Evolution of Liquid Biopsies for Detecting Pancreatic Cancer

Munnings, R; Gibbs, P; Lee, B

Author(s): Munnings, R; Gibbs, P; Lee, B;
Details: Publication Year 2024-09-29,Volume 16,Issue #19,Page 3335
Journal Title: Cancers
Abstract: Pancreatic ductal adenocarcinoma (PDAC) is a lethal malignancy characterised by late diagnosis and poor prognosis. Despite advancements, current diagnostic and prognostic strategies remain limited. Liquid biopsy techniques, including circulating tumour DNA (ctDNA), circulating tumour cells (CTCs), circulating tumour exosomes, and proteomics, offer potential solutions to improve PDAC diagnosis, prognostication, and management. A systematic search of Ovid MEDLINE identified studies published between 2019 and 2024, focusing on liquid biopsy biomarkers for PDAC. A total of 49 articles were included. ctDNA research shows some promise in diagnosing and prognosticating PDAC, especially through detecting mutant KRAS in minimal residual disease assays. CTC analyses had low sensitivity for early-stage PDAC and inconsistent prognostic results across subpopulations. Exosomal studies revealed diverse biomarkers with some diagnostic and prognostic potential. Proteomics, although relatively novel, has demonstrated superior accuracy in PDAC diagnosis, including early detection, and notable prognostic capacity. Proteomics combined with CA19-9 analysis has shown the most promising results to date. An update on multi-cancer early detection testing, given its significance for population screening, is also briefly discussed. Liquid biopsy techniques offer promising avenues for improving PDAC diagnosis, prognostication, and management. In particular, proteomics shows considerable potential, yet further research is needed to validate existing findings and comprehensively explore the proteome using an unbiased approach.
Publisher: MDPI
Keywords: cancer screening; circulating tumour DNA; circulating tumour cell; circulating tumour exosome; liquid biopsy; pancreatic ductal adenocarcinoma; proteomics
Research Division(s): Personalised Oncology
PubMed ID: 39409954
Publisher's Version: https://doi.org/10.3390/cancers16193335
Open Access at Publisher's Site: https://doi.org/10.3390/cancers16193335
Terms of Use/Rights Notice: Refer to copyright notice on published article.

Creation Date: 2024-10-25 10:49:25

Last Modified: 2024-10-25 10:49:38