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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2021
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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) |
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liquid biopsy minimal residual disease ctDNA Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
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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 |
_version_ |
1718435274872061952 |