Circulating tumor cells: advances in isolation and analysis, and challenges for clinical applications.

Circulating tumor cells: advances in isolation and analysis, and challenges for clinical applications.
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DOI:
10.1016/j.pharmthera.2013.10.004
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发表时间:
2014-02
影响因子:
13.5
通讯作者:
Cao, Liang
Cao, Liang
中科院分区:
医学1区
文献类型:
--
作者:
Harouaka, Ramdane;Kang, Zhigang;Zheng, Si-Yang;Cao, Liang

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循环肿瘤细胞(CTC)是从肿瘤释放到血流中的罕见癌细胞,被认为在癌症转移中发挥关键作用。 CTC 的存在与几种主要癌症类型的预后较差有关,包括乳腺癌、前列腺癌和结直肠癌。人们对 CTC 研究和技术非常感兴趣,因为它们可能用作癌症生物标志物,可以增强癌症诊断和预后、促进药物开发并改善癌症患者的治疗。本综述提供了 CTC 分离和分子表征技术的最新进展。此外,该综述涵盖了基于 CTC 的癌症预后检测、抗癌治疗反应的临床应用以及预测癌症治疗敏感性和耐药性的生物标志物探索性研究的重大进展和局限性。
Circulating tumor cells (CTCs) are rare cancer cells released from tumors into the bloodstream that are thought to have a key role in cancer metastasis. The presence of CTCs has been associated with worse prognosis in several major cancer types, including breast, prostate and colorectal cancer. There is considerable interest in CTC research and technologies for their potential use as cancer biomarkers that may enhance cancer diagnosis and prognosis, facilitate drug development, and improve the treatment of cancer patients. This review provides an update on recent progress in CTC isolation and molecular characterization technologies. Furthermore, the review covers significant advances and limitations in the clinical applications of CTC-based assays for cancer prognosis, response to anti-cancer therapies, and exploratory studies in biomarkers predictive of sensitivity and resistance to cancer therapies.
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