细胞外核酸在结直肠癌诊断及病情进展中的作用

Extracellular Nucleic Acids in the Diagnosis and Progression of Colorectal Cancer.

作者信息

Styk Jakub, Buglyó Gergely, Pös Ondrej, Csók Ádám, Soltész Beáta, Lukasz Peter, Repiská Vanda, Nagy Bálint, Szemes Tomáš

机构信息

Institute of Medical Biology, Genetics and Clinical Genetics, Faculty of Medicine, Comenius University, 811 08 Bratislava, Slovakia.

Comenius University Science Park, Comenius University, 841 04 Bratislava, Slovakia.

出版信息

Cancers (Basel). 2022 Jul 29;14(15):3712. doi: 10.3390/cancers14153712.

Abstract

Colorectal cancer (CRC) is the 3rd most common malignant neoplasm worldwide, with more than two million new cases diagnosed yearly. Despite increasing efforts in screening, many cases are still diagnosed at a late stage, when mortality is high. This paper briefly reviews known genetic causes of CRC (distinguishing between sporadic and familial forms) and discusses potential and confirmed nucleic acid biomarkers obtainable from liquid biopsies, classified by their molecular features, focusing on clinical relevance. We comment on advantageous aspects such as better patient compliance due to blood sampling being minimally invasive, the possibility to monitor mutation characteristics of sporadic and hereditary CRC in a disease showing genetic heterogeneity, and using up- or down-regulated circulating RNA markers to reveal metastasis or disease recurrence. Current difficulties and thoughts on some possible future directions are also discussed. We explore current evidence in the field pointing towards the introduction of personalized CRC management.

摘要

结直肠癌(CRC)是全球第三大常见恶性肿瘤,每年有超过200万新病例被诊断出来。尽管在筛查方面的努力不断增加,但许多病例仍在晚期被诊断出来,此时死亡率很高。本文简要回顾了结直肠癌已知的遗传病因(区分散发性和家族性形式),并讨论了可从液体活检中获得的、按分子特征分类的潜在和已证实的核酸生物标志物,重点关注临床相关性。我们评论了一些有利方面,例如由于采血微创性而使患者依从性更好、在一种表现出遗传异质性的疾病中监测散发性和遗传性结直肠癌的突变特征的可能性,以及使用上调或下调的循环RNA标志物来揭示转移或疾病复发。还讨论了当前的困难以及对一些可能的未来方向的思考。我们探讨了该领域目前指向引入个性化结直肠癌管理的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7c6/9367600/a1b282caf933/cancers-14-03712-g001.jpg

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