Current and future perspectives of liquid biopsies in genomics-driven oncology
Cet article présente des exemples d'utilisations cliniques de biopsies liquides approuvées par la "Food and Drug Administration", analyse les données scientifiques concernant la validité de l'ADN tumoral circulant comme biomarqueur puis identifie les défis à relever pour pouvoir utiliser plus largement les biopsies liquides en médecine de précision
Precision oncology seeks to leverage molecular information about cancer to improve patient outcomes. Tissue biopsy samples are widely used to characterize tumours but are limited by constraints on sampling frequency and their incomplete representation of the entire tumour bulk. Now, attention is turning to minimally invasive liquid biopsies, which enable analysis of tumour components (including circulating tumour cells and circulating tumour DNA) in bodily fluids such as blood. The potential of liquid biopsies is highlighted by studies that show they can track the evolutionary dynamics and heterogeneity of tumours and can detect very early emergence of therapy resistance, residual disease and recurrence. However, the analytical validity and clinical utility of liquid biopsies must be rigorously demonstrated before this potential can be realized.
Nature Reviews Genetics , article en libre accès, 2018