液体活检利用循环肿瘤细胞和循环游离肿瘤 DNA 检测和监测乳腺癌的进展。

Advances in liquid biopsy using circulating tumor cells and circulating cell-free tumor DNA for detection and monitoring of breast cancer.

机构信息

Department of Laboratory Medicine, Affiliated Hospital of Nantong University, Nantong, 226001, China.

出版信息

Clin Exp Med. 2019 Aug;19(3):271-279. doi: 10.1007/s10238-019-00563-w. Epub 2019 Jun 12.

Abstract

Overview the progress of liquid biopsy using circulating tumor cells (CTCs) and circulating cell-free tumor DNA (cfDNA) to detect and monitor breast cancer. Based on numerous research efforts, the potential value of CTCs and cfDNA in the clinical aspects of cancer has become clear. With the development of next-generation sequencing analysis and newly developed technologies, many technical issues have been resolved, making liquid biopsy widely used in clinical practice. They can be powerful tools for dynamic monitoring of tumor progression and therapeutic efficacy. In the field of breast cancer, liquid biopsy is a research hot spot in recent years, playing a key role in monitoring breast cancer metastasis, predicting disease recurrence and assessing clinical drug resistance. Liquid biopsy has the advantages of noninvasive, high sensitivity, high specificity and real-time dynamic monitoring. Still application is far from reality, but the research and application prospects of CTCs and cfDNA in breast cancer are still worth exploring and discovering. This article reviews the main techniques and applications of CTCs and cfDNA in breast cancer.

摘要

综述利用循环肿瘤细胞(CTC)和循环游离肿瘤 DNA(cfDNA)进行液体活检以检测和监测乳腺癌的进展。基于大量的研究工作,CTC 和 cfDNA 在癌症临床方面的潜在价值已经变得清晰。随着下一代测序分析和新开发技术的发展,许多技术问题已经得到解决,使得液体活检广泛应用于临床实践中。它们可以成为动态监测肿瘤进展和治疗效果的有力工具。在乳腺癌领域,液体活检是近年来的研究热点,在监测乳腺癌转移、预测疾病复发和评估临床药物耐药性方面发挥着关键作用。液体活检具有非侵入性、高灵敏度、高特异性和实时动态监测的优点。尽管应用还远未普及,但 CTC 和 cfDNA 在乳腺癌中的研究和应用前景仍然值得探索和发现。本文综述了 CTC 和 cfDNA 在乳腺癌中的主要技术和应用。

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