Liquid biopsy: paving a new avenue for cancer research

Cell Adh Migr. 2024 Dec;18(1):1-26. doi: 10.1080/19336918.2024.2395807. Epub 2024 Sep 1.

Abstract

The current constraints associated with cancer diagnosis and molecular profiling, which rely on invasive tissue biopsies or clinical imaging, have spurred the emergence of the liquid biopsy field. Liquid biopsy involves the extraction of circulating tumor cells (CTCs), circulating free or circulating tumor DNA (cfDNA or ctDNA), circulating cell-free RNA (cfRNA), extracellular vesicles (EVs), and tumor-educated platelets (TEPs) from bodily fluid samples. Subsequently, these components undergo molecular characterization to identify biomarkers that are critical for early cancer detection, prognosis, therapeutic assessment, and post-treatment monitoring. These innovative biosources exhibit characteristics analogous to those of the primary tumor from which they originate or interact. This review comprehensively explores the diverse technologies and methodologies employed for processing these biosources, along with their principal clinical applications.

Keywords: Liquid biopsy; biomarkers; circulating cell-free RNA; circulating free or tumor DNA; circulating tumor cells; extracellular vesicles; tumor-educated platelets.

Publication types

  • Review

MeSH terms

  • Biomarkers, Tumor* / metabolism
  • Cell-Free Nucleic Acids / genetics
  • Circulating Tumor DNA
  • Extracellular Vesicles / metabolism
  • Humans
  • Liquid Biopsy / methods
  • Neoplasms* / diagnosis
  • Neoplasms* / genetics
  • Neoplasms* / metabolism
  • Neoplasms* / pathology
  • Neoplastic Cells, Circulating* / metabolism
  • Neoplastic Cells, Circulating* / pathology

Substances

  • Biomarkers, Tumor
  • Circulating Tumor DNA
  • Cell-Free Nucleic Acids

Grants and funding

KK, ZE-S and CA-P are supported by GUIDE-MRD (101112066 - HORIZON-JU-RIA - HORIZON JU Research and Innovation Actions). LC and CA-P are supported by la Fondation ARC pour la Recherche sur le cancer (PANLIPSY project – funding number has not been allocated). CA-P is also supported by the National Institute of Cancer (INCa, http://www.e-cancer.fr - funding number has not been allocated), Fonds de dotation AFER pour la recherche médicale (funding number has not been allocated) and HORIZON-MISS-2021-CANCER -02-01 (101096309 - PANCAID project).