Department of Urology, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Heping District, Liaoning, Shenyang, 110004, People's Republic of China.
Mol Cancer. 2023 Feb 21;22(1):37. doi: 10.1186/s12943-023-01745-7.
Renal cell carcinoma (RCC) is a major pathological type of kidney cancer and is one of the most common malignancies worldwide. The unremarkable symptoms of early stages, proneness to postoperative metastasis or recurrence, and low sensitivity to radiotherapy and chemotherapy pose a challenge for the diagnosis and treatment of RCC. Liquid biopsy is an emerging test that measures patient biomarkers, including circulating tumor cells, cell-free DNA/cell-free tumor DNA, cell-free RNA, exosomes, and tumor-derived metabolites and proteins. Owing to its non-invasiveness, liquid biopsy enables continuous and real-time collection of patient information for diagnosis, prognostic assessment, treatment monitoring, and response evaluation. Therefore, the selection of appropriate biomarkers for liquid biopsy is crucial for identifying high-risk patients, developing personalized therapeutic plans, and practicing precision medicine. In recent years, owing to the rapid development and iteration of extraction and analysis technologies, liquid biopsy has emerged as a low cost, high efficiency, and high accuracy clinical detection method. Here, we comprehensively review liquid biopsy components and their clinical applications over the past 5 years. Additionally, we discuss its limitations and predict its future prospects.
肾细胞癌(RCC)是肾脏癌症的主要病理类型,也是全球最常见的恶性肿瘤之一。早期症状不明显、术后易转移或复发、对放疗和化疗敏感性低,这些特点给 RCC 的诊断和治疗带来了挑战。液体活检是一种新兴的检测方法,可测量患者的生物标志物,包括循环肿瘤细胞、游离 DNA/游离肿瘤 DNA、游离 RNA、外泌体以及肿瘤衍生的代谢物和蛋白质。由于其非侵入性,液体活检可以持续实时地收集患者信息,用于诊断、预后评估、治疗监测和反应评估。因此,选择合适的液体活检标志物对于识别高危患者、制定个性化治疗计划和实施精准医学至关重要。近年来,由于提取和分析技术的快速发展和迭代,液体活检已成为一种低成本、高效率和高精度的临床检测方法。在这里,我们全面回顾了过去 5 年来液体活检的组成部分及其临床应用。此外,我们还讨论了其局限性,并预测了其未来前景。