Coordinamento Farmaceutico, ASL-Naples-3, 80056 Ercolano, Italy.
Istituto Nazionale Tumori di Napoli, IRCCS "G. Pascale", Via M. Semmola, 80131 Naples, Italy.
Cells. 2023 Nov 8;12(22):2590. doi: 10.3390/cells12222590.
Circulating tumor cells (CTCs) have emerged as pivotal biomarkers with significant predictive and prognostic implications in solid tumors. Their presence in peripheral blood offers a non-invasive window into the dynamic landscape of cancer progression and treatment response. This narrative literature review synthesizes the current state of knowledge surrounding the multifaceted role of CTCs in predicting clinical outcomes and informing prognosis across a spectrum of solid tumor malignancies. This review delves into the evolving landscape of CTC-based research, emphasizing their potential as early indicators of disease recurrence, metastatic potential, and therapeutic resistance. Moreover, we have underscored the dynamic nature of CTCs and their implications for personalized medicine. A descriptive and critical analysis of CTC detection methodologies, their clinical relevance, and their associated challenges is also presented, with a focus on recent advancements and emerging technologies. Furthermore, we examine the integration of CTC-based liquid biopsies into clinical practice, highlighting their role in guiding treatment decisions, monitoring treatment efficacy, and facilitating precision oncology. This review highlights the transformative impact of CTCs as predictive and prognostic biomarkers in the management of solid tumors by promoting a deeper understanding of the clinical relevance of CTCs and their role in advancing the field of oncology.
循环肿瘤细胞(CTCs)已成为实体瘤中具有重要预测和预后意义的关键生物标志物。它们在外周血液中的存在为癌症进展和治疗反应的动态景观提供了一个非侵入性的窗口。本综述性文献综述综合了当前围绕 CTC 在预测临床结局和为各种实体瘤恶性肿瘤提供预后信息方面的多方面作用的知识现状。本综述深入探讨了基于 CTC 的研究的不断发展的领域,强调了它们作为疾病复发、转移潜力和治疗耐药性的早期指标的潜力。此外,我们强调了 CTC 的动态性质及其对个性化医学的影响。还对 CTC 检测方法的描述性和批判性分析、其临床相关性及其相关挑战进行了介绍,重点介绍了最近的进展和新兴技术。此外,我们还研究了基于 CTC 的液体活检在临床实践中的整合,强调了它们在指导治疗决策、监测治疗效果以及促进肿瘤精准医学方面的作用。本综述强调了 CTC 作为预测和预后生物标志物在实体瘤管理中的变革性影响,通过深入了解 CTC 的临床相关性及其在推进肿瘤学领域中的作用来促进这一理解。