Sputum-Based Molecular Biomarkers for the Early Detection of Lung Cancer: Limitations and Promise

Lung cancer is the leading cause of cancer deaths, with an overall survival of 15% at five years. Biomarkers that can sensitively and specifically detect lung cancer at early stage are crucial for improving this poor survival rate. Sputum has been the target for the discovery of non-invasive biomark...

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Main Authors: William N. Rom, Kam-Meng Tchou-Wong, Connie E. Kim
Format: Article
Language:English
Published: MDPI AG 2011-07-01
Series:Cancers
Subjects:
Online Access:http://www.mdpi.com/2072-6694/3/3/2975/
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author William N. Rom
Kam-Meng Tchou-Wong
Connie E. Kim
author_facet William N. Rom
Kam-Meng Tchou-Wong
Connie E. Kim
author_sort William N. Rom
collection DOAJ
description Lung cancer is the leading cause of cancer deaths, with an overall survival of 15% at five years. Biomarkers that can sensitively and specifically detect lung cancer at early stage are crucial for improving this poor survival rate. Sputum has been the target for the discovery of non-invasive biomarkers for lung cancer because it contains airway epithelial cells, and molecular alterations identified in sputum are most likely to reflect tumor-associated changes or field cancerization caused by smoking in the lung. Sputum-based molecular biomarkers include morphology, allelic imbalance, promoter hypermethylation, gene mutations and, recently, differential miRNA expression. To improve the sensitivity and reproducibility of sputum-based biomarkers, we recommend standardization of processing protocols, bronchial epithelial cell enrichment, and identification of field cancerization biomarkers.
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spelling doaj.art-d8adaa9494394609aeb8cb78308464842023-09-02T15:38:36ZengMDPI AGCancers2072-66942011-07-01332975298910.3390/cancers3032975Sputum-Based Molecular Biomarkers for the Early Detection of Lung Cancer: Limitations and PromiseWilliam N. RomKam-Meng Tchou-WongConnie E. KimLung cancer is the leading cause of cancer deaths, with an overall survival of 15% at five years. Biomarkers that can sensitively and specifically detect lung cancer at early stage are crucial for improving this poor survival rate. Sputum has been the target for the discovery of non-invasive biomarkers for lung cancer because it contains airway epithelial cells, and molecular alterations identified in sputum are most likely to reflect tumor-associated changes or field cancerization caused by smoking in the lung. Sputum-based molecular biomarkers include morphology, allelic imbalance, promoter hypermethylation, gene mutations and, recently, differential miRNA expression. To improve the sensitivity and reproducibility of sputum-based biomarkers, we recommend standardization of processing protocols, bronchial epithelial cell enrichment, and identification of field cancerization biomarkers.http://www.mdpi.com/2072-6694/3/3/2975/lung cancernon-small cell lung cancersputumbiomarkerearly detection
spellingShingle William N. Rom
Kam-Meng Tchou-Wong
Connie E. Kim
Sputum-Based Molecular Biomarkers for the Early Detection of Lung Cancer: Limitations and Promise
Cancers
lung cancer
non-small cell lung cancer
sputum
biomarker
early detection
title Sputum-Based Molecular Biomarkers for the Early Detection of Lung Cancer: Limitations and Promise
title_full Sputum-Based Molecular Biomarkers for the Early Detection of Lung Cancer: Limitations and Promise
title_fullStr Sputum-Based Molecular Biomarkers for the Early Detection of Lung Cancer: Limitations and Promise
title_full_unstemmed Sputum-Based Molecular Biomarkers for the Early Detection of Lung Cancer: Limitations and Promise
title_short Sputum-Based Molecular Biomarkers for the Early Detection of Lung Cancer: Limitations and Promise
title_sort sputum based molecular biomarkers for the early detection of lung cancer limitations and promise
topic lung cancer
non-small cell lung cancer
sputum
biomarker
early detection
url http://www.mdpi.com/2072-6694/3/3/2975/
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