Tumor Biomarkers in Gynecology—2nd Edition

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Cancer Biology and Oncology".

Deadline for manuscript submissions: 31 May 2026 | Viewed by 508

Special Issue Editors


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Guest Editor
Unità Operativa Complessa di Ginecologia—Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, Italy
Interests: gynecology; obstetrics; gynecology oncology; minimally invasive surgery; endocrinology; tumor biomarkers; human papilloma virus
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Guest Editor
Department of Obstetrics and Gynecology, University Campus Biomedico of Rome, Rome, Italy
Interests: gynecology; gynecologic oncology; minimally invasive surgery; urogynecology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Gynecological cancers frequently affect the female population worldwide. Despite the best efforts of scientists in implementing screening and early diagnosis programs, it is only in cervical cancer that we have been able to identify an effective method of prevention.  

In relation to ovarian cancer, the literature has analyzed the well-known markers CA125 and HE4, which are historically reliable, but early-stage diagnosis requires the implementation of more precise biomarkers. Attempts are currently being made to introduce liquid biopsy into early detection to identify promising microRNA biomarkers.  

Although it is used in endometrial cancer, the known protein CA-19.9 is imprecise and has been surpassed by HE4; the latter’s clinical utility may be limited by its lower sensitivity, but it is strongly related to prognosis. The new frontier is represented by proteomic biomarkers (e.g., YKL-40, DJ-1) and promising exonal biomarker miRNA (e.g., 21, 27, and 223), showing higher sensitivity and specificity.  

In breast cancer, CA15.3 is the best-known tumor marker and is strongly associated with tumor stage. New strategies are also being studied in this field, with a focus on new, more effective markers in the peripheral blood for use in early diagnosis and risk stratification for the development of breast cancer. These markers could include the hypermethylation of cell-free DNA or circular RNAs, and they could prove vital in prognosis and treatment.

Finally, although there was already a reliable screening process for cervical cancer, precision medicine allowed the introduction of the squamous-cell carcinoma (SCC) antigen. New markers are emerging that could increase this biomarker's diagnostic and prognostic potential, possibly associating it with miRNA or the evaluation of long non-coding RNAs.

Therefore, moving forward through this century, our challenge is to identify more effective and accurate biomarkers for the early diagnosis of gynecological cancers.  

Dr. Corrado Terranova
Dr. Francesco Plotti
Guest Editors

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Keywords

  • gynecological cancers
  • precision medicine
  • biomarkers

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16 pages, 1138 KB  
Article
Role of Matrilysins (MMP-7, MMP-26) and Stromelysins (MMP-3, MMP-10) in Diagnosing Cervical Cancer Patients
by Ewa Gacuta, Michał Ławicki, Hanna Grabowska, Paweł Ławicki, Monika Kulesza, Aleksandra Kicman, Monika Zajkowska, Piotr Laudański and Sławomir Ławicki
Biomedicines 2025, 13(12), 2910; https://doi.org/10.3390/biomedicines13122910 - 27 Nov 2025
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Abstract
Background/Objectives: Detection of cervical lesions is crucial for effective prevention and treatment. Therefore, the search for new diagnostic markers is extremely important. This study aimed to evaluate the concentration and diagnostic utility of selected matrix metalloproteinases (MMPs) as novel biomarkers. Methods: [...] Read more.
Background/Objectives: Detection of cervical lesions is crucial for effective prevention and treatment. Therefore, the search for new diagnostic markers is extremely important. This study aimed to evaluate the concentration and diagnostic utility of selected matrix metalloproteinases (MMPs) as novel biomarkers. Methods: The study group consisted of 320 participants: 160 patients with cervical cancer (CC), 100 patients with cervical dysplasia (CD), and 60 healthy controls (HC). MMPs were determined by an ELISA (Enzyme-Linked Immunosorbent Assay), and CA 125 and SCC-Ag by a CMIA (chemiluminescent microparticle immunoassay). Results: Our study revealed significantly higher concentrations of MMP-7 and MMP-10 in the CC and CD groups compared to healthy controls. Interestingly, concentrations of these two parameters increased with the advancement of the disease. In the case of MMP-3, the highest concentrations were observed in the CD group, moderate concentrations in the group with diagnosed CC, and the lowest in the group of healthy women. Notably, the concentration of this parameter in the CC group decreased with increasing disease advancement. In the case of MMP-26, the highest concentrations, which increased with advancement, were observed in CC, moderate concentrations in HC, and the lowest in the group of women with CD. The highest diagnostic usefulness among all the parameters was shown for MMP-7 (sensitivity (SE): 96%; specificity (SP): 94.14%; positive predictive value (PPV): 92.26%; negative predictive value (NPV): 85.46%; area under the curve (AUC): 0.9878) and MMP-10 (SE: 90.25%; SP: 80.05%; PPV: 92.15%; NPV: 88.45%; AUC: 0.9404). Conclusions: All parameters presented significant differences between the concentrations obtained in the CC group and the CD group, which may indicate their usefulness not only in the diagnosis of cervical cancer, but also in the possible differentiation between benign and malignant lesions. Full article
(This article belongs to the Special Issue Tumor Biomarkers in Gynecology—2nd Edition)
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