Clinical Applications of Circulating Tumor DNA Profiling in GI Cancers DOI
Francesca Battaglin, Heinz‐Josef Lenz

JCO Oncology Practice, Journal Year: 2024, Volume and Issue: 20(11), P. 1481 - 1490

Published: Nov. 1, 2024

Over the next few years, analysis of circulating tumor DNA (ctDNA) through liquid biopsy is expected to enter clinical practice and revolutionize approach biomarker testing treatment selection in GI cancers. In fact, growing evidence support use ctDNA as a noninvasive, effective, highly specific tool for molecular profiling Analysis blood has been investigated multiple settings including early detection, minimal residual disease evaluation, diagnosis evaluation prognostic/predictive biomarkers targeted selection, longitudinal monitoring response, identification resistance mechanisms. Here, we review applications, advantages, limitations precision oncology

Language: Английский

SERS biosensors for liquid biopsy towards cancer diagnosis by detection of various circulating biomarkers: current progress and perspectives DOI Creative Commons
Nana Lyu, Amin Hassanzadeh‐Barforoushi,

Laura M. Rey Gomez

et al.

Nano Convergence, Journal Year: 2024, Volume and Issue: 11(1)

Published: May 29, 2024

Abstract Liquid biopsy has emerged as a promising non-invasive strategy for cancer diagnosis, enabling the detection of various circulating biomarkers, including tumor cells (CTCs), nucleic acids (ctNAs), tumor-derived small extracellular vesicles (sEVs), and proteins. Surface-enhanced Raman scattering (SERS) biosensors have revolutionized liquid by offering sensitive specific methodologies these biomarkers. This review comprehensively examines application SERS-based identification analysis biomarkers CTCs, ctNAs, sEVs proteins in diagnosis. The discussion encompasses diverse range SERS biosensor platforms, label-free assay, magnetic bead-based microfluidic device-based system, paper-based each demonstrating unique capabilities enhancing sensitivity specificity critically assesses strengths, limitations, future directions

Language: Английский

Citations

24

Implementing circulating tumor DNA as a prognostic biomarker in resectable non-small cell lung cancer DOI Creative Commons

Chris Abbosh,

Darren Hodgson, Gary J. Doherty

et al.

Trends in cancer, Journal Year: 2024, Volume and Issue: 10(7), P. 643 - 654

Published: June 4, 2024

Systemic treatment of resectable non-small cell lung cancer (NSCLC) is evolving with emerging neoadjuvant, perioperative, and adjuvant immunotherapy approaches. Circulating tumor DNA (ctDNA) detection at clinical diagnosis, during neoadjuvant therapy, or after resection may discern high-risk patients who might benefit from therapy escalation switch. This Review summarizes translational implications data supporting ctDNA-based risk determination in NSCLC outstanding questions regarding ctDNA validity/utility as a prognostic biomarker. We discuss capabilities to refine tumor-node-metastasis (TNM) staging adenocarcinoma, dynamics for identifying deriving suboptimal benefit, postoperative molecular residual disease (MRD) escalate systemic therapy. Considering differential relapse characteristics landmark MRD-negative/MRD-positive patients, we propose how integrate pathological response optimal stratification.

Language: Английский

Citations

9

Current and Future Role of Circulating DNA in the Diagnosis and Management of Urothelial Carcinoma DOI
Joaquim Bellmunt,

Brian M. Russell,

Bernadett Szabados

et al.

American Society of Clinical Oncology Educational Book, Journal Year: 2025, Volume and Issue: 45(2)

Published: Jan. 1, 2025

The growing sophistication of tumor molecular profiling has helped to slowly transition oncologic care toward a more personalized approach in different types, including bladder cancer. National Comprehensive Cancer Network recommends that all patients with stage IVA and IVB urothelial carcinoma have analysis integrates at least FGFR3 testing help facilitate the selection future therapeutic options. Sequencing tumor-derived tissue is mainstay obtain this genomic testing, but as other cancers, there been extensive research into integration liquid biopsies longitudinal management. Liquid broadly refer isolation both cellular noncellular components proteins nucleic acids such mRNA circulating free DNA within sample. Although protein-based cells are options, bulk promising cancer investigating role plasma-based (ctDNA). Currently, universal consensus on optimal preanalytic analytic approaches not fully defined, exact should screening, diagnosis, prognostication, treatment selection, monitoring yet known. Still, it can be expected ctDNA will part appropriate management muscle-invasive metastatic near future. In review, goal provide practical overview current ongoing trials.

Language: Английский

Citations

1

Pembrolizumab for advanced urothelial carcinoma: exploratory ctDNA biomarker analyses of the KEYNOTE-361 phase 3 trial DOI Creative Commons
Thomas Powles,

Yen‐Hwa Chang,

Yoshiaki Yamamoto

et al.

Nature Medicine, Journal Year: 2024, Volume and Issue: 30(9), P. 2508 - 2516

Published: June 1, 2024

Abstract Circulating tumor DNA (ctDNA) is emerging as a potential biomarker in early-stage urothelial cancer, but its utility metastatic disease remains unknown. In the phase 3 KEYNOTE-361 study, pembrolizumab with and without chemotherapy was compared alone patients cancer. The study did not meet prespecified efficacy thresholds for statistical significance. To identify biomarkers of response, we retrospectively evaluated association pre- posttreatment ctDNA clinical outcomes subset who received ( n = 130) or KEYNOTE-361. Baseline associated best overall response (BOR; P 0.009), progression-free survival < 0.001) (OS; (all; > 0.05). Chemotherapy induced larger decreases from baseline to treatment cycle 2 than pembrolizumab; however, change 87) more BOR 4.39 × 10 −5 ) OS 7.07 102; BOR: 1.01 −4 ; OS: 0.018). Tumor tissue-informed versions metrics were most show statistically significant independent value explaining beyond radiographic by RECIST v.1.1 when jointly modeled (pembrolizumab 0.364; 0.823). These results suggest distinct patterns early changes immunotherapy differences their long-term outcomes, which provide preliminary insights into liquid biopsies monitoring Clinical trial registration: NCT02853305 .

Language: Английский

Citations

8

Circulating tumor DNA methylation: a promising clinical tool for cancer diagnosis and management DOI Creative Commons
Binliang Wang, Meng Wang,

Ya Lin

et al.

Clinical Chemistry and Laboratory Medicine (CCLM), Journal Year: 2024, Volume and Issue: 62(11), P. 2111 - 2127

Published: March 5, 2024

Cancer continues to pose significant challenges the medical community. Early detection, accurate molecular profiling, and adequate assessment of treatment response are critical factors in improving quality life survival cancer patients. Accumulating evidence shows that circulating tumor DNA (ctDNA) shed by tumors into peripheral blood preserves genetic epigenetic information primary tumors. Notably, methylation, an essential stable modification, exhibits both cancer- tissue-specific patterns. As a result, ctDNA methylation has emerged as promising marker for noninvasive testing clinics. In this review, we summarize existing techniques describe current research status present potential applications ctDNA-based assays clinic. The insights presented article could serve roadmap future clinical methylation.

Language: Английский

Citations

7

Molecular diagnostics tailoring personalized cancer therapy—an oncologist’s view DOI Creative Commons
Jakob M. Riedl, Florian Moik,

Tamara Esterl

et al.

Virchows Archiv, Journal Year: 2023, Volume and Issue: 484(2), P. 169 - 179

Published: Nov. 20, 2023

Abstract Medical oncology is rapidly evolving with the implementation of personalized, targeted therapies. Advances in molecular diagnostics and biologic understanding cancer pathophysiology led to identification specific genetic alterations as drivers progression. Further, improvements drug development enable direct interference these pathways, which allow tailoring personalized treatments based on a distinct characterization tumors. Thereby, we are currently experiencing paradigm-shift treatment cancers towards cancer-type agnostic, molecularly targeted, However, this concept has several important hurdles limitations overcome ultimately increase proportion patients benefitting from precision approach. These include assessment clinical relevancy identified alterations, capturing interpreting levels heterogeneity intra-tumoral or time-dependent evolution, challenges practical routine care. In present review, summarize current state cancer-agnostic oncology, discuss tumor boards, consider therapy. provide an outlook potential future developments including functionality assessments broader use liquid biopsies order obtain more comprehensive longitudinal information that might guide therapy future.

Language: Английский

Citations

16

Latest Research Progress of Liquid Biopsy in Tumor—A Narrative Review DOI Creative Commons
Jiang Hua

Cancer Management and Research, Journal Year: 2024, Volume and Issue: Volume 16, P. 1031 - 1042

Published: Aug. 1, 2024

Human life expectancy is significantly impacted by cancer, with liquid biopsy emerging as an advantageous method for cancer detection because of its noninvasive nature, high accuracy, ease sampling, and cost-effectiveness compared conventional tissue techniques. Liquid shows promise in early detection, real-time monitoring, personalized treatment various cancers, including lung, cervical, prostate offers innovative approaches diagnosis management. By utilizing circulating tumor DNA, cells, exosomes biomarkers, enables the tracking progression. Various techniques commonly used sciences research, such polymerase chain reaction (PCR), next-generation sequencing (NGS), droplet digital PCR, are employed to assess progression on basis different indicators. This review examines latest advancements markers-circulating DNA (ctDNA), cells (CTCs), exosomes-for over past three years, a focus their methodologies clinical applications. It encapsulates pivotal aims biopsy, therapy response prediction, prognostication, relevance minimal residual disease, while also addressing challenges facing routine adoption. combining research practical experiences, this work focuses discussing significance methylation biomarkers applications screening, auxiliary diagnosis, companion recurrence monitoring. These discussions may help enhance application throughout entire process treatment, thereby providing patients more precise effective plans.

Language: Английский

Citations

5

The Genetic Analysis and Clinical Therapy in Lung Cancer: Current Advances and Future Directions DOI Open Access
Angela Rina, Debora Maffeo, Francesca Minnai

et al.

Cancers, Journal Year: 2024, Volume and Issue: 16(16), P. 2882 - 2882

Published: Aug. 19, 2024

Lung cancer, including both non-small cell lung cancer and small remains the leading cause of cancer-related mortality worldwide, representing 18% total deaths in 2020. Many patients are identified already at an advanced stage with metastatic disease have a worsening prognosis. Recent advances genetic understanding opened new avenues for personalized treatments targeted therapies. This review examines latest discoveries genetics discusses key biomarkers, analyzes current clinical therapies based on this information. It will conclude discussion future prospects potential research directions.

Language: Английский

Citations

5

The emerging role of liquid biopsy in oral squamous cell carcinoma detection: advantages and challenges DOI

Sudha Gupta,

Brijesh Singh,

Rajul Abhishek

et al.

Expert Review of Molecular Diagnostics, Journal Year: 2024, Volume and Issue: 24(4), P. 311 - 331

Published: April 2, 2024

Introduction Oral Squamous Cell Carcinoma (OSCC), the sixth most widespread malignancy in world, accounts for 90% of all cases oral cancer. The primary risk factors are tobacco chewing, alcohol consumption, viral infection, and genetic modifications. OSCC has a high morbidity rate due to lack early diagnostic methods. Nowadays, liquid biopsy plays vital role initial diagnosis ctNAs extracted from saliva serum/plasma offer meaningful insights into tumor genetics dynamics. interplay these elements showcases their significance advancing noninvasive, effective detection monitoring.

Language: Английский

Citations

4

From Detection to Cure – Emerging Roles for Urinary Tumor DNA (utDNA) in Bladder Cancer DOI
Joshua Linscott, Hiroko Miyagi, Prithvi Murthy

et al.

Current Oncology Reports, Journal Year: 2024, Volume and Issue: unknown

Published: June 5, 2024

Language: Английский

Citations

4