Beyond blood: Advancing the frontiers of liquid biopsy in oncology and personalized medicine

Cancer Sci. 2024 Apr;115(4):1060-1072. doi: 10.1111/cas.16097. Epub 2024 Feb 3.

Abstract

Liquid biopsy is emerging as a pivotal tool in precision oncology, offering a noninvasive and comprehensive approach to cancer diagnostics and management. By harnessing biofluids such as blood, urine, saliva, cerebrospinal fluid, and pleural effusions, this technique profiles key biomarkers including circulating tumor DNA, circulating tumor cells, microRNAs, and extracellular vesicles. This review discusses the extended scope of liquid biopsy, highlighting its indispensable role in enhancing patient outcomes through early detection, continuous monitoring, and tailored therapy. While the advantages are notable, we also address the challenges, emphasizing the necessity for precision, cost-effectiveness, and standardized methodologies in its broader application. The future trajectory of liquid biopsy is set to expand its reach in personalized medicine, fueled by technological advancements and collaborative research.

Keywords: circulating tumor DNA (ctDNA); liquid biopsy; noninvasive cancer detection; personalized medicine; precision oncology.

Publication types

  • Review

MeSH terms

  • Biomarkers, Tumor / genetics
  • Circulating Tumor DNA* / genetics
  • Humans
  • Liquid Biopsy / methods
  • Neoplastic Cells, Circulating* / pathology
  • Precision Medicine / methods

Substances

  • Biomarkers, Tumor
  • Circulating Tumor DNA