Seno, H. Tokutaka, Takayuki Kudoh, M. Seno
To identify cell-specific markers, we designed a DNA microarray platform with oligonucleotide probes for human membrane-anchored proteins. Human glioma cell lines were analyzed using microarray and compared with normal and fetal brain tissues. For the microarray analysis, we employed a spherical self-organizing map, which is a clustering method suitable for the conversion of multidimensional data into two-dimensional data and displays the relationship on a spherical surface. Based on the gene expression profile, the cell surface characteristics were successfully mirrored onto the spherical surface, thereby distinguishing normal brain tissue from the disease model based on the strength of gene expression. The clustered glioma-specific genes were further analyzed by polymerase chain reaction procedure and immunocytochemical staining of glioma cells. Our platform and the following procedure were successfully demonstrated to categorize the genes coding for cell surface proteins that are specific to glioma cells. Our assessment demonstrates that a spherical self-organizing map is a valuable tool for distinguishing cell surface markers and can be employed in marker discovery studies for the treatment of cancer.
为了鉴定细胞特异性标记,我们设计了一个DNA微阵列平台,其中包含针对人膜锚定蛋白的寡核苷酸探针。用微阵列技术对人胶质瘤细胞系进行了分析,并与正常脑组织和胎儿脑组织进行了比较。对于微阵列分析,我们采用了球形自组织图,这是一种适合于将多维数据转换为二维数据并在球面上显示关系的聚类方法。基于基因表达谱,成功地将细胞表面特征镜像到球面上,从而根据基因表达强度区分正常脑组织和疾病模型。通过聚合酶链反应和胶质瘤细胞免疫细胞化学染色进一步分析聚集性胶质瘤特异性基因。我们的平台和下面的程序成功地证明了对胶质瘤细胞特异性细胞表面蛋白编码基因的分类。我们的评估表明,球形自组织图谱是区分细胞表面标记物的一种有价值的工具,可以用于癌症治疗的标记物发现研究。
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引用次数: 5
Ameloblastoma: A Review of Recent Molecular Pathogenetic Discoveries. 成釉细胞瘤:最新分子病理发现综述。
Pub Date : 2015-10-04 eCollection Date: 2015-01-01 DOI: 10.4137/BIC.S29329
Noah A Brown, Bryan L Betz

Ameloblastoma is an odontogenic neoplasm whose molecular pathogenesis has only recently been elucidated. The discovery of recurrent activating mutations in FGFR2, BRAF, and RAS in a large majority of ameloblastomas has implicated dysregulation of MAPK pathway signaling as a critical step in the pathogenesis of this tumor. Some degree of controversy exists regarding the role of mutations affecting the sonic hedgehog (SHH) pathway, specifically Smoothened (SMO), which have been postulated to serve as either an alternative pathogenetic mechanism or secondary mutations. Here, we review recent advances in our understanding of the molecular pathogenesis of ameloblastoma as well as the diagnostic, prognostic, and therapeutic implications of these discoveries.

成釉细胞瘤是一种牙源性肿瘤,其分子发病机制直到最近才被阐明。在绝大多数成釉细胞瘤中发现的FGFR2、BRAF和RAS的复发性激活突变暗示了MAPK通路信号失调是该肿瘤发病机制的关键步骤。关于影响sonic hedgehog (SHH)通路的突变,特别是Smoothened (SMO)的作用存在一定程度的争议,SMO被认为是另一种致病机制或继发性突变。在这里,我们回顾了我们对成釉细胞瘤分子发病机制的理解以及这些发现的诊断、预后和治疗意义的最新进展。
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引用次数: 79
期刊
Biomarkers in cancer
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