Journal of the National Cancer Institute Advance Access originally published online on December 30, 2008
JNCI Journal of the National Cancer Institute 2009 101(1):8-10; doi:10.1093/jnci/djn482
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© Oxford University Press 2008.
NEWS |
Urine Biomarkers May Someday Detect Even Distant Tumors
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When it comes to sampling body fluids for cancer biomarkers, blood has traditionally been the dominant choice. That's not surprising—as a biofluid, blood offers favorable opportunities for clinical analysis: It mingles with proteins and other biomolecules involved in tumor growth, and because it flows through the entire body, it's exposed to every organ system. Moreover, the world's blood banks—a crucial resource for biomarker research—number in the thousands. With those advantages, most cancer biomarkers in routine use today come from blood, including the prostate-specific antigen (PSA) test, CA-125 for ovarian cancer, and HER2/neu for breast cancer.
But now another biofluid, urine, is making key inroads into the cancer biomarker realm. Urinary biomarkers reveal cancer not just in the organs of the urogenital tract (as might be expected) but also in more distant organs, such as the breast, ovaries, and brain. Evidence suggests that these new biomarkers, which include proteins, metabolites, and
Using Biomarker Panels
Validation Concerns