周正然, 刘炫辉, 吴小剑. 无创液体组织活检技术在结直肠癌筛查中的研究进展[J]. 中国肿瘤临床, 2023, 50(23): 1221-1226. DOI: 10.12354/j.issn.1000-8179.2023.20231047
引用本文: 周正然, 刘炫辉, 吴小剑. 无创液体组织活检技术在结直肠癌筛查中的研究进展[J]. 中国肿瘤临床, 2023, 50(23): 1221-1226. DOI: 10.12354/j.issn.1000-8179.2023.20231047
Zhengran Zhou, Xuanhui Liu, Xiaojian Wu. Research progress in non-invasive liquid tissue biopsy techniques for colorectal cancer screening[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2023, 50(23): 1221-1226. DOI: 10.12354/j.issn.1000-8179.2023.20231047
Citation: Zhengran Zhou, Xuanhui Liu, Xiaojian Wu. Research progress in non-invasive liquid tissue biopsy techniques for colorectal cancer screening[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2023, 50(23): 1221-1226. DOI: 10.12354/j.issn.1000-8179.2023.20231047

无创液体组织活检技术在结直肠癌筛查中的研究进展

Research progress in non-invasive liquid tissue biopsy techniques for colorectal cancer screening

  • 摘要: 结直肠癌(colorectal cancer,CRC)是最常见的消化道恶性肿瘤,早期筛查与干预是降低其发病率和死亡率的有效措施。无创液体组织活检技术与传统的结肠镜检查相比,具有操作简便、成本低、并发症少、依从性高的优点,能带来更好的社会效益,是目前CRC筛查技术的研究热点与突破点。近年来,随着多组学研究技术的发展,粪便及外周血基因组、蛋白质组、微生物组检测等均被证实了在肠癌筛查中的应用潜力,许多可用于肠癌早筛的生物标志物被发现,进而涌现出大量的CRC无创性筛查的新方法。本文结合国内外文献报道,综合现有的CRC无创性早期诊断的技术,探讨其应用价值,以期为进一步的肠癌早筛研究提供理论依据。

     

    Abstract: Colorectal cancer (CRC) is the most common malignant gastrointestinal tumor. Early screening and intervention are effective measures to reduce its morbidity and mortality. Compared with colonoscopy, non-invasive liquid biopsy has several advantages, such as easier operation, lower cost, fewer complications, and higher compliance, bringing better social benefits. It is the current research hotspot and breakthrough point in colorectal cancer screening technology. Recently, with the development of multi-omics research technology, fecal and peripheral blood genomic, proteomic and microbiomic tests have been proven to be potentially applied in colorectal cancer screening. Several biomarkers for colorectal cancer screening have been discovered, leading to numerous new non-invasive screening methods. In this review, we consolidate the existing techniques for non-invasive early diagnosis of colorectal cancer in combination with national and international literature reports, and discuss their application value to provide a theoretical basis for further research on early colorectal cancer screening.

     

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