Global serum profiling: an opportunity for earlier cancer detection.

Journal: Journal of experimental & clinical cancer research : CR
PMID:

Abstract

The advances in cancer research achieved in the last 50 years have been remarkable and have provided a deeper knowledge of this disease in many of its conceptual and biochemical aspects. From viewing a tumor as a 'simple' aggregate of mutant cells and focusing on detecting key cell changes leading to the tumorigenesis, the understanding of cancer has broadened to consider it as a complex organ interacting with its close and far surroundings through tumor and non-tumor cells, metabolic mechanisms, and immune processes. Metabolism and the immune system have been linked to tumorigenesis and malignancy progression along with cancer-specific genetic mutations. However, most technologies developed to overcome the barriers to earlier detection are focused solely on genetic information. The concept of cancer as a complex organ has led to research on other analytical techniques, with the quest of finding a more sensitive and cost-effective comprehensive approach. Furthermore, artificial intelligence has gained broader consensus in the oncology community as a powerful tool with the potential to revolutionize cancer diagnosis for physicians. We herein explore the relevance of the concept of cancer as a complex organ interacting with the bodily surroundings, and focus on promising emerging technologies seeking to diagnose cancer earlier, such as liquid biopsies. We highlight the importance of a comprehensive approach to encompass all the tumor and non-tumor derived information salient to earlier cancer detection.

Authors

  • Alexandra Sala
    Dxcover Limited, Glasgow, G1 1XW, UK.
  • James M Cameron
    Dxcover Limited, Glasgow, G1 1XW, UK.
  • Paul M Brennan
    Translational Neurosurgery, Centre for Clinical Brain Sciences, University of Edinburgh, Midlothian, Edinburgh EH4 2XU, UK.
  • Emma J Crosbie
    Division of Cancer Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, M13 9PL, UK.
  • Tom Curran
    Children's Mercy Research Institute, Children's Mercy Kansas City, Kansas City, MO, 64108, USA.
  • Ewan Gray
    Independent Health Economics Consultant, Edinburgh, UK.
  • Pierre Martin-Hirsch
    Gynecological Oncology, Clinical Research Facility, Lancashire Teaching Hospitals, Preston, PR2 9HT, UK.
  • David S Palmer
  • Ihtesham U Rehman
    Bioengineering │ Engineering Department, Faculty of Science and Technology, Lancaster University , Lancaster, UK.
  • Nicholas J W Rattray
    Strathclyde Institute of Pharmacy and Biomedical Sciences , Strathclyde University , 161 Cathedral Street , Glasgow G4 0RE , United Kingdom.
  • Matthew J Baker
    Dxcover Limited, Suite RC534, Royal College Building, 204 George Street, Glasgow G1 1XW, UK.