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引用次数: 0
摘要
癌症的特征是 DNA 中存在变异等位基因,从而形成肿瘤。如果延误诊断,可能会导致致命的后果,成为全球重要的死亡原因。根据世界卫生组织(世卫组织)的数据,到 2020 年,约有 1 000 万人死于癌症,约占有记录死亡病例总数的六分之一。世卫组织强调,早期发现可大大增加成功治疗和康复的机会。传统的癌症诊断依赖于侵入性组织活检,由于使用甲醛(一种已知的致癌物质)保存标本,对患者和医护人员都有风险。近来,液体活检已成为一种很有前景的替代方法,尤其是用于分析循环肿瘤 DNA(ctDNA),其中一部分来自肿瘤细胞并在血液中循环。然而,用于ctDNA分析的传统分子遗传测试通常成本高昂且耗时较长。技术和纳米科学领域的进步为开发具有成本效益、快速、高灵敏度和选择性的诊断工具提供了可能。其中,生物传感器是一种前景广阔的选择。在本文中,我们将深入探讨血浆中ctDNA的定量问题,讨论ctDNA的扩增技术,并探索开发基于电化学的生物传感器来检测ctDNA。最后,我们将重点介绍ctDNA检测领域的最新研究和创新。
Circulating tumor DNA (ctDNA) Detection via electrochemical Biosensing Tools
Cancer is characterized by the presence of mutated alleles in DNA, leading to the formation of tumors. A delayed diagnosis of this condition can result in fatal outcomes, making it a significant global cause of mortality. According to the World Health Organization (WHO), in the year 2020, approximately 10 million deaths were attributed to cancer, accounting for roughly one-sixth of all recorded cases of mortality. WHO has emphasized that early detection could significantly increase the chances of successful treatment and recovery. Traditional cancer diagnosis relies on invasive tissue biopsies, which pose risks to both patients and healthcare professionals due to the use of formaldehyde, a known carcinogenic agent, for specimen preservation. In recent times, liquid biopsies have emerged as a promising alternative, particularly for the analysis of circulating tumor DNA (ctDNA), a fraction of which originates from tumor cells and circulates in the bloodstream. However, conventional molecular genetic tests for ctDNA analysis are often costly and time-consuming. Advancements in technology and the field of nanoscience offer the potential to develop cost-effective, rapid, highly sensitive, and selective diagnostic tools. Among these, biosensors stand out as a promising option. In this article, we delve into the quantification of ctDNA in plasma, discuss amplification techniques for ctDNA, and explore the development of electrochemical-based biosensors tailored for ctDNA detection. Finally, we highlight recent studies and innovations in the field of ctDNA detection.