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液体活检、新方法与未来方向。

Liquid Biopsies, Novel Approaches and Future Directions.

作者信息

Armakolas Athanasios, Kotsari Maria, Koskinas John

机构信息

Physiology Laboratory, Medical School, National and Kapodistrian University of Athens, 115 27 Athens, Greece.

B' Department of Medicine, Hippokration Hospital, National and Kapodistrian University of Athens, 115 27 Athens, Greece.

出版信息

Cancers (Basel). 2023 Mar 3;15(5):1579. doi: 10.3390/cancers15051579.

Abstract

Cancer is among the leading causes of death worldwide. Early diagnosis and prognosis are vital to improve patients' outcomes. The gold standard of tumor characterization leading to tumor diagnosis and prognosis is tissue biopsy. Amongst the constraints of tissue biopsy collection is the sampling frequency and the incomplete representation of the entire tumor bulk. Liquid biopsy approaches, including the analysis of circulating tumor cells (CTCs), circulating tumor DNA (ctDNA), circulating miRNAs, and tumor-derived extracellular vesicles (EVs), as well as certain protein signatures that are released in the circulation from primary tumors and their metastatic sites, present a promising and more potent candidate for patient diagnosis and follow up monitoring. The minimally invasive nature of liquid biopsies, allowing frequent collection, can be used in the monitoring of therapy response in real time, allowing the development of novel approaches in the therapeutic management of cancer patients. In this review we will describe recent advances in the field of liquid biopsy markers focusing on their advantages and disadvantages.

摘要

癌症是全球主要死因之一。早期诊断和预后对于改善患者结局至关重要。实现肿瘤诊断和预后的肿瘤特征描述的金标准是组织活检。组织活检采集的限制因素包括采样频率以及无法完整代表整个肿瘤体积。液体活检方法,包括对循环肿瘤细胞(CTC)、循环肿瘤DNA(ctDNA)、循环微小RNA(miRNA)和肿瘤衍生细胞外囊泡(EV)的分析,以及从原发性肿瘤及其转移部位释放到循环中的某些蛋白质标志物,为患者诊断和随访监测提供了一个有前景且更有效的候选方案。液体活检的微创性质允许频繁采集,可用于实时监测治疗反应,从而开发癌症患者治疗管理的新方法。在本综述中,我们将描述液体活检标志物领域的最新进展,重点关注其优缺点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/405b/10000663/fe4918b18e76/cancers-15-01579-g001.jpg

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