Biomarkers in prostate cancer - Current clinical utility and future perspectives

Crit Rev Oncol Hematol. 2017 Dec:120:180-193. doi: 10.1016/j.critrevonc.2017.11.007. Epub 2017 Nov 13.

Abstract

Current tendencies in the treatment course of prostate cancer patients increase the need for reliable biomarkers that help in decision-making in a challenging clinical setting. Within the last decade, several novel biomarkers have been introduced. In the following comprehensive review article, we focus on diagnostic (PHI®, 4K score, SelectMDx®, ConfirmMDx®, PCA3, MiPS, ExoDX®, mpMRI) and prognostic (OncotypeDX GPS®, Prolaris®, ProMark®, DNA-ploidy, Decipher®) biomarkers that are in widespread clinical use and are supported by evidence. Hereby, we focus on multiple clinical situations in which innovative biomarkers may guide decision-making in prostate cancer therapy. In addition, we describe novel liquid biopsy approaches (circulating tumor cells, cell-free DNA) that have been described as predictive biomarkers in metastatic castration-resistant prostate cancer and might support an individual patient-centred oncological approach in the nearer future.

Keywords: Biomarker; Genetic marker; Molecular marker; Predictive; Prognostic; Prostate cancer.

Publication types

  • Review

MeSH terms

  • Biomarkers, Tumor / analysis*
  • Biomarkers, Tumor / blood
  • Humans
  • Male
  • Neoplastic Cells, Circulating / chemistry
  • Neoplastic Cells, Circulating / metabolism
  • Prognosis
  • Prostatic Neoplasms / blood
  • Prostatic Neoplasms / diagnosis*
  • Prostatic Neoplasms / pathology
  • Prostatic Neoplasms, Castration-Resistant / blood
  • Prostatic Neoplasms, Castration-Resistant / diagnosis*
  • Prostatic Neoplasms, Castration-Resistant / pathology

Substances

  • Biomarkers, Tumor