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癌症治疗走向成熟:从一刀切到新一代测序(NGS)技术。

Cancer treatment comes to age: from one-size-fits-all to next-generation sequencing (NGS) technologies.

作者信息

Parvizpour Sepideh, Beyrampour-Basmenj Hanieh, Razmara Jafar, Farhadi Farhad, Shamsir Mohd Shahir

机构信息

Research Center for Pharmaceutical Nanotechnology, Biomedicine Institute, Tabriz University of Medical ‎Sciences, Tabriz, Iran.

Department of Medical Biotechnology, School of Advanced Medical Sciences, Tabriz University of Medical ‎Sciences, Tabriz, Iran.

出版信息

Bioimpacts. 2024;14(4):29957. doi: 10.34172/bi.2023.29957. Epub 2023 Dec 23.

Abstract

Cancer is one of the leading causes of death worldwide and one of the greatest challenges in extending life expectancy. The paradigm of one-size-fits-all medicine has already given way to the stratification of patients by disease subtypes, clinical characteristics, and biomarkers (stratified medicine). The introduction of next-generation sequencing (NGS) in clinical oncology has made it possible to tailor cancer patient therapy to their molecular profiles. NGS is expected to lead the transition to precision medicine (PM), where the right therapeutic approach is chosen for each patient based on their characteristics and mutations. Here, we highlight how the NGS technology facilitates cancer treatment. In this regard, first, precision medicine and NGS technology are reviewed, and then, the NGS revolution in precision medicine is described. In the sequel, the role of NGS in oncology and the existing limitations are discussed. The available databases and bioinformatics tools and online servers used in NGS data analysis are also reviewed. The review ends with concluding remarks.

摘要

癌症是全球主要死因之一,也是延长预期寿命面临的最大挑战之一。一刀切的医学模式已让位于根据疾病亚型、临床特征和生物标志物对患者进行分层(分层医学)。临床肿瘤学中引入下一代测序(NGS)使得根据癌症患者的分子特征量身定制治疗方案成为可能。NGS有望引领向精准医学(PM)的转变,即根据每位患者的特征和突变选择合适的治疗方法。在此,我们重点介绍NGS技术如何促进癌症治疗。在这方面,首先回顾精准医学和NGS技术,然后描述精准医学中的NGS革命。接着,讨论NGS在肿瘤学中的作用以及现存局限性。还将回顾NGS数据分析中使用的可用数据库、生物信息学工具和在线服务器。综述最后给出总结性评论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/077c/11298019/ec85bcee2ba5/bi-14-29957-g001.jpg

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