Zanganeh Saba, Abbasgholinejad Elham, Doroudian Mohammad, Esmaelizad Nazanin, Farjadian Fatemeh, Benhabbour Soumya Rahima
Joint Department of Biomedical Engineering, North Carolina State University and The University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Department of Cell and Molecular Sciences, Faculty of Biological Sciences, Kharazmi University, Tehran 15719-14911, Iran.
Cancers (Basel). 2023 Jul 26;15(15):3804. doi: 10.3390/cancers15153804.
Glioblastoma (GBM) is a highly aggressive and lethal primary brain cancer that necessitates early detection and accurate diagnosis for effective treatment and improved patient outcomes. Traditional diagnostic methods, such as imaging techniques and tissue biopsies, have limitations in providing real-time information and distinguishing treatment-related changes from tumor progression. Liquid biopsies, used to analyze biomarkers in body fluids, offer a non-invasive and dynamic approach to detecting and monitoring GBM. This article provides an overview of GBM biomarkers in body fluids, including circulating tumor cells (CTCs), cell-free DNA (cfDNA), cell-free RNA (cfRNA), microRNA (miRNA), and extracellular vesicles. It explores the clinical utility of these biomarkers for GBM detection, monitoring, and prognosis. Challenges and limitations in implementing liquid biopsy strategies in clinical practice are also discussed. The article highlights the potential of liquid biopsies as valuable tools for personalized GBM management but underscores the need for standardized protocols and further research to optimize their clinical utility.
胶质母细胞瘤(GBM)是一种极具侵袭性和致命性的原发性脑癌,为实现有效治疗并改善患者预后,需要早期检测和准确诊断。传统诊断方法,如图像技术和组织活检,在提供实时信息以及区分治疗相关变化与肿瘤进展方面存在局限性。用于分析体液中生物标志物的液体活检为检测和监测GBM提供了一种非侵入性的动态方法。本文概述了体液中的GBM生物标志物,包括循环肿瘤细胞(CTC)、游离DNA(cfDNA)、游离RNA(cfRNA)、微小RNA(miRNA)和细胞外囊泡。探讨了这些生物标志物在GBM检测、监测和预后方面的临床应用。还讨论了在临床实践中实施液体活检策略的挑战和局限性。本文强调了液体活检作为个性化GBM管理有价值工具的潜力,但也强调需要标准化方案和进一步研究以优化其临床应用。