MEVE 013: Unit 17 - Biomarkers
UNIT 17:
BIOMARKERS
17.1 Introduction
Biomarkers are
measurable indicators that reflect biological states, conditions, or diseases.
They have revolutionized how we diagnose diseases, monitor health, and assess
environmental stressors. In environmental biotechnology and health sciences
alike, biomarkers provide valuable data to understand how external agents
influence living systems. In this unit, we explore biomarkers' classification,
uses in medicine and environmental monitoring, and their increasing relevance
in modern diagnostics and research.
17.2 Objectives
By the end of
this unit, learners will be able to:
- Define what
biomarkers are and their significance.
- Understand
different types and classifications of biomarkers.
- Explore
diverse applications of biomarkers in medical and environmental contexts.
- Recognize
the role of biomarkers in therapeutic development and anti-doping
regulation.
- Analyze the
future potential of biomarker technology in health and environmental
monitoring.
17.3 Definition of Biomarkers
Biomarkers (biological
markers) are defined as measurable indicators of a biological condition,
physiological change, or disease state. They can be molecules, genes, enzymes,
proteins, or other measurable biological parameters found in blood, tissues,
urine, or cells.
According to the
NIH, a biomarker is "a characteristic that is objectively measured and
evaluated as an indicator of normal biological processes, pathogenic processes,
or pharmacological responses to a therapeutic intervention."
17.4 Classification of Biomarkers
Biomarkers are
broadly classified based on their functional use:
- Diagnostic
Biomarkers
- Identify
the presence or absence of a disease.
- Example:
Elevated troponin levels for heart attack.
- Prognostic
Biomarkers
- Predict the
likely progression or outcome of a disease.
- Example:
HER2 gene in breast cancer.
- Predictive
Biomarkers
- Indicate
how well a patient will respond to a specific treatment.
- Example:
EGFR mutation in non-small-cell lung carcinoma.
- Pharmacodynamic/Response
Biomarkers
- Reflect the
biological response after administering a drug or therapy.
- Susceptibility/Risk
Biomarkers
- Indicate an
individual’s likelihood of developing a disease or condition.
- Safety
Biomarkers
- Indicate
toxicity or adverse effects of drugs or chemicals on the body.
- Environmental
Biomarkers
- Reflect
exposure to environmental pollutants or stressors and their effects on
organisms.
17.5 Application of Biomarkers
17.5.1 Disease Diagnostic
Biomarkers play a
crucial role in early disease detection. For example, PSA (Prostate-Specific
Antigen) is used for diagnosing prostate cancer, while HbA1c
indicates blood glucose levels over time in diabetic patients.
17.5.2 Clinical Monitoring of the Patient
They help monitor
disease progression or recovery in patients undergoing treatment. For example, CD4+
T-cell count is routinely used to monitor HIV/AIDS patients.
17.5.3 Disease Prognostic
Prognostic
biomarkers predict disease outcome or progression. For instance, BRCA1/2
mutations are linked to breast and ovarian cancer risk, enabling
preventative care and targeted treatment.
17.5.4 Therapeutic Development
Biomarkers assist
in drug discovery and clinical trials by identifying patient populations,
assessing drug efficacy, and minimizing adverse reactions. They contribute to personalized
medicine, optimizing treatment plans based on individual biomarker
profiles.
17.5.5 Anti-Doping Test of Athletes
Biomarkers are
used in sports medicine to detect illicit use of performance-enhancing drugs.
The Athlete Biological Passport (ABP) monitors selected biological
variables over time to indirectly reveal doping.
17.5.6 Environmental Monitoring
Environmental
biomarkers detect physiological changes in organisms caused by exposure to
pollutants or environmental stress. They can be used to monitor heavy
metals, pesticides, and other pollutants in aquatic and terrestrial
ecosystems.
17.6 Biomarkers in Environmental Monitoring
Environmental
monitoring using biomarkers involves analyzing the physiological, biochemical,
or molecular responses of organisms to pollutants. For example:
- Metallothioneins: Proteins produced by organisms in response to heavy metals.
- Cytochrome
P450 enzymes: Involved in detoxifying organic pollutants.
- Stress
proteins (HSPs): Indicate environmental stress conditions.
- Cholinesterase
inhibition: A marker for pesticide exposure in aquatic fauna.
Biomarkers
provide early-warning systems, allowing timely action before ecological damage
becomes widespread. They are used in ecotoxicology, risk assessment,
and pollution control.
17.7 Future of Biomarkers
The future of
biomarkers lies in multi-omics (genomics, proteomics, metabolomics)
approaches, AI-powered diagnostics, and personalized environmental
risk assessment. The integration of wearable sensors, point-of-care
devices, and real-time data analysis will make biomarker monitoring more
accessible and precise.
Emerging trends
include:
- Development
of non-invasive biomarkers (saliva, sweat, breath).
- Digital
biomarkers using apps and wearables.
- Integration
into public health surveillance systems.
- Use in climate
change impact studies on human and ecosystem health.
17.8 Importance of Biomarkers
- Early
Detection: Identifies health problems at a stage when
intervention is most effective.
- Personalized
Medicine: Enables targeted therapies based on individual
biology.
- Therapeutic
Monitoring: Tracks treatment efficacy and toxicity.
- Environmental
Health: Assesses ecological risks and the health of
organisms.
- Public
Health: Helps in managing outbreaks, exposures, and
long-term surveillance.
In summary,
biomarkers are indispensable tools in the modern scientific landscape, bridging
health, environment, and technology.
17.9 Summary
Biomarkers serve
as powerful indicators of biological, environmental, or pathological processes.
They are classified based on their function in diagnostics, prognostics,
therapeutics, and environmental monitoring. Their applications range from
disease detection to pollution assessment. As research advances, biomarkers
will continue to play a vital role in precision healthcare, environmental
sustainability, and bio-surveillance.
17.10 Keywords
- Biomarker-A measurable indicator
of a biological condition or process.
- Diagnostic Biomarker-A biomarker used to
detect or confirm a disease.
- Prognostic Biomarker-A biomarker that
predicts disease progression or outcome.
- Predictive Biomarker-Indicates the likely
response to a specific treatment.
- Environmental Biomarker-A biological response
used to assess exposure to environmental pollutants.
- Metallothionein-A protein that binds
heavy metals, used as a biomarker for metal exposure.
- Cytochrome P450-Enzyme system that
metabolizes toxins and drugs, used as an environmental biomarker.
- Anti-Doping Biomarker-Biomarker used to detect
illicit substances in athletes.
- Personalized Medicine-Tailored medical
treatment based on individual biomarker profiles.
- Athlete Biological Passport (ABP)-A profile of biomarkers used over time to detect doping in sports.
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