2021
DOI: 10.1002/1878-0261.12978
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Detection and relevance of epigenetic markers on ctDNA: recent advances and future outlook

Abstract: Liquid biopsy, a minimally invasive approach, is a highly powerful clinical tool for the real-time follow-up of cancer and overcomes many limitations of tissue biopsies. Epigenetic alterations have a high potential to provide a valuable source of innovative biomarkers for cancer, owing to their stability, frequency, and noninvasive accessibility in bodily fluids. Numerous DNA methylation markers are now tested in circulating tumor DNA (ctDNA) as potential biomarkers, in various types of cancer. DNA methylation… Show more

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Cited by 52 publications
(30 citation statements)
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“…Tumor-specific DNA methylation is described during early tumorigenesis, and presents high potential for early detection but also for tumor localization [31]. The analysis of epigenetic features of cfDNA or its fragmentation pattern leads to increased sensitivity of the ctDNA detection tests [32] and has led to the development of plasma-only assays to assess MRD.…”
Section: Evidence Of Mrd In Crcmentioning
confidence: 99%
“…Tumor-specific DNA methylation is described during early tumorigenesis, and presents high potential for early detection but also for tumor localization [31]. The analysis of epigenetic features of cfDNA or its fragmentation pattern leads to increased sensitivity of the ctDNA detection tests [32] and has led to the development of plasma-only assays to assess MRD.…”
Section: Evidence Of Mrd In Crcmentioning
confidence: 99%
“…In clinical routine, multiple histological biopsies are required to monitor the response of cancer patients to treatment. However, tissue biopsies are invasive procedures and in some cases cannot be performed; for this reason, the scientific community has high expectations that liquid biopsy will surrogate tissue biopsies for the detection, prognosis, and therapeutic management of cancer patients [ 18 , 19 , 20 ].…”
Section: Introductionmentioning
confidence: 99%
“…In recent years, DNA methylation analysis in CTCs and ctDNA has shown strong potential, since it provides a valuable source of novel circulating epigenetic biomarkers for diagnosis, prognosis, risk assessment, and disease monitoring in many types of cancer [ 20 ]. Our group was the first to demonstrate epigenetic alterations in CTCs and corresponding ctDNA [ 21 , 22 ].…”
Section: Introductionmentioning
confidence: 99%
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“…The scientific basis of liquid biopsy is that the diseased cells, such as a tumor, may release specific biomolecules into body fluids, these specific molecules thus represent a certain pathological status. For over a decade, the circulating nucleic acids have been considered valuable molecules of liquid biopsy, for they may be highly elevated in cancer patients [12,13]. Recently, microRNAs (miRNAs) have been found in various body fluids, including in plasma, saliva, and urine [14][15][16][17][18][19], providing a promising strategy to develop miRNAs as minimally invasive biomarkers.…”
Section: Introductionmentioning
confidence: 99%