Liquid Biopsy to Detect Minimal Residual Disease: Methodology and Impact

One reason why some patients experience recurrent disease after a curative-intent treatment might be the persistence of residual tumor cells, called minimal residual disease (MRD). MRD cannot be identified by standard radiological exams or clinical evaluation. Tumor-specific alterations found in the...

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Autores principales: Natasha Honoré, Rachel Galot, Cédric van Marcke, Nisha Limaye, Jean-Pascal Machiels
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/e001f60a26ed43499e1d6ba8b3142e08
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spelling oai:doaj.org-article:e001f60a26ed43499e1d6ba8b3142e082021-11-11T15:29:06ZLiquid Biopsy to Detect Minimal Residual Disease: Methodology and Impact10.3390/cancers132153642072-6694https://doaj.org/article/e001f60a26ed43499e1d6ba8b3142e082021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/21/5364https://doaj.org/toc/2072-6694One reason why some patients experience recurrent disease after a curative-intent treatment might be the persistence of residual tumor cells, called minimal residual disease (MRD). MRD cannot be identified by standard radiological exams or clinical evaluation. Tumor-specific alterations found in the blood indirectly diagnose the presence of MRD. Liquid biopsies thus have the potential to detect MRD, allowing, among other things, the detection of circulating tumor DNA (ctDNA), circulating tumor cells (CTC), or tumor-specific microRNA. Although liquid biopsy is increasingly studied, several technical issues still limit its clinical applicability: low sensitivity, poor standardization or reproducibility, and lack of randomized trials demonstrating its clinical benefit. Being able to detect MRD could give clinicians a more comprehensive view of the risk of relapse of their patients and could select patients requiring treatment escalation with the goal of improving cancer survival. In this review, we are discussing the different methodologies used and investigated to detect MRD in solid cancers, their respective potentials and issues, and the clinical impacts that MRD detection will have on the management of cancer patients.Natasha HonoréRachel GalotCédric van MarckeNisha LimayeJean-Pascal MachielsMDPI AGarticleliquid biopsyminimal residual diseasectDNANeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5364, p 5364 (2021)
institution DOAJ
collection DOAJ
language EN
topic liquid biopsy
minimal residual disease
ctDNA
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle liquid biopsy
minimal residual disease
ctDNA
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Natasha Honoré
Rachel Galot
Cédric van Marcke
Nisha Limaye
Jean-Pascal Machiels
Liquid Biopsy to Detect Minimal Residual Disease: Methodology and Impact
description One reason why some patients experience recurrent disease after a curative-intent treatment might be the persistence of residual tumor cells, called minimal residual disease (MRD). MRD cannot be identified by standard radiological exams or clinical evaluation. Tumor-specific alterations found in the blood indirectly diagnose the presence of MRD. Liquid biopsies thus have the potential to detect MRD, allowing, among other things, the detection of circulating tumor DNA (ctDNA), circulating tumor cells (CTC), or tumor-specific microRNA. Although liquid biopsy is increasingly studied, several technical issues still limit its clinical applicability: low sensitivity, poor standardization or reproducibility, and lack of randomized trials demonstrating its clinical benefit. Being able to detect MRD could give clinicians a more comprehensive view of the risk of relapse of their patients and could select patients requiring treatment escalation with the goal of improving cancer survival. In this review, we are discussing the different methodologies used and investigated to detect MRD in solid cancers, their respective potentials and issues, and the clinical impacts that MRD detection will have on the management of cancer patients.
format article
author Natasha Honoré
Rachel Galot
Cédric van Marcke
Nisha Limaye
Jean-Pascal Machiels
author_facet Natasha Honoré
Rachel Galot
Cédric van Marcke
Nisha Limaye
Jean-Pascal Machiels
author_sort Natasha Honoré
title Liquid Biopsy to Detect Minimal Residual Disease: Methodology and Impact
title_short Liquid Biopsy to Detect Minimal Residual Disease: Methodology and Impact
title_full Liquid Biopsy to Detect Minimal Residual Disease: Methodology and Impact
title_fullStr Liquid Biopsy to Detect Minimal Residual Disease: Methodology and Impact
title_full_unstemmed Liquid Biopsy to Detect Minimal Residual Disease: Methodology and Impact
title_sort liquid biopsy to detect minimal residual disease: methodology and impact
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/e001f60a26ed43499e1d6ba8b3142e08
work_keys_str_mv AT natashahonore liquidbiopsytodetectminimalresidualdiseasemethodologyandimpact
AT rachelgalot liquidbiopsytodetectminimalresidualdiseasemethodologyandimpact
AT cedricvanmarcke liquidbiopsytodetectminimalresidualdiseasemethodologyandimpact
AT nishalimaye liquidbiopsytodetectminimalresidualdiseasemethodologyandimpact
AT jeanpascalmachiels liquidbiopsytodetectminimalresidualdiseasemethodologyandimpact
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