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Early Epigenetic Markers for Precision Medicine.

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|September 5, 2018
PubMed
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Epigenetic changes like DNA methylation in body fluids show promise as biomarkers for early cancer detection and personalized medicine. These biomarkers are being explored across various cancers, including breast, colorectal, and lung, for improved diagnosis and risk prediction.

Keywords:
Colorectal cancersEarly epigenetic markersGastric and lung cancersGenome-wide methylationPancreaticPrecision medicineProstateScreeningWomen’s cancersmiRNAs

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Area of Science:

  • Biochemistry
  • Molecular Biology
  • Oncology

Background:

  • Epigenetic alterations, including DNA methylation and histone modifications, are implicated in cancer development and progression.
  • These epigenetic changes can serve as potential biomarkers for cancer detection, prognosis, and treatment response prediction.
  • Crucially, specific DNA methylation signatures are detectable in accessible body fluids like serum and plasma.

Purpose of the Study:

  • To review the potential of epigenetic biomarkers for early cancer detection across various cancer types.
  • To highlight the clinical utility of DNA methylation signatures found in body fluids.
  • To discuss the role of epigenetic dysregulation in cancer initiation and progression.

Main Methods:

  • Review of studies investigating epigenetic biomarkers in breast, colorectal, prostate, pancreatic, gastric, and lung cancers.
  • Analysis of DNA methylation patterns in serum, plasma, and tissue samples.
  • Evaluation of diagnostic and prognostic performance of identified epigenetic markers.

Main Results:

  • Aberrant DNA methylation in serum DNA aids early breast cancer diagnosis and risk prediction.
  • Specific methylation markers (e.g., SEPT19, vimentin) are utilized in commercially available colorectal cancer detection assays.
  • Epigenetic markers show potential for early detection of gastric, prostate, and pancreatic cancers, with some outperforming current screening methods like PSA.
  • Epigenetic dysregulation in tumor suppressor genes and microRNAs is observed in lung cancer.

Conclusions:

  • Epigenetic changes in biological fluids are valuable for early detection of multiple cancer types.
  • These biomarkers hold significant potential for advancing precision medicine in oncology.
  • Further research can lead to improved non-invasive cancer diagnostics and personalized treatment strategies.