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    BY:PARESH TIWARI

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    Introduction

    Classification

    Application

    Future trends

    References

    Contents

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    A biomarker indicates a change in expression or

    state of a protein that correlates with the risk or

    progression of a disease to a given treatment.

    It may be a traceable substance that is introduced into an organism as a means to examine organ

    function or other aspect of health.

    It can also be a substance whose detection indicates aparticular disease state. e.g. The presence of anantibody may indicate an infection.

    Introduction

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    Based on the discovery and use of biomarkers forclinical purpose, they have been classified as-

    Therapeutic biomarkers

    Diagnostic biomarkers

    Prognostic biomarkers

    Classification

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    More rapidly observed than clinical outcome

    Lesser variability in results than clinical measure

    Easier to measure

    Less expensive

    Sensitive and Accurate

    Why Biomarkers???

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    THERAPEUTIC

    CYCLIN D3

    Expressionconfers

    resistance to

    ERLOTINIB

    DIAGNOSTIC

    GALECTIN-1

    Specific biomarkerin assessing toxicity

    of Arsenic Exposure

    PROGNOSTIC

    CD-10EXPRESSION

    Prognostic incolorectal cancer

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    Preparation of Biomarkers

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    Biomarkers have several applications, but mostlythey are used in three main areas-

    Discovery

    Clinical

    Diagnostics.

    Application

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    Biomarkers are now proving to be important

    molecules whose detection can help predict the

    presence of diseases like cancer, Alzheimer's diseaseand Parkinson's disease at an early phase.

    In the future, they will be a common promisingdiagnostic tool for clinicians for the early detection ofthese diseases.

    Early disease identification1

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    Currently, researchers use very advanced techniques

    such as proteomics to find these proteins (biomarkers)

    specific to various disorders, which may offer apotential target for drug treatment.

    Biomarkers help researchers understand the diseaseprocess at the protein expression level.

    A study of biomarkers would help pharmaceutical

    companies in validating drug targets.

    Identifying potential drug targets2

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    Biomarkers can help physicians by

    monitoring the response of medicationadministered to patients suffering fromserious ailments

    Judging the efficacy of a particular drug

    regimen in terms of cure rate.

    Predicting the response of patients tomedications

    3

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    Biomarkers play a major role in reducing trial

    duration by predicting drug efficacy inanimal models and human trials by acting assurrogate primary endpoints.

    Help accelerate clinical trials4

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    Biomarkers would help physicians prescribe the

    right medication to the right patient.

    This would help in reducing the side effects

    This is because the same disease can progressthrough different pathways in different patients.

    Personalized medicine5

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    Biomarker Type Source Cancer type Clinical use

    Humanchorionicgonadotropin

    Glycoprotein Serum Testicular Staging

    CA19-9 Carbohydrate Serum Pancreatic Monitoring

    Thyroglobulin Protein Serum Thyroid Monitoring

    HER-2 Protein Serum Breast Monitoring

    BTA Protein Urine Bladder Monitoring

    Biomarkers used in cancer

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    Biomarkers is currently considered most clinically useful

    and reliable: New researches are going on B natriureticpeptide, C-reactive protein and myoglobin.

    The role played by heart-type fatty acid binding protein,

    ischemia-modified albumin, and homocysteine in theevaluation of patients presenting with suspected acutecoronary syndrome.

    Future trends

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    Breast cancer is one of the most common and leading

    causes of cancer death in women. Recently, HER-2/neu(Human Epidermal growth factor Receptor 2)in breast cancer has been routinely used to guidetreatment of using Trastuzumab.

    The current understanding of specific acuteinflammatory markers and their use to identifystable, vulnerable or ruptured atherosclerotic plaque.

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    Nagappa A and Datta V, Biomarkers:Opportunities inDiagnostic and Therapeutics,The Pharma Review,May2011,P no.;157-160

    Sergy llyin E.Stanley M and Carlos R,BiomarkerDiscovery And Validation: Technologies And IntegrativeApproaches Trends In Biotechnology, Vol 22, Issue 8,2004,P 411-416

    Biomarkers in the Preclinical and Early Phases of RA,http://www.medscape.com/viewarticle/750136_3

    Biomarker database: environmental assessmenthttp://cfpub.epa.gov/ncea/cfm/recordisplay.cfm?deid=

    85844

    References

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