Circulating biomarkers to guide systemic therapy for urothelial carcinoma

Urol Oncol. 2016 Nov;34(11):502-509. doi: 10.1016/j.urolonc.2016.08.019. Epub 2016 Oct 15.

Abstract

There are very few biomarkers used to diagnose bladder cancer and no clinically approved biomarkers for prediction or prognostication of this disease. All currently available biomarkers are based on urine tests, and thus, they may not be applicable to patients with extravesical tumors. Biopsy of metastatic sites requires an invasive procedure, whereas serum-based markers, which can be easily obtained and serially measured, thus have obvious merit. These deficiencies may be overcome with advances in genome sequencing, identification of circulating tumor cells, and RNA-, protein-, and DNA-based biomarkers. Here, progress in circulating biomarkers in both superficial and invasive bladder cancer is described.

Keywords: Bladder cancer; Cell-free DNA; Circulating tumor DNA; Circulating tumor cells.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / therapeutic use
  • Biomarkers, Tumor / blood*
  • Biomarkers, Tumor / urine
  • Carcinoma, Transitional Cell / blood*
  • Carcinoma, Transitional Cell / drug therapy
  • Carcinoma, Transitional Cell / pathology
  • Carcinoma, Transitional Cell / secondary
  • Cell Separation / methods
  • DNA, Neoplasm / blood
  • DNA, Neoplasm / urine
  • Disease Progression
  • Drug Monitoring
  • Forecasting
  • Humans
  • Mutation
  • Neoplasm Invasiveness
  • Neoplasm Proteins / blood
  • Neoplasm Proteins / genetics
  • Neoplastic Cells, Circulating / chemistry
  • RNA, Neoplasm / blood
  • Urologic Neoplasms / blood*
  • Urologic Neoplasms / drug therapy
  • Urologic Neoplasms / pathology

Substances

  • Antineoplastic Agents
  • Biomarkers, Tumor
  • DNA, Neoplasm
  • Neoplasm Proteins
  • RNA, Neoplasm