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Breakthrough Biomarkers in Lung Cancer: Pioneering Early Detection and Precision Treatment Strategies

肺癌 克拉斯 表皮生长因子受体 表观遗传学 间变性淋巴瘤激酶 DNA甲基化 癌症 医学 疾病 生物标志物 癌症研究 癌变 肿瘤科 生物 生物信息学 内科学 基因 基因表达 遗传学 结直肠癌 恶性胸腔积液
作者
Ruchı Tıwarı
出处
期刊:Chinese journal of applied physiology [Chinese Medical Association]
卷期号:: e20240034-e20240034 被引量:2
标识
DOI:10.62958/j.cjap.2024.034
摘要

There are several biological, genetic, and environmental variables that contribute to lung cancer, which is one of the main causes of cancer-related death globally. In addition to exposure to radon gas, air pollution, and occupational dangers like asbestos, smoking is a major risk factor because it releases carcinogens like nitrosamines and polycyclic aromatic hydrocarbons (PAHs) into the lungs. The risk of developing lung cancer is also influenced by genetic predispositions, such as variations in genes like EGFR, KRAS, and TP53. Additionally, new research emphasises how epigenetic changes, such as DNA methylation and histone acetylation, affect the expression of genes connected to the development of cancer. In determining risk and spotting early indicators of lung cancer, biomarkers have become important instruments. Cell-free DNA (cfDNA), circulating tumour cells (CTCs), and certain microRNAs (miRNAs) in blood are non-invasive biomarkers that indicate tumour heterogeneity and load. Molecular indicators include anaplastic lymphoma kinase (ALK) rearrangements, epidermal growth factor receptor (EGFR) mutations, and programmed death-ligand 1 (PD-L1) expression have proved very important in tailoring the therapy of lung cancer. Inflammatory indicators such as interleukins and C-reactive protein (CRP) are also linked to the prognosis of lung cancer. Finding and confirming these biomarkers is essential for improving early detection, tracking the course of the disease, and directing focused treatments. As research progresses, combining molecular, genetic, and environmental insights might improve lung cancer care, prevention, and early diagnosis, thereby lowering the disease's worldwide burden.
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