Exploration of Targeted Anti-tumor Therapy,
Journal Year:
2025,
Volume and Issue:
6
Published: May 19, 2025
The
role
of
circulating
tumor
DNA
(ctDNA)
in
urothelial
cancers
is
a
rapidly
evolving
area
research.
Urothelial
cancer
the
most
common
subtype
bladder
cancer,
and
biomarkers
that
predict
response
or
prognosticate
outcomes
have
been
long
sought
after.
Tumor-informed
ctDNA
assays
utilized
several
other
increasingly
used
both
muscle
invasive
(MIBC)
metastatic
(mUC)
to
inform
treatment
decision-making.
While
universal
consensus
on
testing
has
not
fully
defined
discussed
herein,
understanding
its
benefits
limitations
important
help
guide
practical
application
clinic.
Genes,
Journal Year:
2025,
Volume and Issue:
16(1), P. 71 - 71
Published: Jan. 9, 2025
This
review
provides
a
comprehensive
overview
of
the
evolving
role
minimal
residual
disease
(MRD)
for
patients
with
Colon
Cancer
(CC).
Currently,
standard
care
non-metastatic
CC
is
adjuvant
chemotherapy
(ACT)
all
stage
III
and
high-risk
II
following
surgical
intervention.
Despite
5-20%
improvement
in
long-term
survival
outcomes,
this
approach
also
results
significant
proportion
receiving
ACT
without
any
therapeutic
benefit
being
unnecessarily
exposed
to
risks
secondary
side
effects.
underscores
an
unmet
clinical
need
more
precise
stratification
distinguish
who
necessitate
from
those
can
be
treated
surgery
alone.
By
employing
liquid
biopsy,
it
possible
discern
MRD
enabling
categorization
as
MRD-positive
or
MRD-negative,
potentially
revolutionizing
management
ACT.
aimed
examine
heterogeneity
methodologies
currently
available
detection,
encompassing
state-of-the-art
technologies,
their
respective
advantages,
limitations,
technological
challenges
multi-omic
approaches
that
utilized
enhance
assay
performance.
Furthermore,
discussion
was
held
regarding
trials
employ
focusing
on
assays
used.
These
differences
methodology,
target
selection,
performance
risk
producing
inconsistent
may
not
solely
reflect
biological/clinical
but
consequence
preferential
use
particular
products
studies
conducted
different
countries.
Standardization
harmonization
will
crucial
ensure
revolution
delivers
reliable
clinically
actionable
outcomes
patients.
Cancers,
Journal Year:
2025,
Volume and Issue:
17(6), P. 1008 - 1008
Published: March 17, 2025
Cancer,
characterized
by
the
uncontrolled
proliferation
of
cells,
is
one
leading
causes
death
globally,
with
approximately
in
five
people
developing
disease
their
lifetime.
While
many
driver
genes
were
identified
decades
ago,
and
most
cancers
can
be
classified
based
on
morphology
progression,
there
still
a
significant
gap
knowledge
about
genetic
aberrations
nuclear
DNA
damage.
The
study
two
critical
groups
genes—tumor
suppressors,
which
inhibit
promote
apoptosis,
oncogenes,
regulate
survival—can
help
to
understand
genomic
behind
tumorigenesis,
more
personalized
approaches
diagnosis
treatment.
Aberration
tumor
undergo
two-hit
loss-of-function
mutations,
activated
forms
proto-oncogenes
that
experience
one-hit
gain-of-function
are
responsible
for
dysregulation
key
signaling
pathways
cell
division,
such
as
p53,
Rb,
Ras/Raf/ERK/MAPK,
PI3K/AKT,
Wnt/β-catenin.
Modern
breakthroughs
genomics
research,
like
next-generation
sequencing,
have
provided
efficient
strategies
mapping
unique
changes
contribute
heterogeneity.
Novel
therapeutic
enabled
medicine,
helping
address
variability
suppressors
oncogenes.
This
comprehensive
review
examines
molecular
mechanisms
tumor-suppressor
they
regulate,
epigenetic
modifications,
heterogeneity,
drug
resistance
drive
carcinogenesis.
Moreover,
explores
clinical
application
sequencing
techniques,
multiomics,
diagnostic
procedures,
pharmacogenomics,
treatment
prevention
options,
discussing
future
directions
emerging
technologies.
Cancers,
Journal Year:
2025,
Volume and Issue:
17(9), P. 1461 - 1461
Published: April 26, 2025
Peritoneal
carcinomatosis
(PC)
represents
a
challenge
in
the
management
of
metastatic
colorectal
cancer
(mCRC)
because
difficulties
diagnosis,
tumor
burden
assessment,
and
selecting
optimal
treatments.
A
critical
limitation
is
lack
robust
prognostic
predictive
biomarkers,
largely
relying
on
serum
markers
(e.g.,
carcinoembryonic
antigen)
or
peritoneal
index
(PCI)
for
disease
extent.
Circulating
DNA
(ctDNA)-genomic
fragments
shed
by
cells
into
bloodstream-is
now
recommended
international
guidelines
mCRC
management.
Its
potential
extends
to
PC,
where
it
may
enhance
diagnostic,
therapeutic,
follow-up
strategies.
However,
PC
from
CRC
(PC-CRC)
associated
with
lower
ctDNA
levels
detection
rates
compared
other
sites,
posing
its
clinical
utility.
To
address
these
limitations,
fluid
analysis
has
emerged
as
promising
alternative,
(ptDNA)
detected
at
higher
concentrations
this
anatomical
space.
Integrating
ptDNA
offer
deeper
understanding
PC-CRC
biology
provide
more
precise
tools
managing
complex
disease.
This
approach
revolutionize
treatment
paradigm
PC-CRC,
bringing
precision
medicine
even
subgroup
patients
traditionally
poor
outcomes.
review
aims
evaluate
prognostic,
therapeutic
implications
highlighting
current
limitations
future
directions.
European Urology Oncology,
Journal Year:
2025,
Volume and Issue:
unknown
Published: May 1, 2025
The
interplay
between
prostate
cancer
and
the
tumor
microenvironment
is
well
documented
of
primary
importance
in
disease
evolution.
Herein,
we
investigated
prognostic
value
tissue
urinary
collagen-related
molecular
signatures
predicting
biochemical
recurrence
(BCR)
after
radical
prostatectomy
(RP).
A
comprehensive
analysis
55
features
was
conducted
using
transcriptomic
datasets
(n
=
1393),
with
further
validation
at
proteomic
level
69).
Additionally,
a
distinct
cohort
73)
underwent
urine-based
peptidomic
analysis,
culminating
urine-derived
model.
Independent
significance
assessed
Cox
proportional
hazards
modeling,
while
model's
predictive
performance
benchmarked
against
established
clinical
metrics.
An
expression
transcripts
identified
11
significantly
associated
BCR
(C-index:
0.55-0.72,
p
<
0.002).
Multivariable
models
incorporating
these
enhanced
accuracy,
surpassing
variables
0.66-0.89,
Proteomic
confirmed
five
key
collagen
proteins,
model
0.73,
95%
confidence
interval:
0.62-0.85)
demonstrated
strong
potential,
although
limited
by
small
patient
numbers.
collagen-based
predicted
overall
survival
significant
0.59-0.70,
0.01).
Collagen-based
both
urine
emerge
as
robust
biomarkers
for
following
RP.
Deleted Journal,
Journal Year:
2025,
Volume and Issue:
unknown
Published: May 7, 2025
Personalized
treatment
of
melanoma
is
becoming
increasingly
more
important.
Biomarkers
offer
the
possibility
controlling
precisely
and
reducing
side
effects.
The
aim
this
text
to
provide
an
overview
current
tissue-based,
blood-based
radiological
biomarkers
their
clinical
application
in
melanomas.
A
literature
research
analysis
studies
on
adjuvant
neoadjuvant
melanomas
were
carried
out
relevant
congress
contributions
additionally
included.
Tissue-based
programmed
cell
death
1
ligand
(PD-L1)
expression,
interferon
gamma
(IFNγ)
signature,
gene
expression
profiles
(GEP)
tumor
mutational
burden
(TMB)
are
prognostic
predictive
relevance.
Blood-based
circulating
DNA
(ctDNA)
sense
a
liquid
biopsy
should
be
emphasized
as
personalized
biomarker
for
longitudinal
tracking
during
or
aftercare.
Positron
emission
tomography
computed
(PET-CT)
body
composition
enable
improved
assessment
efficiency.
There
currently
no
data
from
prospective
validation
these
biomarkers;
initial
NivoMela
study
awaited.
combination
terms
multiparametric
approaches
promising
but
further
needed
broad
use.
These
not
comprehensively
implemented
routine
centers
remuneration
procedures.