2016
DOI: 10.1016/j.csbj.2016.05.004
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Circulating biomarkers to monitor cancer progression and treatment

Abstract: Tumor heterogeneity is a major challenge and the root cause of resistance to treatment. Still, the standard diagnostic approach relies on the analysis of a single tumor sample from a local or metastatic site that is obtained at a given time point. Due to intratumoral heterogeneity and selection of subpopulations in diverse lesions this will provide only a limited characterization of the makeup of the disease. On the other hand, recent developments of nucleic acid sequence analysis allows to use minimally invas… Show more

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Cited by 128 publications
(109 citation statements)
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“…These assays measure the extracellular or "leaked" levels of otherwise intracellular DNA and RNA, a phenomenon that occurs very frequently in response to tissue destruction. In some organs, even small lesions may cause sufficient cell membrane destruction and consequent DNA, RNA, and protein leakage; these leaked components will then enter systematic circulation [5]. However, the highly sensitive nature of these assays does not necessarily mean that DNA and RNA are more suitable biomarkers than proteins.…”
Section: Introductionmentioning
confidence: 99%
“…These assays measure the extracellular or "leaked" levels of otherwise intracellular DNA and RNA, a phenomenon that occurs very frequently in response to tissue destruction. In some organs, even small lesions may cause sufficient cell membrane destruction and consequent DNA, RNA, and protein leakage; these leaked components will then enter systematic circulation [5]. However, the highly sensitive nature of these assays does not necessarily mean that DNA and RNA are more suitable biomarkers than proteins.…”
Section: Introductionmentioning
confidence: 99%
“…Cancer cells secrete genomic fragments into the circulatory system and this provides a novel approach for a cancer diagnostic test (51). CTCs may be potential biomarkers to predict effective therapies in patients with castration-resistant cancer (52,53). Increased levels of blood CTCs are associated with poor survival outcome for patients with prostate cancer (52).…”
Section: Non-invasive Genetic Biomarker Testmentioning
confidence: 99%
“…However, an understanding of where human concentrations are in respect to IC 50 or IC 90 concentrations obtained in vitro can be useful to include in dose-justification arguments. Further, the utility of linking plasma PK and plasma-derived biomarkers to activity within tumor or even patient outcomes (eg, objective response rate, progression-free survival, overall survival, or toxicity) is significantly complex and needs further study 25 but has been accomplished for some targeted agents in solid tumors. 26,27 Considerations of the biologic differences between healthy subjects and cancer patients also need to be well thought out before healthy subject PK-PD relationships are extrapolated to cancer patients.…”
Section: Pharmacokinetic-pharmacodynamic Relationshipsmentioning
confidence: 99%