Circulating Tumor DNA in Lymphoma.

IF 2.7 3区 医学 Q2 HEMATOLOGY
Current Hematologic Malignancy Reports Pub Date : 2022-12-01 Epub Date: 2022-10-10 DOI:10.1007/s11899-022-00677-1
Swetha Kambhampati Thiruvengadam, Jasmine Zain
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引用次数: 0

Abstract

Purpose of review: Recent advances have been made in circulating tumor DNA (ctDNA), the method to minimally invasive detect lymphoma sensitively with tumor-derived DNA in the blood of patients with lymphomas. This article discusses these various methods of ctDNA detection and the clinical context in which they have been applied to for a variety of lymphoma subtypes.

Recent findings: ctDNA has been applied to a variety of subtypes of lymphoma and has been used in the context of genotyping somatic mutations and classification of disease, monitoring of response during treatment, detecting minimal residual disease even with radiographic remission, and predicting relapse and long-term survival outcomes. There are a variety of techniques used to measure ctDNA including digital polymerase chain reaction and next-generation sequencing techniques including high-throughput variable-diversity-joining rearrangement sequencing, high-throughput sequencing of somatic mutations, and Cancer Personalized Profiling by deep sequencing. While the greatest data has been generated in diffuse large B cell lymphoma, there have been studies utilizing application of ctDNA in follicular lymphoma, mantle cell lymphoma, Hodgkin's lymphoma, peripheral T cell lymphoma, and primary CNS lymphoma among others. ctDNA is an emerging biomarker in lymphoma that can minimally invasively provide further genotypic information, diagnostic clarification, and treatment prognostication by detection of minimal residual disease even without radiographic evidence of disease. Future studies are needed to standardize the use of ctDNA and translate its use clinically for the management of lymphoma patients.

淋巴瘤中的循环肿瘤 DNA。
综述的目的:循环肿瘤DNA(ctDNA)是一种利用淋巴瘤患者血液中的肿瘤衍生DNA对淋巴瘤进行敏感性微创检测的方法。本文将讨论这些不同的ctDNA检测方法以及它们应用于各种淋巴瘤亚型的临床情况。最新研究结果:ctDNA已应用于各种淋巴瘤亚型,并已用于体细胞突变基因分型和疾病分类、治疗过程中的反应监测、即使出现放射学缓解也能检测出最小残留病,以及预测复发和长期生存结果。用于测量ctDNA的技术多种多样,包括数字聚合酶链反应和下一代测序技术,其中包括高通量可变多样性连接重排测序、高通量体细胞突变测序和通过深度测序进行癌症个性化分析。ctDNA是淋巴瘤中一种新兴的生物标记物,可以通过微创方式提供进一步的基因型信息、明确诊断,并通过检测微小残留疾病(即使没有放射学疾病证据)来判断治疗预后。未来还需要进行研究,以规范ctDNA的使用,并将其应用于临床淋巴瘤患者的治疗。
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
CiteScore
6.00
自引率
0.00%
发文量
28
审稿时长
>12 weeks
期刊介绍: his journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of hematologic malignancy. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as leukemia, lymphoma, myeloma, and T-cell and other lymphoproliferative malignancies. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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