Colorectal Cancer Biomarkers: Where Are We Now?

Colorectal cancer is one of the major causes of cancer-related death in the Western world. Patient survival is highly dependent on the tumor stage at the time of diagnosis. Reduced sensitivity to chemotherapy is still a major obstacle in effective treatment of advanced disease. Due to the fact that...

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Publicado en:BioMed Research International Vol. 2015; pp. 1 - 15
Autores principales: Gonzalez-Pons, Maria, Cruz-Correa, Marcia
Formato: review tables/charts Journal Article
Publicado: Wiley-Blackwell 5/27/2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 5/27/2015
      vid: 2015
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2015/149014
        109274398
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        atl: Colorectal Cancer Biomarkers: Where Are We Now?
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        au:
          Gonzalez-Pons, Maria
          Cruz-Correa, Marcia
        affil: Department of Gastrointestinal Oncology and Genetics, University of Puerto Rico Comprehensive Cancer Center, San Juan, PR 00927-6346, USA
      sug:
        subj:
          Colorectal Neoplasms Diagnosis
          Tumor Markers, Biological
          Early Diagnosis
          Colorectal Neoplasms Epidemiology
          Health Screening
          Gene Expression Physiology
          National Cancer Institute (U.S.)
          American Cancer Society
          Tumor Markers, Biological Classification
          Epigenomics
          Sensitivity and Specificity
          Funding Source
      ab: Colorectal cancer is one of the major causes of cancer-related death in the Western world. Patient survival is highly dependent on the tumor stage at the time of diagnosis. Reduced sensitivity to chemotherapy is still a major obstacle in effective treatment of advanced disease. Due to the fact that colorectal cancer is mostly asymptomatic until it progresses to advanced stages, the implementation of screening programs aimed at early detection is essential to reduce incidence and mortality rates. Current screening and diagnostic methods range from semi-invasive procedures such as colonoscopy to noninvasive stool-based tests. The combination of the absence of symptoms, the semi-invasive nature of currently used methods, and the suboptimal accuracy of fecal blood tests results in colorectal cancer diagnosis at advanced stages in a significant number of individuals. Alterations in gene expression leading to colorectal carcinogenesis are reflected in dysregulated levels of nucleic acids and proteins, which can be used for the development of novel, minimally invasive molecular biomarkers. The purpose of this review is to discuss the commercially available colorectal cancer molecular diagnostic methods as well as to highlight some of the new candidate predictive and prognostic molecular markers for tumor, stool, and blood samples.
      pubtype: Academic Journal
      doctype:
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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