Circulating cell-free DNA for non-invasive cancer management Journal Article


Authors: Stewart, C. M.; Tsui, D. W. Y.
Article Title: Circulating cell-free DNA for non-invasive cancer management
Abstract: Cell-free DNA (cfDNA) was first identified in human plasma in 1948 and is thought to be released from cells throughout the body into the circulatory system. In cancer, a portion of the cfDNA originates from tumour cells, referred to as circulating-tumour DNA (ctDNA), and can contain mutations corresponding to the patient's tumour, for instance specific TP53 alleles. Profiling of cfDNA has recently become an area of increasing clinical relevance in oncology, in particular due to advances in the sensitivity of molecular biology techniques and development of next generation sequencing technologies, as this allows tumour mutations to be identified and tracked non-invasively. This has opened up new possibilities for monitoring tumour evolution and acquisition of resistance, as well as for guiding treatment decisions when tumour biopsy tissue is insufficient or unavailable. In this review, we will discuss the biology of cell-free nucleic acids, methods of analysis, and the potential clinical uses of these techniques, as well as the on-going clinical development of ctDNA assays. © 2018
Keywords: unclassified drug; review; polymerase chain reaction; sensitivity analysis; allele; metastasis; tumor volume; cancer screening; evolution; cancer resistance; cell heterogeneity; early cancer; early diagnosis; non invasive procedure; dna determination; mutant; sequencing; molecular pathology; exosome; molecular diagnostics; next generation sequencing; cancer; human; priority journal; circulating tumor dna; liquid biopsy; cell-free dna; cell free nucleic acid; cell free rna; circulating cell free dna; prenatal screening
Journal Title: Cancer Genetics
Volume: 228-229
ISSN: 2210-7762
Publisher: Elsevier Inc.  
Date Published: 2018-12-01
Start Page: 169
End Page: 179
Language: English
DOI: 10.1016/j.cancergen.2018.02.005
PROVIDER: scopus
PUBMED: 29625863
PMCID: PMC6598437
DOI/URL:
Notes: Cancer Genet. -- Cited By :4 -- Export Date: 2 January 2019 -- Review -- Source: Scopus C2 - 29625863
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  1. Wai Yi   Tsui
    50 Tsui
  2. Caitlin Marie Stewart
    11 Stewart