Biopsies are considered a gold standard for cancer diagnosis and are essential for catching cancer in its earliest, most treatable stages. However, biopsies can be invasive and painful. Liquid biopsies are a minimally invasive alternative that can detect the presence of circulating tumor cells (CTCs) and circulating tumor DNA (ctDNA) as tumor biomarkers.
CTCs and ctDNA can be present in extremely low levels in the blood, therefore liquid biopsies require extremely sensitive, accurate tests to identify cancer biomarkers. Advances in this area, such as sequencing technologies, are overcoming these challenges.
This article explores the advances in liquid biopsies for early cancer diagnostics.
Download this article to discover:
- How to increase test sensitivities
- The potential of “dark matter” RNA
- How bodily fluids other than blood can be used as liquid biopsies
Retrieve More Information From Limited DNA
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multi-modal information from liquid biopsies.
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Liquid biopsies work by detecting ctDNA or CTCs circulating in the bloodstream,
but these only occur in small amounts and for the briefest of time before they are
cleared by the body, so it is challenging to develop tests sensitive enough to detect
them
.2
“Diagnostics that use liquid biopsies require detecting very minute quantities of
biological molecules associated with the disease or progression,” explained
Professor J. Christopher Love, the Raymond A. and Helen E. St. Laurent Professor
of Chemical Engineering at Massachusetts Institute of Technology (MIT), and a
member of the Koch Institute and the Ragon Institute of MGH, MIT and Harvard.
“One example is cell-free DNA…Most cell-free DNA is released from dying cells and
is degraded naturally by multiple mechanisms, including cellular uptake by liver
cells and digestion by DNA nucleases. A small portion of this DNA can originate
from tumors (usually ~ 1% or less); this DNA may contain mutations or variations
that indicate the presence of cancer. One challenge for these tests is that the
amount of tumor-derived DNA in one or two tubes of blood may be too small to
detect reliably.”
Most efforts to improve the sensitivity of liquid biopsies tend to focus on
developing new sequencing technologies to use after the blood is drawn
.2
Professor Love and colleagues from MIT and the Broad Institute of MIT and
Harvard have developed a way to significantly enhance the sensitivity of liquid
biopsies by slowing down the clearance of tumor DNA from the bloodstream,
before blood is drawn.