Key Laboratory of Novel Targets and Drug Study for Neural Repair of Zhejiang Province, School of Medicine, Hangzhou City University, Hangzhou, Zhejiang, China.
Department of Clinical Medicine, Hangzhou City University, Hangzhou, Zhejiang, China.
J Hematol Oncol. 2024 Jul 29;17(1):55. doi: 10.1186/s13045-024-01577-y.
Liquid biopsy, an advanced technology for analyzing body fluid samples, is gaining traction in cancer diagnostics and monitoring. Blood-based liquid biopsy, particularly focusing on cell-free DNAs (cf-DNAs), circulating tumor cells (CTCs), and extracellular vesicles (EVs), has garnered significant attention. EVs stand out for their potential in tumor diagnosis, prognosis prediction, and treatment response assessment, owing to their stable molecular cargo and clear extraction process. At the recent American Association for Cancer Research (AACR) Annual Meeting 2024, groundbreaking EVs-based liquid biopsy studies showcased promising strides in early detection and diagnosis of various cancers, including breast cancer (BC), high-grade serous ovarian cancer (HGSOC), pancreatic ductal adenocarcinoma (PDAC), colorectal cancer (CRC), colon adenocarcinoma (COAD), head and neck cancer (HNC), neuroblastoma, and retinoblastoma (RB). Despite these advancements, challenges persist in translating EVs biomarkers into clinical practice. Overcoming these challenges promises to propel EVs-based liquid biopsy into a new era of personalized precision medicine, revolutionizing cancer detection, monitoring, and treatment.
液体活检是一种分析体液样本的先进技术,在癌症诊断和监测方面受到越来越多的关注。基于血液的液体活检,特别是针对游离 DNA(cf-DNAs)、循环肿瘤细胞(CTCs)和细胞外囊泡(EVs)的研究,引起了广泛关注。EVs 因其稳定的分子货物和清晰的提取过程,在肿瘤诊断、预后预测和治疗反应评估方面具有很大的潜力。在最近的 2024 年美国癌症研究协会(AACR)年会上,基于 EVs 的液体活检研究展示了在早期检测和诊断各种癌症方面的令人鼓舞的进展,包括乳腺癌(BC)、高级别浆液性卵巢癌(HGSOC)、胰腺导管腺癌(PDAC)、结直肠癌(CRC)、结肠腺癌(COAD)、头颈部癌症(HNC)、神经母细胞瘤和视网膜母细胞瘤(RB)。尽管取得了这些进展,但将 EVs 生物标志物转化为临床实践仍然存在挑战。克服这些挑战有望将 EVs 液体活检推向个性化精准医学的新时代,彻底改变癌症的检测、监测和治疗方式。