In die Tumordiagnostik kommt Bewegung. Während klassische Tumormarker bei Frühdiagnostik oder Screening nicht bedeutsam sind, erlaubt die durchflusszytometrische Bestimmung von Biomarkern in Makrophagen eine neue Form einer nicht invasiven Diagnostik („liquid biopsy“), mit der Tumoren früher erfasst und deren Malignität charakterisiert werden kann. Interessant sind zwei Biomarker, die fundamentale biophysikalische Prozesse detektieren und in allen Malignomen verändert sind. Damit wäre ein genereller Malignomnachweis („pan-cancer test“) denkbar. Noch ist der Stellenwert einer solchen Diagnostik umstritten. Einsatzmöglichkeiten bestehen bei der Früherkennung, Tumorcharakterisierung und beim Monitoring von Therapieverläufen.
Literatur
Measurement of intracellular versus extracellular prostate-specific antigen levels in peripheral macrophages: a new approach to noninvasive diagnosis of prostate cancer. Herwig R, Pelzer A, Horninger W, Rehder P, Klocker H, Ramoner R, Pinggera GM, Gozzi C, Konwalinka G, Bartsch G. Clin Prostate Cancer. 2004 Dec;3(3):184–8.
Analysis of circulating CD14+/CD16+ monocyte-derived macrophages (MDMs) in the peripheral blood of patients with oral squamous cell carcinoma. Grimm M, Feyen O, Coy JF, Hofmann H, Teriete P, Reinert S. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 Mar;121(3):301–6.
Circulating PSA-containing macrophages as a possible target for the detection of prostate cancer: a three-color/five-parameter flow cytometric study on peripheral blood samples. Leers MP, Nap M, Herwig R, Delaere K, Nauwelaers F. Am J Clin Pathol. 2008 Apr;129(4):649–56.
CEA in activated macrophages. New diagnostic possibilities for tumor markers in early colorectal cancer. Japink D, Leers MP, Sosef MN, Nap M. Anticancer Res. 2009 Aug;29(8):3245–51.
Activated macrophages containing tumor marker in colon carcinoma: immunohistochemical proof of a concept. Faber TJ, Japink D, Leers MP, Sosef MN, von Meyenfeldt MF, Nap M. Tumour Biol. 2012 Apr;33(2):435–41.
EDIM-TKTL1 blood test: a noninvasive method to detect upregulated glucose metabolism in patients with malignancies. Feyen O, Coy JF, Prasad V, Schierl R, Saenger J, Baum RP. Future Oncol. 2012 Oct;8(10):1349–59.
A biomarker based detection and characterization of carcinomas exploiting two fundamental biophysical mechanisms in mammalian cells. Grimm M, Schmitt S, Teriete P, Biegner T, Stenzl A, Hennenlotter J, Muhs HJ, Munz A, Nadtotschi T, König K, Sänger J, Feyen O, Hofmann H, Reinert S, Coy JF. BMC Cancer. 2013 Dec 4;13:569.
Evaluation of a biomarker based blood test for monitoring surgical resection of oral squamous cell carcinomas. Grimm M, Kraut W, Hoefert S, Krimmel M, Biegner T, Teriete P, Cetindis M, Polligkeit J, Kluba S, Munz A, Reinert S. Clin Oral Investig. 2016 Mar;20(2):329–38.
Isolation, differential splicing and protein expression of a DNase on the human X chromosome. Coy JF, Velhagen I, Himmele R, Delius H, Poustka A, Zentgraf H. Cell Death Differ. 1996 Apr;3(2):199–206.
Altered deoxyribonuclease activity in cancer cells and its role in non toxic adjuvant cancer therapy with mixed vitamins C and K3. Taper HS. Anticancer Res. 2008 Sep-Oct;28(5A):2727–32.
Changes in the topological expression of markers of differentiation and apoptosis in defined stages of human cervical dysplasia and carcinoma. Zanotti S, Fisseler-Eckhoff A, Mannherz HG. Gynecol Oncol. 2003 Jun;89(3):376–84.
Molecular cloning of tissue-specific transcripts of a transketolase-related gene: implications for the evolution of new vertebrate genes. Coy JF, Dübel S, Kioschis P, Thomas K, Micklem G, Delius H, Poustka A. Genomics. 1996 Mar 15;32(3):309–16.
Mutations in the transketolase-like gene TKTL1: clinical implications for neurodegenerative diseases, diabetes and cancer. Coy JF, Dressler D, Wilde J, Schubert P. Clin. Lab. 2005, 51(5-6):257–273.
Expression of transketolase TKTL1 predicts colon and urothelial cancer patient survival: Warburg effect reinterpreted. Langbein S, Zerilli M, Zur Hausen A, Staiger W, Rensch-Boschert K, Lukan N, Popa J, Ternullo MP, Steidler A, Weiss C, Grobholz R, Willeke F, Alken P, Stassi G, Schubert P, Coy JF. Br J Cancer 2006, 94(4):578–585.
Transketolase-like protein 1 (TKTL1) is required for rapid cell growth and full viability of human tumor cells. Xu X, Zur Hausen A, Coy JF, Löchelt M. Int J Cancer. 2009 Mar 15;124(6):1330–7.
TKTL1 is activated by promoter hypomethylation and contributes to head and neck squamous cell carcinoma carcinogenesis through increased aerobic glycolysis and HIF1alpha stabilization. Sun W, Liu Y, Glazer CA, Shao C, Bhan S, Demokan S, Zhao M, Rudek MA, Ha PK, Califano JA. Clin Cancer Res. 2010 Feb 1;16(3):857–66.
Transketolase-like 1 ectopic expression is associated with DNA hypomethylation and induces the Warburg effect in melanoma cells. Jayachandran A, Lo PH, Chueh AC, Prithviraj P, Molania R, Davalos-Salas M, Anaka M, Walkiewicz M, Cebon J, Behren A. BMC Cancer. 2016 Feb 22;16(1):134.
Über den Stoffwechsel der Carcinomzelle. Warburg O, Posener K, Negelein E. Biochem Z 1924; 152:309–44
Transketolase-like protein 1 confers resistance to serum withdrawal in vitro. Hartmannsberger D, Mack B, Eggert C, Denzel S, Stepp H, Betz CS, Gires O. Cancer Lett. 2011 Jan 1;300(1):20–9.
Identification of genital tract markers in the human seminal plasma using an integrative genomics approach. Rolland AD1, Lavigne R, Dauly C, Calvel P, Kervarrec C, Freour T, Evrard B, Rioux-Leclercq N, Auger J, Pineau C. Hum Reprod. 2013 Jan;28(1):199–209.
Downregulation of the Werner syndrome protein induces a metabolic shift that compromises redox homeostasis and limits proliferation of cancer cells. Li B, Iglesias-Pedraz JM, Chen LY, Yin F, Cadenas E, Reddy S, Comai L. Aging Cell. 2014 Apr;13(2):367–78.
Cancer proliferation and therapy: the Warburg effect and quantum metabolism. Demetrius LA, Coy JF, Tuszynski JA. Theor Biol Med Model. 2010 Jan 19;7:2.
Glucose metabolism inhibits apoptosis in neurons and cancer cells by redox inactivation of cytochrome c. Vaughn AE, Deshmukh M. Nat Cell Biol. 2008 Dec;10(12):1477–83.
The complete genome sequence of a Neanderthal from the Altai Mountains. Prüfer K, et al., 2013. Nature. 2014 Jan 2;505(7481):43–9.
Expression of Transketolase like gene 1 (TKTL1) predicts disease-free survival in patients with locally advanced rectal cancer receiving neoadjuvant chemoradiotherapy. Schwaab J, Horisberger K, Ströbel P, Bohn B, Gencer D, Kähler G, Kienle P, Post S, Wenz F, Hofmann WK, Hofheinz RD, Erben P. BMC Cancer. 2011 Aug 19;11:363.
Poor outcome in primary non-small cell lung cancers is predicted by transketolase TKTL1 expression. Kayser G, Sienel W, Kubitz B, Mattern D, Stickeler E, Passlick B, Werner M, Zur Hausen A. Pathology. 2011 Dec;43(7):719–24.
Expression of transketolase-like 1 (TKTL1) and p-Akt correlates with the progression of cervical neoplasia. Kohrenhagen N, Voelker HU, Schmidt M, Kapp M, Krockenberger M, Frambach T, Dietl J, Kammerer U. J Obstet Gynaecol Res. 2008 Jun;34(3):293–300.
Overexpression of transketolase-like gene 1 is associated with cell proliferation in uterine cervix cancer. Chen H, Yue JX, Yang SH, Ding H, Zhao RW, Zhang S. J Exp Clin Cancer Res. 2009 Mar 30;28:43.
Inhibitory effect of tumor cell-derived lactic acid on human T cells. Fischer K, Hoffmann P, Voelkl S, Meidenbauer N, Ammer J, Edinger M, Gottfried E, Schwarz S, Rothe G, Hoves S, Renner K, Timischl B, Mackensen A, Kunz-Schughart L, Andreesen R, Krause SW, Kreutz M. Blood. 2007 May 1;109(9):3812–9.
Diagnostic use of epitope detection in monocytes blood test for early detection of colon cancer metastasis. Jansen N, Coy JF. Future Oncol. 2013 Apr;9(4):605–9.
Monitoring carcinogenesis in a case of oral squamous cell carcinoma using a panel of new metabolic blood biomarkers as liquid biopsies. Grimm M, Hoefert S, Krimmel M, Biegner T, Feyen O, Teriete P, Reinert S. Oral Maxillofac Surg. 2016 Feb 13.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Coy, J.F. Neue Biomarker für Diagnostik und Therapiemonitoring in der Onkologie. gynäkologie + geburtshilfe 21, 20–24 (2016). https://doi.org/10.1007/s15013-016-0966-1
Published:
Issue Date:
DOI: https://doi.org/10.1007/s15013-016-0966-1