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A Standardized Liquid Biopsy Preanalytical Protocol for Downstream Circulating-Free DNA Applications
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Liquid Biopsy: Current Status and Future Perspectives.

Sonja Mader, Klaus Pantel

    Oncology Research and Treatment
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    Summary
    This summary is machine-generated.

    Liquid biopsies offer a less invasive way to track cancer's molecular evolution. Analyzing blood can reveal tumor changes and guide personalized cancer therapies, overcoming limitations of primary tumor analysis.

    Keywords:
    Circulating tumor cell (CTC)ExosomesLiquid biopsycfRNActDNA

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    Area of Science:

    • Oncology
    • Molecular Biology
    • Genomics

    Background:

    • Cancer therapies are often based on primary tumor molecular traits, which can change in metastases.
    • Metastatic evolution is a major cause of cancer mortality, necessitating dynamic monitoring.
    • Primary tumor analysis and invasive metastatic biopsies have limitations in capturing tumor heterogeneity.

    Purpose of the Study:

    • To introduce various blood-based liquid biopsy approaches.
    • To discuss the clinical applications of liquid biopsies in oncology.
    • To highlight how liquid biopsies can overcome limitations of traditional tissue biopsies.

    Main Methods:

    • Review of different liquid biopsy techniques.
    • Analysis of circulating tumor cells (CTCs).
    • Detection of tumor-derived cell-free nucleic acids, exosomes, and platelets in blood.

    Main Results:

    • Liquid biopsies can reflect the molecular profile of multiple tumor subclones.
    • Sequential monitoring of disease evolution is feasible through serial liquid biopsies.
    • Potential to improve patient stratification and therapeutic selection.

    Conclusions:

    • Liquid biopsies provide a comprehensive and dynamic view of cancer's molecular landscape.
    • These non-invasive methods offer significant advantages over traditional tissue biopsies.
    • Liquid biopsies hold great promise for advancing personalized oncology and improving patient outcomes.