Table 6.
Salient molecular markers for NACT response prediction.
Biomarker | Summary |
---|---|
CA-125 | Serum CA-125 is the most common tumor marker used at diagnosis and to observe treatment response. A >80% decrease in serum CA-125 level after NACT is found to be associated with optimal cytoreduction. Cut-off level to measure response/progression is still debatable. |
Leptin | Higher serum CA-125 to ascites leptin ratio is found to be suggestive of baseline chemoresistance. |
HE4 | Serum HE4 level is found to be more valuable tumor marker in estimating surgery outcome. A >70% decrease in serum HE4 level after NACT is found to be associated with optimal cytoreduction. |
ADLH1 | Higher ALDH1 level after NACT is found to be associated with poor outcome and higher risk of death. |
ADH1B | Higher preoperative ADH1B level is found be associated with higher chances of RD after tumor reductive surgery. |
FABP4 | Higher preoperative FABP4 level is found be associated with higher chances of RD after tumor reductive surgery. |
MicroRNA | Higher level of specific MicroRNAs (Smad2 phosphorylation (P-Smad2), miR-181a-5p, miR-199a-5p and miR-199a-3p) is found to be associated with higher chances of RD after iTRS, decreased platinum-free interval and poor survival. |
IGF-I | The presence of IGF-I in ascitic fluid is found to be an independent predictor of objective clinical response. |
Calretinin | Higher serum CRT level is found to be associated with higher chances of suboptimal cytoreduction. |
BRCA1/2 | The presence of BRCA1/2 is found to be associated with higher chances of optimal cytoreduction and better survival. |
c-Myc | c-Myc expression of >200 is found to be associated with better 5-year survival rate. |