Prostate cancer and liquid biopsies: Clinical applications and challenges

医学 前列腺癌 液体活检 癌症 医学物理学 前列腺 肿瘤科 内科学
作者
Fumihiko Urabe,Takayuki Sumiyoshi,Kojiro Tashiro,Takayuki Goto,Takahiro Kimura,Takashi Kobayashi
出处
期刊:International Journal of Urology [Wiley]
卷期号:31 (6): 617-626 被引量:4
标识
DOI:10.1111/iju.15441
摘要

Abstract Liquid biopsy has emerged as a valuable and minimally invasive tool for real‐time detection of clinically actionable abnormalities across various cancer types. Its applicability is particularly compelling in the realm of prostate cancer, where novel therapeutic agents, including those targeting DNA repair systems, are under development. Despite these advancements, challenges persist in effectively screening for prostate cancer, enhancing risk stratification, and determining optimal approaches for treating advanced disease. Consequently, there is a pressing need for improved biomarkers to aid clinicians in decision‐making within these contexts. Cell‐free DNA and extracellular vesicle analysis have demonstrated promise in diagnosis, prognostication, assessment of treatment responses, and identification of emerging mechanisms of resistance. Nevertheless, obstacles must be addressed before liquid biopsies can be integrated into routine clinical practice. These challenges encompass preanalytical considerations such as sample collection and storage, methods of extracellular vesicle isolation and enrichment, and the need for enhanced interpretation of generated sequencing data. This review provides a comprehensive overview of current clinical opportunities in managing prostate cancer through blood‐based liquid biopsy, highlighting the progress made, and acknowledging the challenges that remain. Additionally, we discuss the next steps required for the effective implementation of liquid biopsies in guiding personalized treatment strategies for prostate cancer.
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