A modern era of personalized medicine in the diagnosis, prognosis, and treatment of prostate cancer.

Comput Biol Med

Department of Biochemistry, Chonnam National University Medical School, 160 Baeksuh-Roh, Dong Gu, Gwangju, 61469, Republic of Korea.

Published: November 2020

AI Article Synopsis

  • The field of medical informatics is rapidly advancing, with translational bioinformatics (TBI) playing a crucial role in improving healthcare management.
  • Recent technologies like microarrays and next-generation sequencing (NGS) are driving new discoveries in biomarkers related to prostate cancer (PCa), which can enhance diagnosis and treatment strategies.
  • Key biomarkers have been identified in blood, urine, and prostatic secretions, while TBI's potential to transform precision medicine depends on validating these findings in clinical settings.

Article Abstract

The present era is witnessing rapid advancements in the field of medical informatics and modern healthcare management. The role of translational bioinformatics (TBI), an infant discipline in the field of medical informatics, is pivotal in this revolution. The development of high-throughput technologies [e.g., microarrays, next-generation sequencing (NGS)] has propelled TBI to the next stage in this modern era of medical informatics. In this review, we assess the promising translational outcomes of microarray- and NGS-based discovery of genes, proteins, micro RNAs, and other active biological compounds aiding in the diagnosis, prognosis, and therapy of prostate cancer (PCa) to improve treatment strategies at the localized and/or metastatic stages in patients. Several promising candidate biomarkers in circulating blood (miR-25-3p and miR-18b-5p), urine (miR-95, miR-21, miR-19a, and miR-19b), and prostatic secretions (miR-203) have been identified. AURKA and MYCN, novel candidate biomarkers, were found to be specifically expressed in neuroendocrine PCa. The use of BTNL2 gene mutations and inflammasomes as biomarkers in immune function-mediated, inherited PCa has also been elucidated based on NGS data. Although TBI discoveries can benefit clinical performance metrics, the translational potential and the in vivo performance of TBI outcomes need to be verified. In conclusion, TBI aids in the effective clinical management of PCa; furthermore, the fate of personalized/precision medicine mostly relies on the enhanced diagnostic, prognostic, and therapeutic potential of TBI.

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http://dx.doi.org/10.1016/j.compbiomed.2020.104020DOI Listing

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