前列腺癌液体活检的临床意义

Mohamed Ziedan
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引用次数: 0

摘要

世界范围内男性中最常见的实体肿瘤是前列腺癌。鉴于前列腺癌的发病率及其相对较长的临床病程,需要生物标志物来指导治疗选择是至关重要的。根据患者独特的风险分层,考虑前列腺活检、前列腺特异性抗原(PSA)水平、影像学和其他患者因素的病理特征,决定局部前列腺癌的治疗方案,如主动监测、手术切除或靶向放疗。对癌症进行彻底分析的一种有吸引力的方法是使用“液体活检”,由抽取的外周血分析物组成。这些方法可以用作预后和预测性生物标志物,以及在疾病过程中用于分子分析的现成组织来源,并且直接,安全且易于重复。研究人员根据要研究的问题对文章进行检查。文献综述中使用的文章是通过PubMed的国际期刊供应商数据库获得的,我们调查了11项临床研究,并讨论了这些临床研究中发生的事情以及前列腺癌液体活检的有效性程度,在一项研究中,常见循环肿瘤DNA改变对患者对最广泛使用的大型随机晚期前列腺癌的反应的相对影响。其他研究报道,ZNF660甲基化分析可能有助于将低/中级pc分为惰性亚型和更具侵袭性亚型。另一项研究发现,CRPC患者血小板中肿瘤来源的生物标志物能够预测阿比特龙治疗后的预后,其准确性高于基线血清PSA或PSA反应。一项研究报道,雄激素剥夺治疗后CTC从头阳性计数可能是由于与肿瘤破坏相关的被动机制。在本文中,我们建议液体活检作为前列腺癌的生物标志物,需要进一步的研究来提高液体活检的疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Impact of Liquid Biopsy in Prostatic Cancer
The most prevalent solid tumor in men worldwide is prostate cancer. The need for biomarkers to guide management choices is critical given the frequency of prostate cancer and its relatively lengthy clinical course. Based on a patient's unique risk stratification, which considers pathologic characteristics from a prostate biopsy, prostate-specific antigen (PSA) level, imaging, and other patient factors, decisions about localized prostate cancer treatment options, such as active surveillance, surgical excision, or targeted radiation, are made. An attractive method for thorough cancer analysis is to use "liquid biopsies" made up of analytes from a peripheral blood draw. These methods can be used as prognostic and predictive biomarkers as well as ready tissue sources for molecular profiling during the course of a disease and are straightforward, safe, and simple to repeat. Researchers conduct an examination of articles that are in accordance with the issue to be studied. Articles used in literature review are  obtained  through  the  database  of  international  journal  providers  through  PubMed,  we  investigated eleven clinical studies and discussed what happened in these clinical studies and the extent of the effectiveness of liquid biopsy in  prostatic cancer, in one study there was relative impact of common circulating tumor DNA alterations on patient response to the most widely used large, randomize advanced prostate cancer. Other studies reported that ZNF660 methylation analysis can potentially help to stratify low-/intermediate-grade PCs into indolent vs. more aggressive subtypes. Another study found that tumor-derived biomarkers in platelets of CRPC patients enabled prediction of the outcome after abiraterone therapy with higher accuracy than baseline serum PSA or PSA response. One study reported that de novo positive CTC count after androgen deprivation therapy is probably due to a passive mechanism associated with the destruction of the tumor. In this review, we suggest that liquid biopsy could be used as biomarker for prostatic cancer, Further studies are needed to enhance liquid biopsy efficacy.
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