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Circulating oncoproteins HER2/neu, EGFR and CAIX (MN) as novel cancer biomarkers
1Oncogene Science, Siemens Medical Solutions Diagnostics, Cambridge, MA 02142, USA. walter.carney@siemens.com
Abstract:
Pharmaceutical companies have developed targeted therapies such as trastuzumab and lapatinib for human epidermal growth factor receptor (HER)2/neu-positive tumors, while others have developed antiepidermal growth factor receptor (EGFR) therapies, such as tarceva and erbitux for EGFR-positive tumors. A drug called rencarex is targeted to an oncoprotein designated carbonic anhydrase IX (CAIX), which is being evaluated in renal cell carcinoma patients. Based on these targeted therapeutic approaches, this review describes clinical research studies performed with enzyme-linked immunosorbent assays specific for the circulating oncoproteins, HER2/neu, EGFR and CAIX. These circulating biomarkers have the potential to be used in conjunction with the specific targeted therapies for patient selection, monitoring and management. With the variety of new therapeutic options, the major challenge ahead will be to select the appropriate therapy or combinations of therapies for each patient. Specific biomarker tests, either alone or in panels, will be needed at the appropriate time in the course of disease to ensure that patients receive the right drug at the right time. These tests will also be valuable in monitoring the efficacy of the targeted therapies. A circulating biomarker such as serum HER2/neu may be able to specifically identify patients with progressing HER2/neu-positive disease and provide the information needed by physicians to choose from the variety of HER2/neu-targeted therapies that will soon be available to cancer patients.
Insights
Targeted cancer therapies require specific biomarkers for patient selection and monitoring. Circulating oncoproteins like HER2/neu, EGFR, and CAIX, detected via enzyme-linked immunosorbent assays, aid in personalized treatment strategies for improved outcomes.
Area of Science:
- Oncology
- Biomarker Discovery
- Translational Medicine
Background:
- Targeted therapies for HER2/neu-positive and EGFR-positive tumors are established.
- Rencarex targets carbonic anhydrase IX (CAIX) in renal cell carcinoma.
- The development of targeted therapies necessitates companion diagnostics.
Purpose of the Study:
- To review clinical research on enzyme-linked immunosorbent assays for circulating oncoproteins HER2/neu, EGFR, and CAIX.
- To explore the utility of these biomarkers in patient selection, monitoring, and management for targeted therapies.
- To highlight the importance of biomarker testing in personalized cancer treatment.
Main Methods:
- Review of clinical studies utilizing enzyme-linked immunosorbent assays (ELISAs).
- Focus on assays detecting circulating oncoproteins: HER2/neu, EGFR, and CAIX.
- Analysis of biomarker data in the context of targeted therapy selection and monitoring.
Main Results:
- Circulating oncoproteins (HER2/neu, EGFR, CAIX) can be detected using specific ELISAs.
- These biomarkers show potential for patient selection and monitoring in targeted cancer therapy.
- Serum HER2/neu may identify patients with progressing HER2/neu-positive disease.
Conclusions:
- Biomarker tests are crucial for selecting the right targeted therapy for individual patients.
- Specific biomarker panels will be essential for guiding treatment decisions and monitoring efficacy.
- Circulating biomarkers facilitate personalized medicine by matching patients to appropriate targeted treatments.
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