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[液体活检:它们对癌症管理有何贡献?]

[The liquid biopsies: What is their contribution to the management of cancer?].

作者信息

Wechsler J

机构信息

Consultant Anatomo-Cyto-Pathologiste   ScreenCell, centre Roger Pérez, 10, avenue Charles-Péguy, 95200 Sarcelles, France.

出版信息

Rev Med Interne. 2018 Nov;39(11):886-890. doi: 10.1016/j.revmed.2018.04.012. Epub 2018 Jun 13.

Abstract

The « liquid biopsies » are samples of liquids such as blood, urine, spinal fluid that can contain tumor material. Clinical assays have been mainly focused on the peripheral blood containing circulating tumor cells and circulating tumor DNA. The circulating tumor cells are cancer cells released from the primary tumor or recurrences or metastases. They enter into the bloodstream after passing through the vessel wall. It is possible to analyze the circulating tumor cells by means of all cytologic and biomolecular techniques. The free circulating tumor DNA is made of fragments of DNA released by living or necrotic tumor cells proceeded from any place of the organism. The free circulating tumor DNA and DNA from circulating tumor cells show structural rearrangements among which some are therapeutic targets. Many studies showed that circulating tumor cells and circulating tumor DNA analyses are useful in revealing recurrences and tracking therapeutic targets.

摘要

“液体活检”是指血液、尿液、脑脊液等可能含有肿瘤物质的液体样本。临床检测主要集中于含有循环肿瘤细胞和循环肿瘤DNA的外周血。循环肿瘤细胞是从原发性肿瘤、复发灶或转移灶释放出的癌细胞。它们穿过血管壁后进入血液循环。借助所有的细胞学和生物分子技术都有可能对循环肿瘤细胞进行分析。游离循环肿瘤DNA由机体任何部位存活或坏死的肿瘤细胞释放的DNA片段组成。游离循环肿瘤DNA和循环肿瘤细胞中的DNA显示出结构重排,其中一些是治疗靶点。许多研究表明,循环肿瘤细胞和循环肿瘤DNA分析在发现复发和追踪治疗靶点方面很有用。

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