Department of Biochemical Engineering and Biotechnology, Indian Institute of Technology, Delhi, Hauz Khas, New Delhi, India.
Department of Biochemical Engineering and Biotechnology, Indian Institute of Technology, Delhi, Hauz Khas, New Delhi, India.
Adv Genet. 2021;108:81-145. doi: 10.1016/bs.adgen.2021.08.003. Epub 2021 Oct 7.
In this review, we summarize the current challenges faced by cancer researchers and motivate the use of novel genomics solutions. We follow this up with a comprehensive overview of three recent genomics technologies: liquid biopsy, single-cell RNA sequencing and spatial transcriptomics. We discuss a few representative protocols/assays for each technology along with their strengths, weaknesses, optimal use-cases, and their current stage of clinical deployment by summarizing trial data. We focus on how these technologies help us develop a better understanding of cancer as a rapidly evolving heterogeneous genetic disease that modulates its immediate microenvironment leading to systemic macro-level changes in the patient body. We summarize the review with a flowchart that integrates these three technologies in the existing workflows of clinicians and researchers toward robust detection, accurate diagnosis, and precision oncology.
在这篇综述中,我们总结了癌症研究人员目前面临的挑战,并提出了利用新型基因组学解决方案的思路。接着,我们全面概述了三种最近的基因组学技术:液体活检、单细胞 RNA 测序和空间转录组学。我们讨论了每种技术的几个代表性方案/检测方法,以及它们的优缺点、最佳应用场景,通过总结临床试验数据,介绍了它们目前在临床应用中的部署阶段。我们重点讨论了这些技术如何帮助我们更好地理解癌症作为一种快速进化的异质遗传疾病,它会改变其周围的微环境,从而导致患者体内全身性的宏观变化。我们通过一个流程图总结了这篇综述,该图将这三种技术整合到临床医生和研究人员的现有工作流程中,以实现强大的检测、准确的诊断和精准肿瘤学。