Biomarkers and personalized risk stratification for patients with clinically localized prostate cancer

Expert Rev Anticancer Ther. 2014 Nov;14(11):1349-58. doi: 10.1586/14737140.2014.952288. Epub 2014 Aug 22.

Abstract

Prostate cancer (PCa) is the most common neoplasia among men in developed countries and a leading cause of cancer-related morbidity and mortality. PCa is a very heterogeneous disease, both clinically and biologically. Currently, it is difficult to stratify patients into risk groups that entail different disease management. Therefore, a personalized view of this disease is mandatory, through the development of new and more accurate biomarkers that may help clinicians to stratify patients according to threat that PCa poses for each patient. Hence, this review focuses on recent developments of molecular and immunohistochemical biomarkers for PCa risk stratification that might enable a personalized approach to PCa patients. However, despite the increasing amount of available data, there is also an urgent need to translate the most promising biomarkers for clinical use through large multicenter validation trials. Ultimately, these will contribute for an improved clinical management of PCa patients.

Keywords: biomarkers; epigenetics; genetic alterations; personalized management; prostate cancer; risk stratification.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Biomarkers, Tumor / blood
  • Biomarkers, Tumor / genetics*
  • Humans
  • Male
  • Precision Medicine / methods*
  • Precision Medicine / trends
  • Prostate-Specific Antigen / blood
  • Prostate-Specific Antigen / genetics*
  • Prostatic Neoplasms / blood
  • Prostatic Neoplasms / diagnosis*
  • Prostatic Neoplasms / genetics*
  • Risk Factors

Substances

  • Biomarkers, Tumor
  • Prostate-Specific Antigen