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液体活检:一般概念。

Liquid Biopsy: General Concepts.

作者信息

Poulet Geoffroy, Massias Joséphine, Taly Valerie

机构信息

INSERM UMR-S1147, CNRS SNC5014, Paris Descartes University, Equipe labellisée Ligue Nationale contre le cancer, Paris, France.

Eurofin-Biomnis, Lyon, France.

出版信息

Acta Cytol. 2019;63(6):449-455. doi: 10.1159/000499337. Epub 2019 May 15.

Abstract

Liquid biopsy provides the opportunity of detecting, analyzing and monitoring cancer in various body effluents such as blood or urine instead of a fragment of cancer tissue. It is composed of different biological matrices such as circulating tumor cells (CTCs), cell free nucleic acids, exosomes or tumors "educated platelets." In addition to representing a non- or minimally invasive procedure, it should represent a better view of tumor heterogeneity and allows for real-time monitoring of cancer evolution. Recent technological and molecular advances, greatly facilitated by the use of microfluidics in many cases, have permitted large progresses both in our ability to purify and analyze liquid biopsy components. In particular, the great developments of droplet-based digital PCR and the various optimizations of next generation sequencing technologies are central to the several validations of CTC-free DNA as a strong cancer biomarker. However, complete adoption of liquid biopsy in clinics will require pursuing recent efforts in the standardization of procedures both on the pre-analytical and analytical aspects.

摘要

液体活检提供了在血液或尿液等各种体液中检测、分析和监测癌症的机会,而无需获取癌组织切片。它由不同的生物基质组成,如循环肿瘤细胞(CTC)、游离核酸、外泌体或“受过肿瘤教育的血小板”。除了是一种非侵入性或微创性操作外,它还能更好地反映肿瘤异质性,并允许对癌症进展进行实时监测。最近,在许多情况下,微流控技术的应用极大地推动了技术和分子层面的进步,使我们在纯化和分析液体活检成分的能力上取得了重大进展。特别是,基于液滴的数字PCR的重大发展以及下一代测序技术的各种优化,对于游离DNA作为强大癌症生物标志物的多项验证至关重要。然而,要在临床中全面采用液体活检,还需要在分析前和分析方面的程序标准化上继续努力。

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