Kato Shumei, Janku Filip
Department of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, FC8.2018, Box 0455, Houston, TX 77030, USA.
Biomark Med. 2015;9(7):703-12. doi: 10.2217/bmm.15.38.
Advances in next-generation sequencing have provided new insights and new therapeutic options for patients with cancer. However, assessment of genomic aberrations, which is required for precision medicine, has been challenging because of the difficulties in capturing intratumoral heterogeneity and in real-time assessment of tumors. Recent advances in technology have enabled detection and analysis of cell-free DNA in cancer patients, which provides real-time assessment of tumor evolution. Here, we review the recent advances in our understanding of the clinical utility of cell-free DNA and the future directions for its use in cancer management.
新一代测序技术的进展为癌症患者提供了新的见解和新的治疗选择。然而,由于难以捕捉肿瘤内异质性以及实时评估肿瘤,精准医学所需的基因组畸变评估一直具有挑战性。技术上的最新进展使得能够检测和分析癌症患者的游离DNA,从而实现对肿瘤演变的实时评估。在此,我们综述了目前对游离DNA临床应用的最新认识以及其在癌症管理中的未来应用方向。