Clinical Applications of Liquid Biopsy in Hepatocellular Carcinoma

Hepatocellular carcinoma (HCC) is a common malignant tumor with high mortality and poor prognosis in the world. The low rate of early diagnosis, as well as the high risk of postoperative metastasis and recurrence, led to the poor clinical prognosis of HCC patients. Currently, it mainly depends on se...

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Main Authors: Jin-Cui Yang, Jun-Jie Hu, Yi-Xin Li, Wei Luo, Jin-Zhou Liu, Da-Wei Ye
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-02-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.781820/full
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author Jin-Cui Yang
Jun-Jie Hu
Yi-Xin Li
Wei Luo
Jin-Zhou Liu
Da-Wei Ye
Da-Wei Ye
author_facet Jin-Cui Yang
Jun-Jie Hu
Yi-Xin Li
Wei Luo
Jin-Zhou Liu
Da-Wei Ye
Da-Wei Ye
author_sort Jin-Cui Yang
collection DOAJ
description Hepatocellular carcinoma (HCC) is a common malignant tumor with high mortality and poor prognosis in the world. The low rate of early diagnosis, as well as the high risk of postoperative metastasis and recurrence, led to the poor clinical prognosis of HCC patients. Currently, it mainly depends on serum markers, imaging examination, and tissue biopsy to diagnose and determine the recurrence and metastasis of HCC after treatments. Nevertheless, the accuracy and sensitivity of serum markers and imaging for early HCC diagnosis are suboptimal. Tissue biopsy, containing limited tissue samples, is insufficient to reveal comprehensive tumor biology information and is inappropriate to monitor dynamic tumor progression due to its invasiveness. Thus, low invasive diagnostic methods and novel biomarkers with high sensitivity and reliability must be found to improve HCC detection and prediction. As a non-invasive, dynamic, and repeatable detection method, “liquid biopsy”, has attracted much attention to early diagnosis and monitoring of treatment response, which promotes the progress of precision medicine. This review summarizes the clinical applications of liquid biopsy in HCC, including circulating tumor cells (CTCs), circulating tumor DNA (ctDNA), and exosome in early diagnosis, prognostic evaluation, disease monitoring, and guiding personalized treatment.
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spelling doaj.art-547403cb2b3b45bda6fa090e76fa6ce32022-12-21T17:21:47ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-02-011210.3389/fonc.2022.781820781820Clinical Applications of Liquid Biopsy in Hepatocellular CarcinomaJin-Cui Yang0Jun-Jie Hu1Yi-Xin Li2Wei Luo3Jin-Zhou Liu4Da-Wei Ye5Da-Wei Ye6Cancer Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaCancer Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaCancer Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaCancer Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Pain Management, The Second Affiliated Hospital of Guangxi Medical University, Nanning, ChinaCancer Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Pancreatic-Biliary Surgery, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, ChinaHepatocellular carcinoma (HCC) is a common malignant tumor with high mortality and poor prognosis in the world. The low rate of early diagnosis, as well as the high risk of postoperative metastasis and recurrence, led to the poor clinical prognosis of HCC patients. Currently, it mainly depends on serum markers, imaging examination, and tissue biopsy to diagnose and determine the recurrence and metastasis of HCC after treatments. Nevertheless, the accuracy and sensitivity of serum markers and imaging for early HCC diagnosis are suboptimal. Tissue biopsy, containing limited tissue samples, is insufficient to reveal comprehensive tumor biology information and is inappropriate to monitor dynamic tumor progression due to its invasiveness. Thus, low invasive diagnostic methods and novel biomarkers with high sensitivity and reliability must be found to improve HCC detection and prediction. As a non-invasive, dynamic, and repeatable detection method, “liquid biopsy”, has attracted much attention to early diagnosis and monitoring of treatment response, which promotes the progress of precision medicine. This review summarizes the clinical applications of liquid biopsy in HCC, including circulating tumor cells (CTCs), circulating tumor DNA (ctDNA), and exosome in early diagnosis, prognostic evaluation, disease monitoring, and guiding personalized treatment.https://www.frontiersin.org/articles/10.3389/fonc.2022.781820/fullclinical applicationliquid biopsycirculating tumor cellscirculating tumor DNAexosomehepatocellular carcinoma
spellingShingle Jin-Cui Yang
Jun-Jie Hu
Yi-Xin Li
Wei Luo
Jin-Zhou Liu
Da-Wei Ye
Da-Wei Ye
Clinical Applications of Liquid Biopsy in Hepatocellular Carcinoma
Frontiers in Oncology
clinical application
liquid biopsy
circulating tumor cells
circulating tumor DNA
exosome
hepatocellular carcinoma
title Clinical Applications of Liquid Biopsy in Hepatocellular Carcinoma
title_full Clinical Applications of Liquid Biopsy in Hepatocellular Carcinoma
title_fullStr Clinical Applications of Liquid Biopsy in Hepatocellular Carcinoma
title_full_unstemmed Clinical Applications of Liquid Biopsy in Hepatocellular Carcinoma
title_short Clinical Applications of Liquid Biopsy in Hepatocellular Carcinoma
title_sort clinical applications of liquid biopsy in hepatocellular carcinoma
topic clinical application
liquid biopsy
circulating tumor cells
circulating tumor DNA
exosome
hepatocellular carcinoma
url https://www.frontiersin.org/articles/10.3389/fonc.2022.781820/full
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