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Circulating tumor DNA methylation patterns, tumor-derived protein biomarkers, and extracellular vesicle biomarker signatures

Molecular classification
DNA methylation, Protein, Extracellular vesicle, Other
01

Overview

This entry represents a multi-modal set of circulating biomarkers used in liquid biopsy for the detection, characterization, and monitoring of cancer (Nature Reviews Clinical Oncology, 2021). Circulating tumor DNA (ctDNA) methylation patterns provide high-resolution data on gene silencing and tissue-of-origin, often used in multi-cancer early detection (MCED) assays (Science, 2020). Tumor-derived protein biomarkers are traditional clinical indicators (e.g., PSA, CEA) that reflect tumor burden or specific cellular activities (Journal of Clinical Oncology, 2019). Extracellular vesicles (EVs), such as exosomes, carry a cargo of proteins, lipids, and nucleic acids that mirror the physiological state of the secreting tumor cells and facilitate intercellular communication (Nature Reviews Cancer, 2017). Together, these signatures offer a comprehensive view of the tumor's molecular landscape from a minimally invasive blood sample. While they are critical for diagnosis and treatment monitoring, they do not function as therapeutic targets themselves.

Other names
Liquid biopsy biomarkersMulti-omic cancer signaturesCirculating biomarkersMulti-modal liquid biopsy analytes
02

Mechanism of action

Not applicable as these are diagnostic biomarkers rather than therapeutic targets.

03

Biological functions

Epigenetic regulationIntercellular communicationSignal transductionCellular homeostasis
04

Disease associations

Cancer
05

Safety considerations

False positive results leading to overdiagnosisFalse negative results providing false reassuranceTechnical variability in isolation and detection
06

Biomarkers

ctDNA methylationCA-125CEAExosomal proteinsExosomal microRNA

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