Kepsha Maria A, Timofeeva Angelika V, Chernyshev Vasiliy S, Silachev Denis N, Mezhevitinova Elena A, Sukhikh Gennadiy T
National Medical Research Center for Obstetrics, Gynecology and Perinatology Named After Academician V.I. Kulakov, Ministry of Healthcare of the Russian Federation, Moscow 117997, Russia.
Int J Mol Sci. 2024 Dec 10;25(24):13271. doi: 10.3390/ijms252413271.
Despite prevention strategies, cervical cancer remains a significant public health issue. Human papillomavirus plays a critical role in its development, and early detection is vital to improve patient outcomes. The incidence of cervical cancer is projected to rise, necessitating better diagnostic tools. Traditional screening methods like the cytological examination and human papillomavirus testing have limitations in sensitivity and reproducibility. Liquid-based cytology offers some improvements, but the need for more reliable and sensitive techniques persists, particularly for detecting precancerous lesions. Liquid biopsy is a non-invasive method that analyzes cancer-derived products in biofluids like blood, offering potential for real-time monitoring of tumor progression, metastasis, and treatment response. It can be based on detection of circulating tumor cells (CTCs), circulating free DNA (cfDNA), and microRNAs (miRNAs). This review particularly underlines the potential of microRNAs, which are transported by extracellular vesicles. Overall, this article underscores the importance of continued research into non-invasive diagnostic methods like liquid biopsy to enhance cervical cancer screening and treatment monitoring.
尽管有预防策略,但宫颈癌仍然是一个重大的公共卫生问题。人乳头瘤病毒在其发展过程中起着关键作用,早期检测对于改善患者预后至关重要。预计宫颈癌的发病率将会上升,因此需要更好的诊断工具。传统的筛查方法,如细胞学检查和人乳头瘤病毒检测,在敏感性和可重复性方面存在局限性。液基细胞学有一些改进,但对更可靠、更敏感技术的需求依然存在,尤其是在检测癌前病变方面。液体活检是一种非侵入性方法,可分析血液等生物流体中源自癌症的产物,为实时监测肿瘤进展、转移和治疗反应提供了可能。它可以基于对循环肿瘤细胞(CTC)、循环游离DNA(cfDNA)和微小RNA(miRNA)的检测。本综述特别强调了由细胞外囊泡转运的微小RNA的潜力。总体而言,本文强调了持续研究像液体活检这样的非侵入性诊断方法对于加强宫颈癌筛查和治疗监测的重要性。