Biomarkers for predicting the response of esophageal squamous cell carcinoma to neoadjuvant chemoradiation therapy

Surg Today. 2014 Mar;44(3):421-8. doi: 10.1007/s00595-013-0580-y. Epub 2013 Apr 19.

Abstract

This review summarizes and evaluates the literature regarding the biomarkers for predicting the response and/or prognosis of esophageal squamous cell carcinoma (ESCC) patients treated with neoadjuvant chemoradiation therapy (CRT). There are seven categories of molecules known to correlate with the response and/or prognosis: tumor suppressors (p53, p21), cell cycle regulators (Cyclin D1, CDC25B, 14-3-3sigma), DNA repair molecules (p53R2, ERCC1), drug resistance proteins [metallothionein (MT)], angiogenic factors (VEGF), molecules involved in cell proliferation/invasion/metastasis (Ki-67, COX-2) and hedgehog signaling molecules (Gli-1). Of the above molecules, the tumor suppressor p53 is expected to be a representative biomarker for predicting the response and prognosis. The cell cycle markers CDC25B and 14-3-3sigma have potential as response biomarkers independent of the p53 status. The DNA repair markers, p53R2 or ERCC1, angiogenic molecule (VEGF), and hedgehog signaling pathway factor Gli-1 also have potential to predict the response and prognosis of ESCC. However, there are still many unanswered questions with regard to predicting the clinical effects of neoadjuvant CRT.

Publication types

  • Review

MeSH terms

  • Biomarkers, Tumor / analysis*
  • Carcinoma, Squamous Cell / diagnosis
  • Carcinoma, Squamous Cell / genetics*
  • Carcinoma, Squamous Cell / therapy*
  • Cell Cycle Proteins / analysis*
  • Chemoradiotherapy, Adjuvant*
  • Cyclooxygenase 2 / analysis
  • DNA-Binding Proteins / analysis*
  • Endonucleases / analysis*
  • Esophageal Neoplasms / diagnosis
  • Esophageal Neoplasms / genetics*
  • Esophageal Neoplasms / therapy*
  • Forecasting
  • Humans
  • Ki-67 Antigen / analysis
  • Meta-Analysis as Topic
  • Metallothionein / analysis
  • Neoadjuvant Therapy*
  • Prognosis
  • Ribonucleotide Reductases / analysis*
  • Tumor Suppressor Protein p53 / analysis*
  • Vascular Endothelial Growth Factor A / analysis

Substances

  • Biomarkers, Tumor
  • Cell Cycle Proteins
  • DNA-Binding Proteins
  • Ki-67 Antigen
  • Tumor Suppressor Protein p53
  • Vascular Endothelial Growth Factor A
  • Metallothionein
  • Cyclooxygenase 2
  • PTGS2 protein, human
  • RRM2B protein, human
  • Ribonucleotide Reductases
  • ERCC1 protein, human
  • Endonucleases