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Updated: Jan 20, 2026

Detection and Monitoring of Tumor Associated Circulating DNA in Patient Biofluids
Published on: June 8, 2019
Towards Circulating-Tumor DNA-Based Precision Medicine
Ai Hironaka-Mitsuhashi1, Anna Sanchez Calle2, Takahiro Ochiya2,3
1Division of Molecular and Cellular Medicine, National Cancer Centre Research Institute, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan. ahironak@ncc.go.jp.
Abstract:
In the era of precision medicine, targeted therapies have been implemented for various diseases. Genomic information guides decision-making in cancer treatment. The improvements in next-generation sequencing and polymerase chain reaction have made it possible to access the genetic information using circulating-tumor DNAs (ctDNAs). Molecular characteristics of individual tumors can be obtained by analysis of ctDNAs, thus making them excellent tools to guide decision-making during treatment. In oncology, the use of ctDNAs in clinical practice is now gaining importance. Molecular analysis of ctDNAs has potential for multiple clinical applications, including early diagnosis, prognosis of disease, prognostic and/or predictive biomarkers, and monitoring response to therapy and clonal evolution. In this paper, we highlight the applications of ctDNAs in cancer management, especially in metastatic setting, and summarize recent studies about the use of ctDNAs as predictive biomarkers for the therapeutic adaptation/response in lung cancer, breast cancer, and colorectal cancer. These studies offer the evidence to use ctDNAs as a promising approach to solve unmet clinical needs.
Insights
Circulating-tumor DNAs (ctDNAs) offer a non-invasive way to analyze tumor genetics. This enables personalized cancer treatment decisions and monitoring, addressing unmet clinical needs in precision medicine.
Area of Science:
- Oncology
- Genomics
- Molecular Diagnostics
Background:
- Precision medicine relies on genomic information for targeted cancer therapies.
- Advances in sequencing technologies enable analysis of circulating-tumor DNAs (ctDNAs).
- ctDNAs provide molecular insights into individual tumors for treatment guidance.
Purpose of the Study:
- To highlight the clinical applications of ctDNAs in cancer management.
- To summarize studies on ctDNAs as predictive biomarkers for therapeutic response.
- To explore ctDNA's role in the metastatic setting.
Main Methods:
- Review of recent studies on ctDNA applications in oncology.
- Analysis of ctDNA for molecular characterization of tumors.
- Focus on ctDNA's utility in lung, breast, and colorectal cancers.
Main Results:
- ctDNA analysis facilitates early diagnosis, prognosis, and biomarker identification.
- ctDNAs are valuable for monitoring treatment response and clonal evolution.
- Evidence supports ctDNAs as predictive biomarkers for therapy adaptation.
Conclusions:
- ctDNAs are emerging as crucial tools in clinical oncology.
- ctDNA analysis offers a promising approach to address unmet clinical needs.
- ctDNAs are vital for guiding treatment decisions in precision oncology.
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