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Companion Diagnostics and Biomarkers

Personalized Medicine and Biomarkers in Cancer

Biomarkers are evaluable patient characteristics that serve as indicators of normal and pathogenic biologic processes and treatment response.1,2 Prognostic biomarkers estimate probable outcomes, regardless of therapy.2 Predictive biomarkers are used to predict response to specific therapies (e.g., targeted therapies).2-3

Integrating biomarkers into a personalized medicine approach may aid in identifying patients who are more likely to experience a clinical response from a specific treatment.1,2

Biomarker and Met Testing

Images reproduced with permission from Vermeij J, et al. BMC Cancer. 2008;8:3. BMC CANCER Copyright 2012 by BIOMED CENTRAL LTD.

Met as a Potential Biomarker in Cancer

Met as a biomarker may have prognostic value in multiple tumor types.1,3-10 Met overexpression, detected by IHC or immunoblot, and increased MET gene copy number, detected by FISH, have been observed in multiple tumor types and correlated with poor prognosis in many cancers.3-10

Met Prognostic Correlations
Tumor Type Prognostic Correlation
NSCLC3, 5-7 Decreased survival and advanced disease
Breast Cancer6, 8 Decreased survival and increased metastasis
Gastric Cancer6 Decreased survival; increased metastasis and peritoneal dissemination
HCC6, 9 Decreased survival and increased metastasis
Brain Cancer10 Poor prognosis and advanced tumor grade

IHC, immunohistochemistry; FISH, fluorescent in situ hybridization; NSCLC, non–small cell lung cancer; HCC, hepatocellular carcinoma.

References:
1.
Ferté C, et al. Nat Rev Clin Oncol. 2010;7(7):367-380. PMID: 20551944
2.
Mok T, Nat Rev Clin Oncol. 2011;8(11):661-668. PMID: 21862980
3.
Cheng H, Curr Onc. 2010;12:335-348. PMID: 20623207
4.
http://vai.org/met/.
5.
Cappuzzo F, et al. J Clin Oncol. 2009;27(10):1667-1674. PMID: 19255323
6.
Christensen J, et al. Cancer Lett. 2005;225(1):1-26. PMID: 15922853
7.
Masuya D, et al. Br J Cancer. 2004;90(8):1555-1562. PMID: 15083185
8.
Gastaldi F, et al. Breast Cancer Res. 2010;12(4): PMID: 20804567
9.
Whittaker S, et al. Oncogene. 2010;29:4989-5005. PMID: 20639898
10.
Abounader R, Laterra J. Neuro Oncol. 2005;7(4):436-451. PMID: 1871724
 
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