Minimal residual disease (MRD) detection in solid tumors using circulating tumor DNA: a systematic review

Minimal residual disease (MRD) refers to a very small number of residual tumor cells in the body during or after treatment, representing the persistence of the tumor and the possibility of clinical progress. Circulating tumor DNA (ctDNA) is a DNA fragment actively secreted by tumor cells or released...

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Main Authors: Lemei Zhu, Ran Xu, Leilei Yang, Wei Shi, Yuan Zhang, Juan Liu, Xi Li, Jun Zhou, Pingping Bing
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Genetics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2023.1172108/full
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author Lemei Zhu
Lemei Zhu
Lemei Zhu
Ran Xu
Leilei Yang
Wei Shi
Yuan Zhang
Yuan Zhang
Yuan Zhang
Juan Liu
Juan Liu
Juan Liu
Xi Li
Jun Zhou
Jun Zhou
Pingping Bing
Pingping Bing
author_facet Lemei Zhu
Lemei Zhu
Lemei Zhu
Ran Xu
Leilei Yang
Wei Shi
Yuan Zhang
Yuan Zhang
Yuan Zhang
Juan Liu
Juan Liu
Juan Liu
Xi Li
Jun Zhou
Jun Zhou
Pingping Bing
Pingping Bing
author_sort Lemei Zhu
collection DOAJ
description Minimal residual disease (MRD) refers to a very small number of residual tumor cells in the body during or after treatment, representing the persistence of the tumor and the possibility of clinical progress. Circulating tumor DNA (ctDNA) is a DNA fragment actively secreted by tumor cells or released into the circulatory system during the process of apoptosis or necrosis of tumor cells, which emerging as a non-invasive biomarker to dynamically monitor the therapeutic effect and prediction of recurrence. The feasibility of ctDNA as MRD detection and the revolution in ctDNA-based liquid biopsies provides a potential method for cancer monitoring. In this review, we summarized the main methods of ctDNA detection (PCR-based Sequencing and Next-Generation Sequencing) and their advantages and disadvantages. Additionally, we reviewed the significance of ctDNA analysis to guide the adjuvant therapy and predict the relapse of lung, breast and colon cancer et al. Finally, there are still many challenges of MRD detection, such as lack of standardization, false-negatives or false-positives results make misleading, and the requirement of validation using large independent cohorts to improve clinical outcomes.
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spelling doaj.art-005c7f7c74d742f4858c3328dd872fcb2023-08-10T10:15:51ZengFrontiers Media S.A.Frontiers in Genetics1664-80212023-08-011410.3389/fgene.2023.11721081172108Minimal residual disease (MRD) detection in solid tumors using circulating tumor DNA: a systematic reviewLemei Zhu0Lemei Zhu1Lemei Zhu2Ran Xu3Leilei Yang4Wei Shi5Yuan Zhang6Yuan Zhang7Yuan Zhang8Juan Liu9Juan Liu10Juan Liu11Xi Li12Jun Zhou13Jun Zhou14Pingping Bing15Pingping Bing16Hunan Key Laboratory of the Research and Development of Novel Pharmaceutical Preparations, Changsha, ChinaAcademician Workstation, Changsha Medical University, Changsha, ChinaSchool of Public Health, Changsha Medical University, Changsha, ChinaGeneis Beijing Co., Ltd., Beijing, ChinaGeneis Beijing Co., Ltd., Beijing, ChinaGeneis Beijing Co., Ltd., Beijing, ChinaHunan Key Laboratory of the Research and Development of Novel Pharmaceutical Preparations, Changsha, ChinaAcademician Workstation, Changsha Medical University, Changsha, ChinaSchool of Public Health, Changsha Medical University, Changsha, ChinaHunan Key Laboratory of the Research and Development of Novel Pharmaceutical Preparations, Changsha, ChinaAcademician Workstation, Changsha Medical University, Changsha, ChinaSchool of Public Health, Changsha Medical University, Changsha, ChinaDepartment of Orthopedics, Xiangya Hospital Central South University, Changsha, ChinaHunan Key Laboratory of the Research and Development of Novel Pharmaceutical Preparations, Changsha, ChinaAcademician Workstation, Changsha Medical University, Changsha, ChinaHunan Key Laboratory of the Research and Development of Novel Pharmaceutical Preparations, Changsha, ChinaAcademician Workstation, Changsha Medical University, Changsha, ChinaMinimal residual disease (MRD) refers to a very small number of residual tumor cells in the body during or after treatment, representing the persistence of the tumor and the possibility of clinical progress. Circulating tumor DNA (ctDNA) is a DNA fragment actively secreted by tumor cells or released into the circulatory system during the process of apoptosis or necrosis of tumor cells, which emerging as a non-invasive biomarker to dynamically monitor the therapeutic effect and prediction of recurrence. The feasibility of ctDNA as MRD detection and the revolution in ctDNA-based liquid biopsies provides a potential method for cancer monitoring. In this review, we summarized the main methods of ctDNA detection (PCR-based Sequencing and Next-Generation Sequencing) and their advantages and disadvantages. Additionally, we reviewed the significance of ctDNA analysis to guide the adjuvant therapy and predict the relapse of lung, breast and colon cancer et al. Finally, there are still many challenges of MRD detection, such as lack of standardization, false-negatives or false-positives results make misleading, and the requirement of validation using large independent cohorts to improve clinical outcomes.https://www.frontiersin.org/articles/10.3389/fgene.2023.1172108/fullMRDtumorCtDNAbiomarkerNGS
spellingShingle Lemei Zhu
Lemei Zhu
Lemei Zhu
Ran Xu
Leilei Yang
Wei Shi
Yuan Zhang
Yuan Zhang
Yuan Zhang
Juan Liu
Juan Liu
Juan Liu
Xi Li
Jun Zhou
Jun Zhou
Pingping Bing
Pingping Bing
Minimal residual disease (MRD) detection in solid tumors using circulating tumor DNA: a systematic review
Frontiers in Genetics
MRD
tumor
CtDNA
biomarker
NGS
title Minimal residual disease (MRD) detection in solid tumors using circulating tumor DNA: a systematic review
title_full Minimal residual disease (MRD) detection in solid tumors using circulating tumor DNA: a systematic review
title_fullStr Minimal residual disease (MRD) detection in solid tumors using circulating tumor DNA: a systematic review
title_full_unstemmed Minimal residual disease (MRD) detection in solid tumors using circulating tumor DNA: a systematic review
title_short Minimal residual disease (MRD) detection in solid tumors using circulating tumor DNA: a systematic review
title_sort minimal residual disease mrd detection in solid tumors using circulating tumor dna a systematic review
topic MRD
tumor
CtDNA
biomarker
NGS
url https://www.frontiersin.org/articles/10.3389/fgene.2023.1172108/full
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