Role of biomarkers in the clinical management of glioblastomas: what are the barriers and how can we overcome them?

被引:14
|
作者
McDonald, Kerrie L. [1 ]
Aw, Grace [1 ]
Kleihues, Paul [1 ]
机构
[1] Univ New S Wales, Prince Wales Clin Sch, Lowy Canc Res Ctr, POB 1, Kensington, NSW 2033, Australia
来源
FRONTIERS IN NEUROLOGY | 2013年 / 3卷
关键词
biomarkers; treatment response; glioblastoma; MGMT; tumor heterogeneity; NEWLY-DIAGNOSED GLIOBLASTOMA; GROWTH-FACTOR RECEPTOR; DNA-REPAIR GENE; PHASE-II TRIAL; INTEGRATED GENOMIC ANALYSIS; PROMOTER HYPERMETHYLATION; O-6-METHYLGUANINE-DNA METHYLTRANSFERASE; ADJUVANT TEMOZOLOMIDE; TUMOR-SUPPRESSOR; MALIGNANT GLIOMA;
D O I
10.3389/fneur.2012.00188
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Thousands of articles describing biomarkers predictive of treatment and prognostic of survival in cancer have been published, yet only a handful of biomarkers are currently used routinely in the clinic. Biomarkers need to be analytically standardized, validated, and clinically useful. This review will address the challenges and ways in which we can improve our discovery and translation of prospective biomarkers from the lab into validated diagnostic tests with a specific focus on patients diagnosed with glioblastoma and MGMT promoter methylation status. There has been long-held enthusiasm to use MGMT promoter methylation as a predictive biomarker for patients treated with the alkylating agent, temozolomide; however in the majority of centers around the world, this has not yet transpired.
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页数:8
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