胃肠道癌症的下一代免疫生态学生物标志物:未来如何?

IF 3.9 3区 医学 Q1 PATHOLOGY Expert Review of Molecular Diagnostics Pub Date : 2023-07-01 Epub Date: 2023-08-31 DOI:10.1080/14737159.2023.2252739
Hassan Abushukair, Obada Ababneh, Ayah Al-Bzour, Ibrahim Halil Sahin, Anwaar Saeed
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引用次数: 0

摘要

引言:胃肠道癌症在全球范围内造成了巨大的健康负担,需要在诊断和治疗方法方面取得进展。一个有前景的途径是利用下一代生物标志物,这具有彻底改变胃肠道癌症管理的潜力。涵盖领域:本综述探讨了围绕下一代免疫疗法生物标志物应用的最新突破和专家意见。它涵盖了目前在胃肠道癌症背景下使用的免疫疗法生物标志物的各个方面,重点是微卫星稳定的癌症。它探索了对下一代生物标志物的有前景的研究,以应对将其整合到临床实践中的挑战,以及对标准化方案和监管指南的需求。专家意见:免疫分析、多重免疫组织化学、免疫细胞亚群分析以及与机器学习方法相结合的新的基因组和表观基因组标记物为鉴定强大的生物标志物提供了新的途径。基于液体活检的方法,如循环肿瘤DNA(ctDNA)和基于外泌体的分析,有望实时监测和早期检测治疗反应。
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Next generation immuno-oncology biomarkers in gastrointestinal cancer: what does the future hold?

Introduction: Gastrointestinal (GI) cancers pose a significant health burden worldwide, necessitating advancements in diagnostic and treatment approaches. One promising avenue is the utilization of next-generation biomarkers, which hold the potential to revolutionize GI cancer management.

Areas covered: This review explores the latest breakthroughs and expert opinions surrounding the application of next-generation immunotherapy biomarkers. It encompasses various aspects of the currently utilized biomarkers of immunotherapy in the context of GI cancers focusing on microsatellite stable cancers. It explores the promising research on the next generation of biomarkers addressing the challenges associated with integrating them into clinical practice and the need for standardized protocols and regulatory guidelines.

Expert opinion: Immune profiling, multiplex immunohistochemistry, analysis of immune cell subsets, and novel genomic and epigenomic markers integrated with machine-learning approaches offer new avenues for identifying robust biomarkers. Liquid biopsy-based approaches, such as circulating tumor DNA (ctDNA) and exosome-based analyses, hold promise for real-time monitoring and early detection of treatment response.

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来源期刊
CiteScore
6.60
自引率
0.00%
发文量
71
审稿时长
1 months
期刊介绍: Expert Review of Molecular Diagnostics (ISSN 1473-7159) publishes expert reviews of the latest advancements in the field of molecular diagnostics including the detection and monitoring of the molecular causes of disease that are being translated into groundbreaking diagnostic and prognostic technologies to be used in the clinical diagnostic setting. Each issue of Expert Review of Molecular Diagnostics contains leading reviews on current and emerging topics relating to molecular diagnostics, subject to a rigorous peer review process; editorials discussing contentious issues in the field; diagnostic profiles featuring independent, expert evaluations of diagnostic tests; meeting reports of recent molecular diagnostics conferences and key paper evaluations featuring assessments of significant, recently published articles from specialists in molecular diagnostic therapy. Expert Review of Molecular Diagnostics provides the forum for reporting the critical advances being made in this ever-expanding field, as well as the major challenges ahead in their clinical implementation. The journal delivers this information in concise, at-a-glance article formats: invaluable to a time-constrained community.
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