Clinical Applications of Circulating Tumour Cells and Circulating Tumour DNA in Non-Small Cell Lung Cancer—An Update

Despite efforts to improve earlier diagnosis of non-small cell lung cancer (NSCLC), most patients present with advanced stage disease, which is often associated with poor survival outcomes with only 15% surviving for 5 years from their diagnosis. Tumour tissue biopsy is the current mainstream for ca...

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Main Authors: Joanna Kapeleris, Majid Ebrahimi Warkiani, Arutha Kulasinghe, Ian Vela, Liz Kenny, Rahul Ladwa, Kenneth O’Byrne, Chamindie Punyadeera
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.859152/full
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author Joanna Kapeleris
Joanna Kapeleris
Majid Ebrahimi Warkiani
Arutha Kulasinghe
Arutha Kulasinghe
Ian Vela
Ian Vela
Ian Vela
Liz Kenny
Rahul Ladwa
Rahul Ladwa
Kenneth O’Byrne
Kenneth O’Byrne
Chamindie Punyadeera
Chamindie Punyadeera
Chamindie Punyadeera
author_facet Joanna Kapeleris
Joanna Kapeleris
Majid Ebrahimi Warkiani
Arutha Kulasinghe
Arutha Kulasinghe
Ian Vela
Ian Vela
Ian Vela
Liz Kenny
Rahul Ladwa
Rahul Ladwa
Kenneth O’Byrne
Kenneth O’Byrne
Chamindie Punyadeera
Chamindie Punyadeera
Chamindie Punyadeera
author_sort Joanna Kapeleris
collection DOAJ
description Despite efforts to improve earlier diagnosis of non-small cell lung cancer (NSCLC), most patients present with advanced stage disease, which is often associated with poor survival outcomes with only 15% surviving for 5 years from their diagnosis. Tumour tissue biopsy is the current mainstream for cancer diagnosis and prognosis in many parts of the world. However, due to tumour heterogeneity and accessibility issues, liquid biopsy is emerging as a game changer for both cancer diagnosis and prognosis. Liquid biopsy is the analysis of tumour-derived biomarkers in body fluids, which has remarkable advantages over the use of traditional tumour biopsy. Circulating tumour cells (CTCs) and circulating tumour DNA (ctDNA) are two main derivatives of liquid biopsy. CTC enumeration and molecular analysis enable monitoring of cancer progression, recurrence, and treatment response earlier than traditional biopsy through a minimally invasive liquid biopsy approach. CTC-derived ex-vivo cultures are essential to understanding CTC biology and their role in metastasis, provide a means for personalized drug testing, and guide treatment selection. Just like CTCs, ctDNA provides opportunity for screening, monitoring, treatment evaluation, and disease surveillance. We present an updated review highlighting the prognostic and therapeutic significance of CTCs and ctDNA in NSCLC.
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spelling doaj.art-0388ec7d13c34349b8d98c62dd24435b2022-12-21T18:20:03ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-03-011210.3389/fonc.2022.859152859152Clinical Applications of Circulating Tumour Cells and Circulating Tumour DNA in Non-Small Cell Lung Cancer—An UpdateJoanna Kapeleris0Joanna Kapeleris1Majid Ebrahimi Warkiani2Arutha Kulasinghe3Arutha Kulasinghe4Ian Vela5Ian Vela6Ian Vela7Liz Kenny8Rahul Ladwa9Rahul Ladwa10Kenneth O’Byrne11Kenneth O’Byrne12Chamindie Punyadeera13Chamindie Punyadeera14Chamindie Punyadeera15Saliva and Liquid Biopsy Translational Laboratory, The Centre for Biomedical Technologies, The School of Biomedical Sciences, Faculty of Health, Queensland University of Technology, Kelvin Grove, QLD, AustraliaTranslational Research Institute, Brisbane, QLD, AustraliaSchool of Biomedical Engineering, University of Technology Sydney, Sydney, NSW, AustraliaTranslational Research Institute, Brisbane, QLD, AustraliaThe School of Biomedical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, QLD, AustraliaThe School of Biomedical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, QLD, AustraliaAustralian Prostate Cancer Research Centre, Queensland, Institute of Health and Biomedical Innovation, Queensland University of Technology, Princess Alexandra Hospital, Translational Research Institute, Brisbane, QLD, AustraliaDepartment of Urology, Princess Alexandra Hospital, Woolloongabba, QLD, AustraliaSchool of Medicine, University of Queensland, Royal Brisbane and Women’s Hospital, Central Integrated Regional Cancer Service, Queensland Health, Brisbane, QLD, AustraliaDepartment of Medical Oncology, Princess Alexandra Hospital, Woolloongabba, QLD, AustraliaSchool of Medicine, University of Queensland, Herston, QLD, AustraliaTranslational Research Institute, Brisbane, QLD, AustraliaDepartment of Medical Oncology, Princess Alexandra Hospital, Woolloongabba, QLD, AustraliaSaliva and Liquid Biopsy Translational Laboratory, The Centre for Biomedical Technologies, The School of Biomedical Sciences, Faculty of Health, Queensland University of Technology, Kelvin Grove, QLD, AustraliaTranslational Research Institute, Brisbane, QLD, Australia0Saliva and Liquid Biopsy Translational Laboratory, Griffith Institute for Drug Discovery and Menzies Health Institute Queensland, Griffith University, Nathan, QLD, AustraliaDespite efforts to improve earlier diagnosis of non-small cell lung cancer (NSCLC), most patients present with advanced stage disease, which is often associated with poor survival outcomes with only 15% surviving for 5 years from their diagnosis. Tumour tissue biopsy is the current mainstream for cancer diagnosis and prognosis in many parts of the world. However, due to tumour heterogeneity and accessibility issues, liquid biopsy is emerging as a game changer for both cancer diagnosis and prognosis. Liquid biopsy is the analysis of tumour-derived biomarkers in body fluids, which has remarkable advantages over the use of traditional tumour biopsy. Circulating tumour cells (CTCs) and circulating tumour DNA (ctDNA) are two main derivatives of liquid biopsy. CTC enumeration and molecular analysis enable monitoring of cancer progression, recurrence, and treatment response earlier than traditional biopsy through a minimally invasive liquid biopsy approach. CTC-derived ex-vivo cultures are essential to understanding CTC biology and their role in metastasis, provide a means for personalized drug testing, and guide treatment selection. Just like CTCs, ctDNA provides opportunity for screening, monitoring, treatment evaluation, and disease surveillance. We present an updated review highlighting the prognostic and therapeutic significance of CTCs and ctDNA in NSCLC.https://www.frontiersin.org/articles/10.3389/fonc.2022.859152/fulllung cancerNSCLCcirculating tumour DNA (ctDNA)circulating tumour cell (CTC)liquid biopsy
spellingShingle Joanna Kapeleris
Joanna Kapeleris
Majid Ebrahimi Warkiani
Arutha Kulasinghe
Arutha Kulasinghe
Ian Vela
Ian Vela
Ian Vela
Liz Kenny
Rahul Ladwa
Rahul Ladwa
Kenneth O’Byrne
Kenneth O’Byrne
Chamindie Punyadeera
Chamindie Punyadeera
Chamindie Punyadeera
Clinical Applications of Circulating Tumour Cells and Circulating Tumour DNA in Non-Small Cell Lung Cancer—An Update
Frontiers in Oncology
lung cancer
NSCLC
circulating tumour DNA (ctDNA)
circulating tumour cell (CTC)
liquid biopsy
title Clinical Applications of Circulating Tumour Cells and Circulating Tumour DNA in Non-Small Cell Lung Cancer—An Update
title_full Clinical Applications of Circulating Tumour Cells and Circulating Tumour DNA in Non-Small Cell Lung Cancer—An Update
title_fullStr Clinical Applications of Circulating Tumour Cells and Circulating Tumour DNA in Non-Small Cell Lung Cancer—An Update
title_full_unstemmed Clinical Applications of Circulating Tumour Cells and Circulating Tumour DNA in Non-Small Cell Lung Cancer—An Update
title_short Clinical Applications of Circulating Tumour Cells and Circulating Tumour DNA in Non-Small Cell Lung Cancer—An Update
title_sort clinical applications of circulating tumour cells and circulating tumour dna in non small cell lung cancer an update
topic lung cancer
NSCLC
circulating tumour DNA (ctDNA)
circulating tumour cell (CTC)
liquid biopsy
url https://www.frontiersin.org/articles/10.3389/fonc.2022.859152/full
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