Review Article

Glycosylation-Based Serum Biomarkers for Cancer Diagnostics and Prognostics

Table 1

List of FDA-approved cancer biomarkers currently used in clinical practice.

MarkerFull nameCancer typesDetection typeClinical applicationsYear of FDA approval

AFPα-FetoproteinLiverProtein concentrations and core fucosylation
(for AFP-L3)
Diagnosis, staging, detecting recurrence, and monitoring therapy1992/2008

PSA, Pro2PSAProstate-specific antigenProstateProtein concentrationsScreening, discriminating cancer from benign disease1986/1994/
2012

CA125 (MUC16)Cancer antigen 125OvarianProtein concentrationsMonitoring therapy, detecting recurrence1997/2011

HE4 (WFDC2)Human epididymis protein 4OvarianProtein concentrationsMonitoring therapy, detecting recurrence2008

OVA1 test (multiple proteins)-2 Microglobulin + CA 125II (up), apolipoprotein A1 + prealbumin + transferrin (down)OvarianProtein concentrationsPrediction2009

ROMA testHE4 + CA125OvarianProtein concentrationsPrediction2011

CA15-3 (MUC1)Cancer antigen 15-3Breast Sialylated O-linked oligosaccharide on MUC1Monitoring therapy1997

CA27-29Cancer antigen 27-29BreastMUC1 protein levelsMonitoring therapy2002

CA19-9Carbohydrate antigen 19-9 or cancer antigen 19-9Pancreatic, ovarianSLea on mucin glycoproteins and gangliosidesMonitoring therapy2002

CEACarcinoembryonic antigenColon, gastric, pancreatic, lung, and breastProtein concentrationsMonitoring therapy, detecting recurrence1985

HER2/neuHuman epidermal growth factor receptor 2BreastProtein concentrationsTherapy choice1998

TgThyroglobulinThyroidProtein concentrationsMonitoring therapy1997

hCGHuman chorionic gonadotropinTesticular, ovarianProtein concentrationsDiagnosis, staging, detecting recurrence, and monitoring therapyNot
approved