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癌症的液体活检:循环肿瘤细胞、游离循环DNA还是外泌体?

Liquid Biopsy for Cancer: Circulating Tumor Cells, Circulating Free DNA or Exosomes?

作者信息

Zhang Wei, Xia Wenjie, Lv Zhengye, Ni Chao, Xin Yin, Yang Liu

出版信息

Cell Physiol Biochem. 2017;41(2):755-768. doi: 10.1159/000458736. Epub 2017 Feb 13.

Abstract

Precision medicine and personalized medicine are based on the development of biomarkers, and liquid biopsy has been reported to be able to detect biomarkers that carry information on tumor development and progression. Compared with traditional 'solid biopsy', which cannot always be performed to determine tumor dynamics, liquid biopsy has notable advantages in that it is a noninvasive modality that can provide diagnostic and prognostic information prior to treatment, during treatment and during progression. In this review, we describe the source, characteristics, technology for detection and current situation of circulating tumor cells, circulating free DNA and exosomes used for diagnosis, recurrence monitoring, prognosis assessment and medication planning.

摘要

精准医学和个性化医学基于生物标志物的发展,并且据报道,液体活检能够检测携带肿瘤发生和进展信息的生物标志物。与并非总能用于确定肿瘤动态变化的传统“实体活检”相比,液体活检具有显著优势,因为它是一种非侵入性方法,能够在治疗前、治疗期间和病情进展期间提供诊断和预后信息。在本综述中,我们描述了用于诊断、复发监测、预后评估和用药规划的循环肿瘤细胞、循环游离DNA和外泌体的来源、特征、检测技术及现状。

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