Table 1.
Biomarkers suggested to predict neoadjuvant treatment response in rectal cancer
| Category | Type | Parameter |
|---|---|---|
| Molecular genetic markers | DNA mismatch repair [11–21] | dMMR, MSI, MSI-H |
| MAPK/ERK and PI3K/AKT/mTOR pathways [22–37] | EGF, EGFR, VEGF, RAS, KRAS, BRAF, PTEN, NF1 | |
| Tumour suppressors and oncogenes [38–46] | TP53, XIAP, TCF4 | |
| Transcriptome/Epigenome [47–71] | Transcriptomic and epigenetic signatures, miR-130a, miR-487a-3p, TIMP3 methylation | |
| Immunological markers |
Blood-based |
P/L ratio, N/L ratio, cytokines, C-reactive protein |
|
Tissue-based |
LNR, TILs, PD-1 and PD-L1 | |
| Other biomarkers | Blood-based cancer markers [120–139] | CTCs, cfDNA, ctDNA, CEA |
| Gut microbiota [140–144] | Fusobacteria, Bacteroidales, Duodenibacillus massiliensis |
Abbreviations: dMMR Mismatch repair deficient, MSI Mismatch repair instable, MSI-H Mismatch repair instable-high, EGF Epidermal growth factor, EGFR Epidermal growth factor receptor, VEGF Vascular endothelial growth factor, RAS Rat sarcoma, KRAS Kirsten rat sarcoma, BRAF V-raf murine sarcoma viral oncogene homolog B1, PTEN Phosphatase and tensin homolog, NF1 Neurofibromin 1, TP53 Tumour protein p53, XIAP X-linked inhibitor of apoptosis protein, TCF4 Transcription factor 4, TIMP3 Tissue inhibitor of matrix metalloproteinases 3, P/L ratio Platelet-to-lymphocyte ratio, N/L ratio Neutrophil-to-lymphocyte ratio, LNR Lymph node ratio, TILs Tumour infiltrating lymphocytes, PD-1 Programmed cell death protein 1, PD-L1 Programmed death-ligand 1, CTCs Circulating tumour cells, cfDNA Cell-free DNA, ctDNA Circulating tumour DNA, CEA Carcinoembryonic antigen