The use of minimally invasive biomarkers for the diagnosis and prognosis of hepatocellular carcinoma

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Trevisan França de Lima, L
Broszczak, D
Zhang, X
Bridle, K
Crawford, D
Punyadeera, C
Griffith University Author(s)
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2020
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Abstract

Hepatocellular carcinoma (HCC) is a common cause of cancer-related deaths worldwide. Despite advances in systemic therapies, patient survival remains low due to late diagnosis and frequent underlying liver diseases. HCC diagnosis generally relies on imaging and liver tissue biopsy. Liver biopsy presents limitations because it is invasive, potentially risky for patients and it frequently misrepresents tumour heterogeneity. Recently, liquid biopsy has emerged as a way to monitor cancer progression in a non-invasive manner. Tumours shed content into the bloodstream, such as circulating tumour cells (CTCs), circulating nucleic acids, extracellular vesicles and proteins, that can be isolated from biological fluids of patients with HCC. These biomarkers provide knowledge regarding the genetic landscape of tumours and might be used for diagnostic or prognostic purposes. In this review, we summarize recent literature on circulating biomarkers for HCC, namely CTCs, circulating tumour DNA (ctDNA), RNA, extracellular vesicles and proteins, and their clinical relevance in HCC.

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Biochimica et Biophysica Acta - Reviews on Cancer

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1874

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2

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© 2020 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.

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Subject

Oncology and carcinogenesis

Liquid biopsies

Predictive and prognostic markers

Biochemistry and cell biology

Biomarker

Circulating tumor DNA (ctDNA)

Circulating tumor cells (CTCs)

Hepatocellular carcinoma

Liquid biopsy

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Trevisan França de Lima, L; Broszczak, D; Zhang, X; Bridle, K; Crawford, D; Punyadeera, C, The use of minimally invasive biomarkers for the diagnosis and prognosis of hepatocellular carcinoma, Biochimica et Biophysica Acta - Reviews on Cancer, 2020, 1874 (2), pp. 188451

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