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INSERM U1245, Henri Becquerel Center, IRIB, Normandy University, 76000 Rouen, France.
Pharmaceuticals (Basel). 2021 Jun 21;14(6):596. doi: 10.3390/ph14060596.
In the era of precision medicine, it is crucial to identify molecular alterations that will guide the therapeutic management of patients. In this context, circulating tumoral DNA (ctDNA) released by the tumor in body fluids, like blood, and carrying its molecular characteristics is becoming a powerful biomarker for non-invasive detection and monitoring of cancer. Major recent technological advances, especially in terms of sequencing, have made possible its analysis, the challenge still being its reliable early detection. Different parameters, from the pre-analytical phase to the choice of sequencing technology and bioinformatic tools can influence the sensitivity of ctDNA detection.
在精准医学时代,识别能够指导患者治疗管理的分子改变至关重要。在这种背景下,肿瘤释放到体液(如血液)中的循环肿瘤DNA(ctDNA)携带着肿瘤的分子特征,正成为癌症非侵入性检测和监测的有力生物标志物。近期主要的技术进步,尤其是在测序方面,使其分析成为可能,然而挑战依然是其可靠的早期检测。从分析前阶段到测序技术和生物信息学工具的选择等不同参数,都会影响ctDNA检测的灵敏度。