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Updated: Jan 2, 2026

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
The Role Of Circulating Tumor DNA In Therapeutic Resistance
Chenxin Xu1, Haixia Cao2, Chen Shi1
1The Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research, Nanjing, Jiangsu Province, People's Republic of China.
Abstract:
The application of precision medicine in cancer treatment has partly succeeded in reducing the side effects of unnecessary chemotherapeutics and in improving the survival rate of patients. However, with the long-term use of therapy, the dynamically changing intratumoral and intertumoral heterogeneity eventually gives rise to therapeutic resistance. In recent years, a novel testing technology (termed liquid biopsy) using circulating tumor DNAs (ctDNAs) extracted from peripheral blood samples from patients with cancer has brought about new expectations to the medical community. Using ctDNAs, clinicians can trace the heterogeneity pattern to duly adjust individual therapy and prolong overall survival for patients with cancer. Technological advances in detecting and characterizing ctDNAs (eg, development of next-generation sequencing) have provided clinicians with a valuable tool for genotyping tumors individually and identifying genetic and epigenetic alterations of the entire tumor to capture mutations associated with therapeutic resistance.
Insights
Liquid biopsy using circulating tumor DNA (ctDNA) offers new hope for cancer patients. This technology helps monitor tumor changes and personalize treatment, overcoming therapeutic resistance and improving survival rates.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Precision medicine has improved cancer treatment outcomes by reducing side effects and enhancing survival.
- Long-term cancer therapies often face challenges due to evolving tumor heterogeneity, leading to therapeutic resistance.
Purpose of the Study:
- To introduce liquid biopsy as a novel approach for monitoring cancer treatment.
- To highlight the role of circulating tumor DNA (ctDNA) in overcoming therapeutic resistance.
Main Methods:
- Utilizing liquid biopsy technology to analyze circulating tumor DNAs (ctDNAs) from patient blood samples.
- Employing advanced detection and characterization techniques, such as next-generation sequencing, for ctDNA analysis.
Main Results:
- ctDNA analysis enables tracing of intratumoral and intertumoral heterogeneity.
- Identification of genetic and epigenetic alterations associated with therapeutic resistance.
Conclusions:
- Liquid biopsy provides a valuable tool for real-time monitoring of tumor evolution.
- Personalized adjustments in cancer therapy based on ctDNA analysis can prolong patient survival and overcome resistance.
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