Established a therapeutic response prediction model in metastatic gastric cancer by liquid biopsy

Sheng Liu, Huacong Zhu, Shi-Tong Yu, Jiaolong Shi
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Abstract

This study by Okuno et al. successfully identified eight exo-miRNAs through exosome-based discovery and established an exo-miRNA-based liquid biopsy assay for predicting therapeutic response in metastatic gastric cancer (mGC). Exosomes, a subpopulation of extracellular vesicles originating from endosomes, play a crucial role in this context. Liquid biopsy, analyzing blood for circulating tumor cells, extracellular vesicles, or cell-free nucleic acid, has revolutionized cancer diagnosis and monitoring. It significantly contributes to early detection, staging, and relapse detection in various cancers. Numerous studies have highlighted the clinical significance of miRNA and lncRNA within extracellular vesicles. The authors developed a response-prediction model for chemo-responsiveness in mGC patients. This study's model predicts responses robustly, demonstrating its potential efficacy in clinical practice. It offers a non-invasive and accessible method for therapeutic response prediction, crucial for precision medicine in mGC. Successful translation of these findings into clinical applications promises substantial benefits for patient care.

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通过液体活检建立转移性胃癌治疗反应预测模型
Okuno等人的这项研究通过基于外泌体的发现成功鉴定了8种外miRNA,并建立了一种基于外miRNA的液体活检检测方法,用于预测转移性胃癌(mGC)的治疗反应。外泌体是源自内泌体的细胞外囊泡亚群,在这方面发挥着至关重要的作用。液体活检分析血液中的循环肿瘤细胞、细胞外囊泡或无细胞核酸,为癌症诊断和监测带来了革命性的变化。它大大有助于各种癌症的早期检测、分期和复发检测。大量研究强调了细胞外囊泡中 miRNA 和 lncRNA 的临床意义。作者开发了一个针对mGC患者化疗反应性的反应预测模型。这项研究的模型能有力地预测反应,证明了它在临床实践中的潜在功效。它为治疗反应预测提供了一种非侵入性且易于使用的方法,这对 mGC 的精准医疗至关重要。将这些研究成果成功转化为临床应用有望为患者护理带来巨大的益处。
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