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循环肿瘤DNA分析在肺癌中的临床应用——综述

Clinical Utility of ctDNA Analysis in Lung Cancer-A Review.

作者信息

Makar Kamil, Wróbel Agata, Antczak Adam, Tworek Damian

机构信息

Department of General and Oncological Pulmonology, Medical University of Lodz, Stefana Zeromskiego 113, 90-549 Lodz, Poland.

Faculty of Medicine, Medical University of Lodz, Pomorska 251, 92-213 Lodz, Poland.

出版信息

Adv Respir Med. 2025 Jun 12;93(3):17. doi: 10.3390/arm93030017.


DOI:10.3390/arm93030017
PMID:40558116
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12189613/
Abstract

Circulating free DNA (cfDNA) is genetic material released from various cells into bodily fluids. Among its fractions, circulating tumor DNA (ctDNA) originates from tumor cells and reflects their genetic material, including mutations and epigenetic changes. Methods commonly employed for detecting ctDNA in blood include next-generation sequencing (NGS) and various types of PCR. The presence of ctDNA can be utilized in liquid biopsies for many diagnostic purposes related to various cancers. It is a minimally invasive method of sampling molecular compounds from tumor cells. In this paper, we focus on current knowledge regarding the liquid biopsy of blood ctDNA in the context of lung cancer, one of the leading causes of cancer-related mortality. Currently, as a clinically approved method, liquid biopsy serves as a complementary technique in NSCLC diagnostic and genetic profiling. Other applications of liquid biopsy that are still being investigated include the detection of minimal residual disease (MRD) after curative treatment and response monitoring to systemic treatment. This review discusses current and future potential directions for the development and implementation of ctDNA for patients with NSCLC.

摘要

循环游离DNA(cfDNA)是从各种细胞释放到体液中的遗传物质。在其组分中,循环肿瘤DNA(ctDNA)起源于肿瘤细胞并反映其遗传物质,包括突变和表观遗传变化。血液中检测ctDNA常用的方法包括下一代测序(NGS)和各种类型的PCR。ctDNA的存在可用于液体活检,用于许多与各种癌症相关的诊断目的。它是一种从肿瘤细胞中采样分子化合物的微创方法。在本文中,我们关注肺癌(癌症相关死亡的主要原因之一)背景下血液ctDNA液体活检的当前知识。目前,作为一种临床批准的方法,液体活检是NSCLC诊断和基因分型的补充技术。液体活检仍在研究的其他应用包括根治性治疗后微小残留病(MRD)的检测和全身治疗反应监测。本综述讨论了NSCLC患者ctDNA开发和应用的当前及未来潜在方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77d8/12189613/9c253d2c3891/arm-93-00017-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77d8/12189613/680716ba30b2/arm-93-00017-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77d8/12189613/9c253d2c3891/arm-93-00017-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77d8/12189613/680716ba30b2/arm-93-00017-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77d8/12189613/9c253d2c3891/arm-93-00017-g002.jpg

相似文献

[1]
Clinical Utility of ctDNA Analysis in Lung Cancer-A Review.

Adv Respir Med. 2025-6-12

[2]
Prospective Multicenter Study Evaluating a Combined Circulating Tumor DNA and Circulating Tumor RNA Liquid Biopsy in Metastatic Non-Small Cell Lung Cancer (LIQUIK).

JCO Precis Oncol. 2025-6

[3]
Circulating Tumor DNA as a Minimal Residual Disease Assessment and Recurrence Risk in Patients Undergoing Curative-Intent Resection with or without Adjuvant Chemotherapy in Colorectal Cancer: A Systematic Review and Meta-Analysis.

Int J Mol Sci. 2023-6-16

[4]
Novel strategies in liquid biopsy.

Clin Chim Acta. 2025-8-15

[5]
Clinicopathological Predictors of the Presence of Blood Circulating Tumor DNA in Early-Stage Non-Small Cell Lung Cancers.

Mod Pathol. 2025-6

[6]
The evidence base for circulating tumour DNA blood-based biomarkers for the early detection of cancer: a systematic mapping review.

BMC Cancer. 2017-10-23

[7]
Unlocking the future of cancer diagnosis - promises and challenges of ctDNA-based liquid biopsies in non-small cell lung cancer.

Transl Res. 2024-10

[8]
Comprehensive tumor-agnostic evaluation of genomic and epigenomic-based approaches for the identification of circulating tumor DNA in early-stage breast cancer.

ESMO Open. 2025-6

[9]
Multiple time points for detecting circulating tumor DNA to monitor the response to neoadjuvant therapy in breast cancer: a meta-analysis.

BMC Cancer. 2025-1-22

[10]
Cell-free epigenomes enhanced fragmentomics-based model for early detection of lung cancer.

Clin Transl Med. 2025-2

本文引用的文献

[1]
Clinical Utility of Combined Tissue and Plasma Next-Generation Sequencing in Patients With Advanced, Treatment-Naïve NSCLC.

JTO Clin Res Rep. 2024-12-16

[2]
LIBELULE: A Randomized Phase III Study to Evaluate the Clinical Relevance of Early Liquid Biopsy in Patients With Suspicious Metastatic Lung Cancer.

J Thorac Oncol. 2025-4

[3]
Use of ctDNA in early breast cancer: analytical validity and clinical potential.

NPJ Breast Cancer. 2024-6-19

[4]
Circulating tumor DNA as a biomarker for predicting progression-free survival and overall survival in patients with epithelial ovarian cancer: a systematic review and meta-analysis.

Int J Gynecol Cancer. 2024-6-3

[5]
Liquid biopsy in non-small cell lung cancer: a meta-analysis of state-of-the-art and future perspectives.

Front Genet. 2023-12-5

[6]
Genomic alterations associated with pseudoprogression and hyperprogressive disease during anti-PD1 treatment for advanced non-small-cell lung cancer.

Front Oncol. 2023-11-9

[7]
Prognostic value of circulating tumor DNA in operable non-small cell lung cancer: a systematic review and reconstructed individual patient-data based meta-analysis.

BMC Med. 2023-11-27

[8]
ctDNA response after pembrolizumab in non-small cell lung cancer: phase 2 adaptive trial results.

Nat Med. 2023-10

[9]
Exploring Circulating Tumor DNA (CtDNA) and Its Role in Early Detection of Cancer: A Systematic Review.

Cureus. 2023-9-22

[10]
Variant allele frequency: a decision-making tool in precision oncology?

Trends Cancer. 2023-12

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