Clinical Applications of Circulating Tumour DNA in Pancreatic Adenocarcinoma.

circulating tumour DNA (ctDNA), biomarkers intratumoural heterogeneity liquid biopsy molecular resistance pancreatic cancer personalised oncology targeted therapy

Journal

Journal of personalized medicine
ISSN: 2075-4426
Titre abrégé: J Pers Med
Pays: Switzerland
ID NLM: 101602269

Informations de publication

Date de publication:
18 Jul 2019
Historique:
received: 28 05 2019
revised: 03 07 2019
accepted: 16 07 2019
entrez: 21 7 2019
pubmed: 22 7 2019
medline: 22 7 2019
Statut: epublish

Résumé

Pancreatic adenocarcinoma remains one of the most aggressive cancers with an ongoing dismal survival rate despite some recent advances in treatment options. This is largely due to the typically late presentation and limited effective therapeutic options in advanced disease. There are numerous circulating biomarkers that have potential clinical application as tumour markers, including circulating tumour DNA (ctDNA), circulating tumour cells (CTCs), cell-free RNA (cfRNA), exosomes and circulating tumour proteins. This review will focus on the development of ctDNA as a non-invasive liquid biopsy, with its high sensitivity and specificity having potential clinical applications in pancreatic cancer. These include a role in screening, prognostication via the detection of minimal residual disease, early detection of recurrence, and for patients with advanced disease; tumour genotyping and monitoring treatment response. Prospective randomised adjuvant clinical trials are currently underway, exploring the impact of ctDNA-guided adjuvant therapy decisions. In this review, we provide perspectives on the current literature and considerations of future directions.

Identifiants

pubmed: 31323810
pii: jpm9030037
doi: 10.3390/jpm9030037
pmc: PMC6789869
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Matthew Loft (M)

Systems Biology and Personalised Medicine Division, Walter and Eliza Hall Institute of Medical Research, Parkville 3050, Australia. loft.m@wehi.edu.au.
Department of Medical Biology, The University of Melbourne, Parkville 3010, Australia. loft.m@wehi.edu.au.

Belinda Lee (B)

Systems Biology and Personalised Medicine Division, Walter and Eliza Hall Institute of Medical Research, Parkville 3050, Australia.
Department of Medical Biology, The University of Melbourne, Parkville 3010, Australia.

Jeanne Tie (J)

Systems Biology and Personalised Medicine Division, Walter and Eliza Hall Institute of Medical Research, Parkville 3050, Australia.
Department of Medical Biology, The University of Melbourne, Parkville 3010, Australia.
Department of Medical Oncology, Western Health, Footscray 3011, Australia.
Department of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne 3000, Australia.

Peter Gibbs (P)

Systems Biology and Personalised Medicine Division, Walter and Eliza Hall Institute of Medical Research, Parkville 3050, Australia.
Department of Medical Biology, The University of Melbourne, Parkville 3010, Australia.
Department of Medical Oncology, Western Health, Footscray 3011, Australia.

Classifications MeSH