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癌症中的液体活检

Liquid biopsies in cancer.

作者信息

Yin Hang, Zhang Manjie, Zhang Yu, Zhang Xuebing, Zhang Xia, Zhang Bin

机构信息

The First Affiliated Hospital of Dalian Medical University, Dalian, 116000, China.

Dalian Medical University, Dalian, 116000, China.

出版信息

Mol Biomed. 2025 Mar 20;6(1):18. doi: 10.1186/s43556-025-00257-8.


DOI:10.1186/s43556-025-00257-8
PMID:40108089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11923355/
Abstract

Cancer ranks among the most lethal diseases worldwide. Tissue biopsy is currently the primary method for the diagnosis and biological analysis of various solid tumors. However, this method has some disadvantages related to insufficient tissue specimen collection and intratumoral heterogeneity. Liquid biopsy is a noninvasive approach for identifying cancer-related biomarkers in peripheral blood, which allows for repetitive sampling across multiple time points. In the field of liquid biopsy, representative biomarkers include circulating tumor cells (CTCs), circulating tumor DNA (ctDNA), and exosomes. Many studies have evaluated the prognostic and predictive roles of CTCs and ctDNA in various solid tumors. Although these studies have limitations, the results of most studies appear to consistently demonstrate the correlations of high CTC counts and ctDNA mutations with lower survival rates in cancer patients. Similarly, a reduction in CTC counts throughout therapy may be a potential prognostic indicator related to treatment response in advanced cancer patients. Moreover, the biochemical characteristics of CTCs and ctDNA can provide information about tumor biology as well as resistance mechanisms against targeted therapy. This review discusses the current clinical applications of liquid biopsy in cancer patients, emphasizing its possible utility in outcome prediction and treatment decision-making.

摘要

癌症是全球最致命的疾病之一。组织活检是目前对各种实体瘤进行诊断和生物学分析的主要方法。然而,这种方法存在一些缺点,如组织标本采集不足和肿瘤内异质性。液体活检是一种用于识别外周血中癌症相关生物标志物的非侵入性方法,它允许在多个时间点进行重复采样。在液体活检领域,代表性的生物标志物包括循环肿瘤细胞(CTC)、循环肿瘤DNA(ctDNA)和外泌体。许多研究评估了CTC和ctDNA在各种实体瘤中的预后和预测作用。尽管这些研究存在局限性,但大多数研究结果似乎一致表明,癌症患者中高CTC计数和ctDNA突变与较低生存率相关。同样,在整个治疗过程中CTC计数的减少可能是晚期癌症患者与治疗反应相关的潜在预后指标。此外,CTC和ctDNA的生化特征可以提供有关肿瘤生物学以及针对靶向治疗的耐药机制的信息。本综述讨论了液体活检在癌症患者中的当前临床应用,强调了其在结果预测和治疗决策中的可能效用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b7/11923355/04c2880e18df/43556_2025_257_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b7/11923355/b24d48c7d897/43556_2025_257_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b7/11923355/09145bbb4bb8/43556_2025_257_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b7/11923355/83e432be4658/43556_2025_257_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b7/11923355/04c2880e18df/43556_2025_257_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b7/11923355/b24d48c7d897/43556_2025_257_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b7/11923355/09145bbb4bb8/43556_2025_257_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b7/11923355/83e432be4658/43556_2025_257_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b7/11923355/04c2880e18df/43556_2025_257_Fig4_HTML.jpg

相似文献

[1]
Liquid biopsies in cancer.

Mol Biomed. 2025-3-20

[2]
Cell-Free DNA in the Liquid Biopsy Context: Role and Differences Between ctDNA and CTC Marker in Cancer Management.

Methods Mol Biol. 2019

[3]
Circulating Liquid Biopsy Biomarkers in Glioblastoma: Advances and Challenges.

Int J Mol Sci. 2024-7-21

[4]
The potential of liquid biopsy in the management of cancer patients.

Semin Cancer Biol. 2022-9

[5]
Liquid biopsy in breast cancer: A comprehensive review.

Clin Genet. 2019-6

[6]
Diversity of the Circulating Tumor Markers: Perspectives of a Multimodal Liquid Biopsy.

Biochemistry (Mosc). 2024-11

[7]
Nanotechnology Strategies for the Analysis of Circulating Tumor DNA: A Review.

Med Sci Monit. 2020-3-22

[8]
Role of liquid biopsies in colorectal cancer.

Curr Probl Cancer. 2018-11

[9]
Liquid biopsy in ovarian cancer using circulating tumor DNA and cells: Ready for prime time?

Cancer Lett. 2019-10-11

[10]
The Combined Assessment of CTC and Status in Liquid Biopsy Samples Enhances the Clinical Value of Prediction in Metastatic Breast Cancer.

Int J Mol Sci. 2025-2-26

引用本文的文献

[1]
Targeting tumor-associated macrophages to overcome immune checkpoint inhibitor resistance in hepatocellular carcinoma.

J Exp Clin Cancer Res. 2025-8-5

[2]
Salivary Extracellular Vesicles in Detection of Head and Neck Cancers: A Systematic Review.

Int J Nanomedicine. 2025-5-26

本文引用的文献

[1]
The Role of ctDNA in the Management of Non-Small-Cell Lung Cancer in the AI and NGS Era.

Int J Mol Sci. 2024-12-20

[2]
MicroRNA-Based Liquid Biopsy for Cervical Cancer Diagnostics and Treatment Monitoring.

Int J Mol Sci. 2024-12-10

[3]
Exosome isolation based on polyethylene glycol (PEG): a review.

Mol Cell Biochem. 2025-5

[4]
Liquid biopsy in cancer current: status, challenges and future prospects.

Signal Transduct Target Ther. 2024-12-2

[5]
Exosome crosstalk between cancer stem cells and tumor microenvironment: cancer progression and therapeutic strategies.

Stem Cell Res Ther. 2024-11-22

[6]
A comprehensive review on recent advances in exosome isolation and characterization: Toward clinical applications.

Transl Oncol. 2024-12

[7]
MicroRNA-21 (miR-21) in breast cancer: From apoptosis dysregulation to therapeutic opportunities.

Pathol Res Pract. 2024-10

[8]
Recent Technologies towards Diagnostic and Therapeutic Applications of Circulating Nucleic Acids in Colorectal Cancers.

Int J Mol Sci. 2024-8-9

[9]
Harnessing extracellular vesicles using liquid biopsy for cancer diagnosis and monitoring: highlights from AACR Annual Meeting 2024.

J Hematol Oncol. 2024-7-29

[10]
Role of MicroRNA-21 in Prostate Cancer Progression and Metastasis: Molecular Mechanisms to Therapeutic Targets.

Ann Surg Oncol. 2024-7

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