Update on urine as a biomarker in cancer: a necessary review of an old story

Expert Rev Mol Diagn. 2020 May;20(5):477-488. doi: 10.1080/14737159.2020.1743687. Epub 2020 Mar 26.

Abstract

Introduction: Cancer causes thousands of deaths worldwide each year. Therefore, monitoring of health status and the early diagnosis of cancer using noninvasive assays, such as the analysis of molecular biomarkers in urine, is essential. However, effective biomarkers for early diagnosis of cancer have not been established in many types of cancer.Areas covered: In this review, we discuss recent findings with regard to the use of urine composition as a biomarker in eleven types of cancer. We also highlight the use of urine biomarkers for improving early diagnosis.Expert opinion: Urinary biomarkers have been applied for clinical application of early diagnosis. The main limitation is a lack of integrated approaches for identification of new biomarkers in most cancer. The utilization of urinary biomarker detection will be promoted by improved detection methods and new data from different types of cancers. With the development of precision medicine, urinary biomarkers will play an increasingly important clinical role. Future early diagnosis would benefit from changes in the utilization of urinary biomarkers.

Keywords: Urine; biomarker; cancer; diagnosis; review.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Biomarkers, Tumor / urine*
  • Early Detection of Cancer / methods
  • Early Detection of Cancer / standards
  • Humans
  • Liquid Biopsy / methods
  • Liquid Biopsy / standards
  • Neoplasms / diagnosis*
  • Neoplasms / urine*
  • Precision Medicine / methods
  • Precision Medicine / standards
  • Prognosis
  • Urinalysis / methods
  • Urinalysis / standards

Substances

  • Biomarkers, Tumor