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Liquid Biopsies: Applications for Cancer Diagnosis and Monitoring

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Resumo:The minimally-or non-invasive detection of circulating tumor-derived components in biofluids, such as blood, liquid biopsy is a revolutionary approach with significant potential for the management of cancer. Genomic and transcriptomic alterations can be accurately detected through liquid biopsies, which provide a more comprehensive characterization of the heterogeneous tumor profile than tissue biopsies alone. Liquid biopsies could assist diagnosis, prognosis, and treatment selection, and hold great potential to complement current surveilling strategies to monitor disease evolution and treatment response in real-time. In particular, these are able to detect minimal residual disease, to predict progression, and to identify mechanisms of resistance, allowing to re-orient treatment strategies in a timelier manner. In this review we gathered current knowledge regarding the role and potential of liquid biopsies for the diagnosis and follow-up of cancer patients. The presented findings emphasize the strengths of liquid biopsies, revealing their chance of improving the diagnosis and monitoring of several tumor types in the near future. However, despite growing evidence supporting their value as a management tool in oncology, some limitations still need to be overcome for their implementation in the routine clinical setting.
Autores principais:Martins, Ivana
Outros Autores:Martins, Ivana; Martins, Ivana Marisa da Costa; staff; Ribeiro, Ilda Patrícia; Ribeiro, Ilda P.; Ribeiro, Ilda Patrícia; Ribeiro, I. P.; ICBR Coimbra Institute for Clinical and Biomedical Research; ICBR Coimbra Institute for Clinical and Biomedical Research; Ambrósio, A. Francisco; Ambrósio, António Francisco; Ambrósio, A. Francisco; Ambrósio, A. F.; Ambrósio, António Francisco; Ambrósio, A. Francisco; Ambrósio, António F.; CNC - Center for Neuroscience and Cell Biology; 0000-0002-0477-1641; staff; Faculty of Medicine; Faculty of Medicine; Cordeiro, C. Robalo; University of Coimbra; organization; Coimbra; PT; 01-01-2020; Coimbra; Polo III - Health Sciences Campus Azinhaga Santa Comba, Celas; PT; 0000-0002-6096-8705; FD12-DB09-3E2C; staff; Jorge, Joana; Jorge, Joana; Jorge, Joana; Jorge, Joana; staff; Gonçalves, Ana Cristina; Gonçalves, Ana Cristina; Golçalves, A. C.; Gonçalves, Ana Cristina; Gonçalves, Ana; 0000-0003-1470-4802; A81E-49AB-AC47; 36096765300; V-2202-2017; staff; Sarmento-Ribeiro, Ana Bela; Sarmento-Ribeiro, Ana Bela; Melo, Joana Barbosa; Melo, Joana Barbosa de; Carreira, Isabel Marques; Carreira, Isabel M.; Carreira, Isabel M.; Carreira, Isabel Marques; Carreira, I.; CNC - Center for Neuroscience and Cell Biology; CNC - Center for Neuroscience and Cell Biology; Almeida, Luís P. de; Almeida, Luís Pereira de; Almeida, Luís P. de; Almeida, Luís; Almeida, Luís Pereira de; Almeida, Luís; Almeida, L. P.; Almeida, Luís Fernando Morgado Pereira de; GeneT- Centro de Excelência em Terapia Génica em Portugal; CNC - Center for Neuroscience and Cell Biology; CIBB - Center for Innovative Biomedicine and Biotechnology; luispa@ci.uc.pt; luispa@ff.uc.pt; luispa@cnc.uc.pt; lpereiradealmeida@gmail.com; 0000-0001-5831-3307; 5911-1D34-FB6B; A-4605-2009; staff; research; Coimbra; PT; 0000-0001-6842-1707; 491F-6A7C-B7A4; 55915636100; C-7711-2018; staff
Assunto:cancer liquid biopsies diagnosis prognosis monitoring cell-free DNA circulating tumor cells precision medicine
Ano:2021
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Universidade de Coimbra
Idioma:inglês
Origem:Estudo Geral - Universidade de Coimbra
Descrição
Resumo:The minimally-or non-invasive detection of circulating tumor-derived components in biofluids, such as blood, liquid biopsy is a revolutionary approach with significant potential for the management of cancer. Genomic and transcriptomic alterations can be accurately detected through liquid biopsies, which provide a more comprehensive characterization of the heterogeneous tumor profile than tissue biopsies alone. Liquid biopsies could assist diagnosis, prognosis, and treatment selection, and hold great potential to complement current surveilling strategies to monitor disease evolution and treatment response in real-time. In particular, these are able to detect minimal residual disease, to predict progression, and to identify mechanisms of resistance, allowing to re-orient treatment strategies in a timelier manner. In this review we gathered current knowledge regarding the role and potential of liquid biopsies for the diagnosis and follow-up of cancer patients. The presented findings emphasize the strengths of liquid biopsies, revealing their chance of improving the diagnosis and monitoring of several tumor types in the near future. However, despite growing evidence supporting their value as a management tool in oncology, some limitations still need to be overcome for their implementation in the routine clinical setting.