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癌症液体活检的现状、挑战与未来前景

Liquid biopsy in cancer current: status, challenges and future prospects.

作者信息

Ma Liwei, Guo Huiling, Zhao Yunxiang, Liu Zhibo, Wang Chenran, Bu Jiahao, Sun Ting, Wei Jianwei

机构信息

Department of Clinical Laboratory, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.

Key Clinical Laboratory of Henan province, Zhengzhou, Henan, China.

出版信息

Signal Transduct Target Ther. 2024 Dec 2;9(1):336. doi: 10.1038/s41392-024-02021-w.

Abstract

Cancer has a high mortality rate across the globe, and tissue biopsy remains the gold standard for tumor diagnosis due to its high level of laboratory standardization, good consistency of results, relatively stable samples, and high accuracy of results. However, there are still many limitations and drawbacks in the application of tissue biopsy in tumor. The emergence of liquid biopsy provides new ideas for early diagnosis and prognosis of tumor. Compared with tissue biopsy, liquid biopsy has many advantages in the diagnosis and treatment of various types of cancer, including non-invasive, quickly and so on. Currently, the application of liquid biopsy in tumor detection has received widely attention. It is now undergoing rapid progress, and it holds significant potential for future applications. Around now, liquid biopsies encompass several components such as circulating tumor cells, circulating tumor DNA, exosomes, microRNA, circulating RNA, tumor platelets, and tumor endothelial cells. In addition, advances in the identification of liquid biopsy indicators have significantly enhanced the possibility of utilizing liquid biopsies in clinical settings. In this review, we will discuss the application, advantages and challenges of liquid biopsy in some common tumors from the perspective of diverse systems of tumors, and look forward to its future development prospects in the field of cancer diagnosis and treatment.

摘要

癌症在全球范围内具有很高的死亡率,由于组织活检具有高度的实验室标准化水平、良好的结果一致性、相对稳定的样本以及较高的结果准确性,它仍然是肿瘤诊断的金标准。然而,组织活检在肿瘤应用中仍存在许多局限性和缺点。液体活检的出现为肿瘤的早期诊断和预后提供了新的思路。与组织活检相比,液体活检在各种类型癌症的诊断和治疗中具有许多优势,包括非侵入性、快速等。目前,液体活检在肿瘤检测中的应用受到了广泛关注。它目前正在迅速发展,并且在未来应用中具有巨大潜力。目前,液体活检包括循环肿瘤细胞、循环肿瘤DNA、外泌体、微小RNA、循环RNA、肿瘤血小板和肿瘤内皮细胞等几个组成部分。此外,液体活检指标识别方面的进展显著提高了在临床环境中利用液体活检的可能性。在本综述中,我们将从肿瘤的不同系统角度探讨液体活检在一些常见肿瘤中的应用、优势和挑战,并展望其在癌症诊断和治疗领域的未来发展前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0bb/11609310/9affb7096a43/41392_2024_2021_Fig1_HTML.jpg

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