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液体活检中的循环肿瘤 DNA:当前的诊断局限性。

Circulating tumor DNA in liquid biopsy: Current diagnostic limitation.

机构信息

School of Medical Information, Wannan Medical College, Wuhu 241002, Anhui Province, China.

出版信息

World J Gastroenterol. 2024 Apr 21;30(15):2175-2178. doi: 10.3748/wjg.v30.i15.2175.

Abstract

With the rapid development of science and technology, cell-free DNA (cfDNA) is rapidly becoming an important biomarker for tumor diagnosis, monitoring and prognosis, and this cfDNA-based liquid biopsy technology has great potential to become an important part of precision medicine. cfDNA is the total amount of free DNA in the systemic circulation, including DNA fragments derived from tumor cells and all other somatic cells. Tumor cells release fragments of DNA into the bloodstream, and this source of cfDNA is called circulating tumor DNA (ctDNA). cfDNA detection has become a major focus in the field of tumor research in recent years, which provides a new opportunity for non-invasive diagnosis and prognosis of cancer. In this paper, we discuss the limitations of the study on the origin and dynamics analysis of ctDNA, and how to solve these problems in the future. Although the future faces major challenges, it also contains great potential.

摘要

随着科学技术的飞速发展,无细胞游离 DNA(cfDNA)迅速成为肿瘤诊断、监测和预后的重要生物标志物,这种基于 cfDNA 的液体活检技术具有成为精准医疗重要组成部分的巨大潜力。cfDNA 是全身循环中游离 DNA 的总量,包括源自肿瘤细胞和所有其他体细胞的 DNA 片段。肿瘤细胞将 DNA 片段释放到血液中,这种 cfDNA 的来源被称为循环肿瘤 DNA(ctDNA)。cfDNA 检测近年来已成为肿瘤研究领域的一个主要关注点,为癌症的非侵入性诊断和预后提供了新的机会。本文讨论了 ctDNA 起源和动力学分析研究的局限性,以及未来如何解决这些问题。尽管未来面临重大挑战,但也蕴含着巨大的潜力。

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