Liquid biopsy in glioblastoma: emerging technologies and translational opportunities.

IF 16.6 1区 工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY
Olawumi Giwa, Yonit Leykind, Itamar Altman, Tali Siegal, Milana Frenkel-Morgenstern
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引用次数: 0

Abstract

Glioblastoma remains highly aggressive, with limited treatment response and poor prognosis. Tissue biopsy (TB) is invasive and fail to capture tumor heterogeneity or temporal dynamics. Liquid biopsy (LB) provides a noninvasive alternative for real-time monitoring via circulating biomarkers, including cell-free DNA (cfDNA), circulating tumor DNA (ctDNA), circulating tumor cells (CTCs), and extracellular vesicles (EVs) in plasma, cerebrospinal fluid (CSF), urine, and saliva. This review advances beyond prior biomarker catalogs by delivering a quantitative technology scorecard comparing cfDNA-, CTC-, and EV-based platforms in terms of sensitivity, clinical actionability, cost, and scalability. We introduce a multimodal decision matrix and an artificial intelligence (AI)-driven fusion pipeline integrating fragmentomics, EV proteomics, and CTC transcriptomics to enhance minimal residual disease detection and guide precision neuro-oncology.

胶质母细胞瘤液体活检:新兴技术和转化机会。
胶质母细胞瘤仍然具有高度侵袭性,治疗效果有限,预后不良。组织活检(TB)是侵入性的,不能捕捉肿瘤的异质性或时间动态。液体活检(LB)通过循环生物标志物,包括血浆、脑脊液(CSF)、尿液和唾液中的无细胞DNA (cfDNA)、循环肿瘤DNA (ctDNA)、循环肿瘤细胞(CTCs)和细胞外囊泡(ev),为实时监测提供了一种无创替代方法。该综述通过提供定量技术记分卡,比较cfDNA、CTC和ev为基础的平台在敏感性、临床可操作性、成本和可扩展性方面的进展,超越了先前的生物标志物目录。我们引入了一个多模式决策矩阵和人工智能驱动的融合管道,整合了片段组学、EV蛋白质组学和CTC转录组学,以增强最小残留疾病检测和指导精确的神经肿瘤学。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Trends in biotechnology
Trends in biotechnology 工程技术-生物工程与应用微生物
CiteScore
28.60
自引率
1.20%
发文量
198
审稿时长
1 months
期刊介绍: Trends in Biotechnology publishes reviews and perspectives on the applied biological sciences, focusing on useful science applied to, derived from, or inspired by living systems. The major themes that TIBTECH is interested in include: Bioprocessing (biochemical engineering, applied enzymology, industrial biotechnology, biofuels, metabolic engineering) Omics (genome editing, single-cell technologies, bioinformatics, synthetic biology) Materials and devices (bionanotechnology, biomaterials, diagnostics/imaging/detection, soft robotics, biosensors/bioelectronics) Therapeutics (biofabrication, stem cells, tissue engineering and regenerative medicine, antibodies and other protein drugs, drug delivery) Agroenvironment (environmental engineering, bioremediation, genetically modified crops, sustainable development).
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