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Ther Adv Med Oncol. 2019 Mar 01;11:1758835919831902. doi: 10.1177/1758835919831902. eCollection 2019.

Clinical relevance of circulating molecules in cancer: focus on gastrointestinal stromal tumors.

Therapeutic advances in medical oncology

Gloria Ravegnini, Giulia Sammarini, César Serrano, Margherita Nannini, Maria A Pantaleo, Patrizia Hrelia, Sabrina Angelini

Affiliations

  1. Department of Pharmacy and Biotechnology, University of Bologna, Bologna, Italy.
  2. Vall d'Hebron Institute of Oncology, Vall d'Hebron University Hospital, Barcelona, Spain.
  3. Department of Specialized, Experimental and Diagnostic Medicine, Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
  4. Department of Pharmacy and Biotechnology, Via Irnerio 48, 40126 Bologna, Italy.

PMID: 30854029 PMCID: PMC6399766 DOI: 10.1177/1758835919831902

Abstract

In recent years, growing research interest has focused on the so-called liquid biopsy. A simple blood test offers access to a plethora of information, which might be extremely helpful in understanding or characterizing specific diseases. Blood contains different molecules, of which circulating free DNA (cfDNA), circulating tumor DNA (ctDNA), circulating tumor cells (CTCs) and extracellular vesicles (EVs) are the most relevant. Conceivably, these molecules have the potential for tumor diagnosis, monitoring tumor evolution, and evaluating treatment response and pharmacological resistance. This review aims to present a state-of-the-art of recent advances in circulating DNA and circulating RNA in gastrointestinal stromal tumors (GISTs). To date, progress in liquid biopsy has been scarce in GISTs due to several issues correlated with the nature of the pathology. Namely, heterogeneity in primary and secondary mutations in key driver genes has greatly slowed the development and application in GISTs, unlike in other tumor types in which liquid biopsy has already been translated into clinical practice. However, meaningful novel data have shown in recent years a significant clinical potential of ctDNA, CTCs, EVs and circulating RNA in GISTs.

Keywords: CTCs; GIST; circulating tumor cell; ctDNA; epigenetics; gastrointestinal stromal tumor; liquid biopsy; personalized medicine; precision medicine; soft tissue sarcoma

Conflict of interest statement

Conflict of interest statement: The authors declare that there is no conflict of interest.

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