Gao Wei, Chen Yigui, Yang Jianwei, Zhuo Changhua, Huang Sha, Zhang Hui, Shi Yi
Department of Internal Medicine-Oncology, Fujian Cancer Hospital and Fujian Medical University Cancer Hospital, Fuzhou, China.
Department of Gastrointestinal Surgical Oncology, Fujian Cancer Hospital and Fujian Medical University Cancer Hospital, Fuzhou, China.
Front Genet. 2021 Jan 28;12:634642. doi: 10.3389/fgene.2021.634642. eCollection 2021.
Liquid biopsy, which generally refers to the analysis of biological components such as circulating nuclear acids and circulating tumor cells in body fluids, particularly in peripheral blood, has shown good capacity to overcome several limitations faced by conventional tissue biopsies. Emerging evidence in recent decades has confirmed the promising role of liquid biopsy in the clinical management of various cancers, including colorectal cancer, which is one of the most prevalent cancers and the second leading cause of cancer-related deaths worldwide. Despite the challenges and poor clinical outcomes, patients with metastatic colorectal cancer can expect potential clinical benefits with liquid biopsy. Therefore, in this review, we focus on the clinical prospects of liquid biopsy in metastatic colorectal cancer, specifically with regard to the recently discovered various biomarkers identified on liquid biopsy. These biomarkers have been shown to be potentially useful in multiple aspects of metastatic colorectal cancer, such as auxiliary diagnosis of metastasis, prognosis prediction, and monitoring of therapy response.
液体活检通常是指对体液(尤其是外周血)中的循环核酸和循环肿瘤细胞等生物成分进行分析,已显示出其具有良好的能力来克服传统组织活检所面临的若干局限性。近几十年来不断涌现的证据证实了液体活检在包括结直肠癌在内的各种癌症临床管理中的潜在作用,结直肠癌是全球最常见的癌症之一,也是癌症相关死亡的第二大主要原因。尽管存在挑战且临床结果不佳,但转移性结直肠癌患者仍有望从液体活检中获得潜在的临床益处。因此,在本综述中,我们重点关注液体活检在转移性结直肠癌中的临床前景,特别是关于最近在液体活检中发现的各种生物标志物。这些生物标志物已显示出在转移性结直肠癌的多个方面具有潜在用途,如转移的辅助诊断、预后预测和治疗反应监测。