The Different Facets of Liquid Biopsy: A Kaleidoscopic View

Cold Spring Harb Perspect Med. 2020 Jun 1;10(6):a037333. doi: 10.1101/cshperspect.a037333.

Abstract

The current limitations of cancer diagnosis and molecular profiling based on invasive tissue biopsies or clinical imaging have led to the development of the liquid biopsy field. Liquid biopsy includes the isolation of circulating tumor cells (CTCs), circulating free or tumor DNA (cfDNA or ctDNA), extracellular vesicles (EVs), and tumor-educated platelets (TEPs) from body fluid samples and their molecular characterization to identify biomarkers for early cancer diagnosis, prognosis, therapeutic prediction, and follow-up. These innovative biosources show similar features as the primary tumor from where they originated or interacted. This review describes the different technologies and methods used for processing these biosources as well as their main clinical applications with their advantages and limitations.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Biomarkers, Tumor / genetics
  • Circulating Tumor DNA / genetics
  • Early Detection of Cancer
  • Extracellular Vesicles / genetics
  • Humans
  • Liquid Biopsy / methods*
  • Neoplasms / diagnosis*
  • Neoplasms / pathology
  • Neoplastic Cells, Circulating / pathology
  • Prognosis

Substances

  • Biomarkers, Tumor
  • Circulating Tumor DNA