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[液体活检:一种癌症筛查的可能方法]

[Liquid biopsy: a possible approach for cancer screening].

作者信息

Thierry Alain R, Tanos Rita

机构信息

IRCM, Institut de recherche en cancérologie de Montpellier, 208, avenue des Apothicaires, Montpellier, F-34298, France - Inserm U1194, Montpellier, F-34298, France - Université de Montpellier, Montpellier, F-34090, France - Institut régional du cancer de Montpellier, Montpellier, F-34298, France.

出版信息

Med Sci (Paris). 2018 Oct;34(10):824-832. doi: 10.1051/medsci/2018208. Epub 2018 Nov 19.

Abstract

Liquid biopsy has emerged as a promising avenue for cancer screening. Several circulating biomarkers such as circulating DNA, circulating tumor cells, circulating microRNAs and others have shown promise for theragnostics and patient's monitoring. Early detection may help reduce cancer-related mortality and increase overall patient survival. Most cancer types lack specific biomarkers and despite intensive efforts in this area, the development of effective clinical screening techniques has been limited. The noninvasive nature of liquid biopsy represents an advantage over other approaches to define cancer biomarkers, particularly for the development of cancer screening tests. This review presents the various studies based on the analysis of liquid biopsy aiming to develop tests for cancer screening and early detection. So far, no test developed from liquid biopsy proves to be both specific and sensitive enough to be used as a universal screening test. However, the potential of this new approach appears more and more credible, given the recent developments of sophisticated multi-parametric methods.

摘要

液体活检已成为癌症筛查的一个有前景的途径。几种循环生物标志物,如循环DNA、循环肿瘤细胞、循环微小RNA等,已显示出在治疗诊断和患者监测方面的前景。早期检测可能有助于降低癌症相关死亡率并提高患者总体生存率。大多数癌症类型缺乏特异性生物标志物,尽管在这一领域付出了巨大努力,但有效的临床筛查技术的发展仍然有限。液体活检的非侵入性是其相对于其他确定癌症生物标志物方法的一个优势,特别是对于癌症筛查测试的开发。这篇综述介绍了基于液体活检分析的各种研究,旨在开发用于癌症筛查和早期检测的测试。到目前为止,没有从液体活检开发出的测试被证明既具有足够的特异性又具有足够的敏感性,可作为通用筛查测试使用。然而,鉴于复杂多参数方法的最新发展,这种新方法的潜力似乎越来越可信。

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