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Circulating tumor DNA-From bench to bedside.

Joline S J Lim1, Filip Janku2, Timothy A Yap2

  • 1Drug Development Unit, Royal Marsden Hsopital, London, UK; Department of Hematology-oncology, National University Cancer Institute of Singapore, Singapore.

Current Problems in Cancer
|April 19, 2017
PubMed
Summary
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Circulating tumor DNA (ctDNA) from blood offers a less invasive alternative to tissue biopsies for molecular profiling in cancer. This approach aids in guiding personalized treatment decisions and monitoring drug resistance throughout a patient's cancer journey.

Area of Science:

  • Oncology
  • Molecular Diagnostics
  • Personalized Medicine

Background:

  • Tumor sampling is crucial for identifying molecular aberrations to guide cancer treatment decisions.
  • Longitudinal tracking of these aberrations can detect drug resistance and inform therapy adjustments.
  • Invasive tumor biopsies pose risks and logistical challenges, driving interest in alternative methods.

Purpose of the Study:

  • To discuss the concept and clinical applications of circulating tumor DNA (ctDNA).
  • To review available technology platforms for ctDNA interrogation.
  • To explore the potential of ctDNA in guiding cancer diagnosis, prognostication, and therapy.

Main Methods:

  • Review of the concept of circulating tumor DNA.
  • Discussion of technology platforms for ctDNA analysis.
Keywords:
CancerCirculating tumor DNA (ctDNA)Liquid biopsy

Related Experiment Videos

  • Examination of current and future clinical applications of ctDNA.
  • Main Results:

    • Circulating tumor DNA (ctDNA) analysis provides a less invasive method for molecular profiling compared to tissue biopsies.
    • ctDNA can be utilized for longitudinal monitoring of cancer over time.
    • Various technology platforms exist for the interrogation of ctDNA.

    Conclusions:

    • ctDNA analysis is a promising tool in personalized medicine, offering a safer alternative to invasive tumor sampling.
    • ctDNA has the potential to guide cancer management from diagnosis through treatment and monitoring.
    • Further integration of ctDNA into clinical practice may significantly improve patient outcomes.