Chen Zhenhui, Li Chenghao, Zhou Yue, Yao Yinghao, Liu Jiaqi, Wu Min, Su Jianzhong
School of Biomedical Engineering School of Ophthalmology & Optometry and Eye Hospital Wenzhou Medical University Wenzhou Zhejiang China.
Oujiang Laboratory Zhejiang Lab for Regenerative Medicine Vision and Brain Health Wenzhou Zhejiang China.
MedComm (2020). 2023 Jul 23;4(4):e329. doi: 10.1002/mco2.329. eCollection 2023 Aug.
Over the past two decades, liquid biopsy has been increasingly used as a supplement, or even, a replacement to the traditional biopsy in clinical oncological practice, due to its noninvasive and early detectable properties. The detections can be based on a variety of features extracted from tumor‑derived entities, such as quantitative alterations, genetic changes, and epigenetic aberrations, and so on. So far, the clinical applications of cancer liquid biopsy mainly aimed at two aspects, prediction (early diagnosis, prognosis and recurrent evaluation, therapeutic response monitoring, etc.) and intervention. In spite of the rapid development and great contributions achieved, cancer liquid biopsy is still a field under investigation and deserves more clinical practice. To better open up future work, here we systematically reviewed and compared the latest progress of the most widely recognized circulating components, including circulating tumor cells, cell-free circulating DNA, noncoding RNA, and nucleosomes, from their discovery histories to clinical values. According to the features applied, we particularly divided the contents into two parts, beyond epigenetics and epigenetic-based. The latter was considered as the highlight along with a brief overview of the advances in both experimental and bioinformatic approaches, due to its unique advantages and relatively lack of documentation.
在过去二十年中,液体活检因其非侵入性和早期可检测性,在临床肿瘤学实践中越来越多地被用作传统活检的补充,甚至替代方法。检测可以基于从肿瘤衍生实体中提取的各种特征,如定量改变、基因变化和表观遗传畸变等。到目前为止,癌症液体活检的临床应用主要集中在两个方面,预测(早期诊断、预后和复发评估、治疗反应监测等)和干预。尽管取得了快速发展和巨大贡献,但癌症液体活检仍是一个正在研究的领域,值得更多的临床实践。为了更好地开展未来工作,我们系统地回顾并比较了最广泛认可的循环成分,包括循环肿瘤细胞、游离循环DNA、非编码RNA和核小体,从其发现历史到临床价值的最新进展。根据应用的特征,我们特别将内容分为两部分,超越表观遗传学和基于表观遗传学的部分。由于后者具有独特优势且相关文献相对较少,因此将其作为重点,并简要概述了实验和生物信息学方法的进展。