Liquid Biopsy in Colorectal Carcinoma: Clinical Applications and Challenges

Colorectal carcinoma (CRC) is characterized by wide intratumor heterogeneity with general genomic instability and there is a need for improved diagnostic, prognostic, and therapeutic tools. The liquid biopsy provides a noninvasive route of sample collection for analysis of circulating tumor cells (C...

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Main Authors: Drahomír Kolenčík, Stephanie N. Shishido, Pavel Pitule, Jeremy Mason, James Hicks, Peter Kuhn
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/12/6/1376
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author Drahomír Kolenčík
Stephanie N. Shishido
Pavel Pitule
Jeremy Mason
James Hicks
Peter Kuhn
author_facet Drahomír Kolenčík
Stephanie N. Shishido
Pavel Pitule
Jeremy Mason
James Hicks
Peter Kuhn
author_sort Drahomír Kolenčík
collection DOAJ
description Colorectal carcinoma (CRC) is characterized by wide intratumor heterogeneity with general genomic instability and there is a need for improved diagnostic, prognostic, and therapeutic tools. The liquid biopsy provides a noninvasive route of sample collection for analysis of circulating tumor cells (CTCs) and genomic material, including cell-free DNA (cfDNA), as a complementary biopsy to the solid tumor tissue. The solid biopsy is critical for molecular characterization and diagnosis at the time of collection. The liquid biopsy has the advantage of longitudinal molecular characterization of the disease, which is crucial for precision medicine and patient-oriented treatment. In this review, we provide an overview of CRC and the different methodologies for the detection of CTCs and cfDNA, followed by a discussion on the potential clinical utility of the liquid biopsy in CRC patient care, and lastly, current challenges in the field.
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spelling doaj.art-a75b522935bb439583286d1189cdf5392023-11-20T01:54:32ZengMDPI AGCancers2072-66942020-05-01126137610.3390/cancers12061376Liquid Biopsy in Colorectal Carcinoma: Clinical Applications and ChallengesDrahomír Kolenčík0Stephanie N. Shishido1Pavel Pitule2Jeremy Mason3James Hicks4Peter Kuhn5Biomedical Centre, Faculty of Medicine in Pilsen, Charles University, 32300 Pilsen, Czech RepublicConvergent Science Institute in Cancer, Michelson Center for Convergent Bioscience, Dornsife College of Letters, Arts and Sciences, University of Southern California, Los Angeles, CA 90089, USABiomedical Centre, Faculty of Medicine in Pilsen, Charles University, 32300 Pilsen, Czech RepublicConvergent Science Institute in Cancer, Michelson Center for Convergent Bioscience, Dornsife College of Letters, Arts and Sciences, University of Southern California, Los Angeles, CA 90089, USAConvergent Science Institute in Cancer, Michelson Center for Convergent Bioscience, Dornsife College of Letters, Arts and Sciences, University of Southern California, Los Angeles, CA 90089, USAConvergent Science Institute in Cancer, Michelson Center for Convergent Bioscience, Dornsife College of Letters, Arts and Sciences, University of Southern California, Los Angeles, CA 90089, USAColorectal carcinoma (CRC) is characterized by wide intratumor heterogeneity with general genomic instability and there is a need for improved diagnostic, prognostic, and therapeutic tools. The liquid biopsy provides a noninvasive route of sample collection for analysis of circulating tumor cells (CTCs) and genomic material, including cell-free DNA (cfDNA), as a complementary biopsy to the solid tumor tissue. The solid biopsy is critical for molecular characterization and diagnosis at the time of collection. The liquid biopsy has the advantage of longitudinal molecular characterization of the disease, which is crucial for precision medicine and patient-oriented treatment. In this review, we provide an overview of CRC and the different methodologies for the detection of CTCs and cfDNA, followed by a discussion on the potential clinical utility of the liquid biopsy in CRC patient care, and lastly, current challenges in the field.https://www.mdpi.com/2072-6694/12/6/1376colorectal carcinomaCRCliquid biopsycirculating tumor cellCTCcirculating tumor DNA
spellingShingle Drahomír Kolenčík
Stephanie N. Shishido
Pavel Pitule
Jeremy Mason
James Hicks
Peter Kuhn
Liquid Biopsy in Colorectal Carcinoma: Clinical Applications and Challenges
Cancers
colorectal carcinoma
CRC
liquid biopsy
circulating tumor cell
CTC
circulating tumor DNA
title Liquid Biopsy in Colorectal Carcinoma: Clinical Applications and Challenges
title_full Liquid Biopsy in Colorectal Carcinoma: Clinical Applications and Challenges
title_fullStr Liquid Biopsy in Colorectal Carcinoma: Clinical Applications and Challenges
title_full_unstemmed Liquid Biopsy in Colorectal Carcinoma: Clinical Applications and Challenges
title_short Liquid Biopsy in Colorectal Carcinoma: Clinical Applications and Challenges
title_sort liquid biopsy in colorectal carcinoma clinical applications and challenges
topic colorectal carcinoma
CRC
liquid biopsy
circulating tumor cell
CTC
circulating tumor DNA
url https://www.mdpi.com/2072-6694/12/6/1376
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AT jeremymason liquidbiopsyincolorectalcarcinomaclinicalapplicationsandchallenges
AT jameshicks liquidbiopsyincolorectalcarcinomaclinicalapplicationsandchallenges
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