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超越血液:在肿瘤学和个性化医学中推进液体活检的前沿。

Beyond blood: Advancing the frontiers of liquid biopsy in oncology and personalized medicine.

机构信息

Key Laboratory for Translational Medicine, The First Hospital Affiliated with Huzhou University, Huzhou, China.

Department of General Surgery, Puyang Oilfield General Hospital, Puyang, China.

出版信息

Cancer Sci. 2024 Apr;115(4):1060-1072. doi: 10.1111/cas.16097. Epub 2024 Feb 3.

Abstract

Liquid biopsy is emerging as a pivotal tool in precision oncology, offering a noninvasive and comprehensive approach to cancer diagnostics and management. By harnessing biofluids such as blood, urine, saliva, cerebrospinal fluid, and pleural effusions, this technique profiles key biomarkers including circulating tumor DNA, circulating tumor cells, microRNAs, and extracellular vesicles. This review discusses the extended scope of liquid biopsy, highlighting its indispensable role in enhancing patient outcomes through early detection, continuous monitoring, and tailored therapy. While the advantages are notable, we also address the challenges, emphasizing the necessity for precision, cost-effectiveness, and standardized methodologies in its broader application. The future trajectory of liquid biopsy is set to expand its reach in personalized medicine, fueled by technological advancements and collaborative research.

摘要

液体活检作为精准肿瘤学的重要工具正在兴起,为癌症诊断和管理提供了一种非侵入性和全面的方法。该技术利用生物流体,如血液、尿液、唾液、脑脊液和胸腔积液,分析关键生物标志物,包括循环肿瘤 DNA、循环肿瘤细胞、microRNAs 和细胞外囊泡。本文讨论了液体活检的扩展范围,强调了其通过早期检测、持续监测和个体化治疗来改善患者预后的不可或缺作用。虽然优势显著,但我们也讨论了面临的挑战,强调在更广泛的应用中需要精准性、成本效益和标准化方法。液体活检的未来发展轨迹将在技术进步和合作研究的推动下,在个性化医疗中得到扩展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf6/11007055/e60ad2ae248d/CAS-115-1060-g003.jpg

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