Tumor Biomarkers in Gynecology

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Molecular and Translational Medicine".

Deadline for manuscript submissions: closed (29 February 2024) | Viewed by 1287

Special Issue Editors


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Guest Editor
Department of Obstetrics and Gynecology, University ‘‘Campus Bio-Medico’’ of Rome, Via Alvaro del Portillo, 200-00128 Rome, Italy
Interests: gynecology; obstetrics; gynecology oncology; minimally invasive surgery; endocrinology; tumor biomarkers; human papilloma virus
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Guest Editor
Department of Obstetrics and Gynecology, Campus Bio-Medico University of Rome, 00128 Rome, Italy
Interests: gynecology; gynecologic oncology; minimally invasive surgery; urogynecology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Gynecological cancers are frequently found in the female population worldwide. Despite the efforts of scientists in implementing screening and early diagnosis programs, only in cervical cancer have we been able to identify an effective method of prevention.

In relation to ovarian cancer, the literature has analyzed well-known CA125 and HE4, which are historically reliable, but early-stage diagnosis requires the implementation of more precise biomarkers. Attempts are being made to introduce liquid biopsy for early detection to identify promising biomarkers among microRNAs.

Although used for endometrial cancer, the known protein CA-19.9 is imprecise and was surpassed by HE4, whose clinical utility may be limited by the lower sensitivity, but it is strongly related to the prognosis. The new frontier with higher specificity and sensitivity are proteomic biomarkers (i.e., YKL-40, DJ-1) and promising exonal biomarker miRNA (i.e., 21,27 and 223).

In breast cancer, CA15.3 is the best-known tumor marker, and it is well-associated with the tumor stage. New horizons are also being studied in this field, looking for new, more effective markers on peripheral blood for early diagnosis and risk stratification for the development of breast cancer, such as hypermethylation of cell-free DNA or circular RNAs on prognosis and treatment.

Dr. Corrado Terranova
Dr. Francesco Plotti
Guest Editors

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11 pages, 1001 KiB  
Article
Clinical Applicability of Tissue Polypeptide Antigen and CA-125 in Gynecological Malignancies
by Lars Schröder, Christian M. Domroese, Alexander B. A. Rupp, Kathrin M. E. Gihr, Christoph Niederau, Michael R. Mallmann and Stefan Holdenrieder
Biomedicines 2023, 11(11), 2960; https://doi.org/10.3390/biomedicines11112960 - 02 Nov 2023
Cited by 1 | Viewed by 886
Abstract
Background: Nowadays there still is no sufficient screening tool for ovarian and uterine cancer. Objective: The current study aimed to investigate whether cancer antigen 125 (CA-125), tissue polypeptide antigen (TPA) or the combination of both markers are able to act as screening tools [...] Read more.
Background: Nowadays there still is no sufficient screening tool for ovarian and uterine cancer. Objective: The current study aimed to investigate whether cancer antigen 125 (CA-125), tissue polypeptide antigen (TPA) or the combination of both markers are able to act as screening tools for ovarian or uterine cancer. Methods: A total of 275 blood samples from different cohorts (ovarian cancer, uterine cancer, benign control group) were prospectively drawn and analyzed. Results: Established biomarkers TPA and CA-125 showed elevated serum concentrations in patients with malignant tumors as compared to healthy women and women with benign diseases. In ROC curve analyses, both biomarkers were well able to discriminate between malignant and healthy, benign or overall non-malignant cases in the whole sample, with AUCs of 0.842 and above. While TPA was the best diagnostic marker in patients with uterine cancer, CA 125 was the best in patients with ovarian cancer. Conclusions: TPA and CA-125 both showed promising results for the detection of gynecologic malignancies. The combination of CA-125 and TPA did not improve sensitivity in comparison to single markers. Full article
(This article belongs to the Special Issue Tumor Biomarkers in Gynecology)
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