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Is Circulating DNA and Tumor Cells in Myeloma the Way Forward?

dc.contributor.authorArnault Carneiro, Emilie
dc.contributor.authorBarahona, Filipa
dc.contributor.authorPestana, Carolina
dc.contributor.authorJoão, Cristina
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblMDPI - Multidisciplinary Digital Publishing Institute
dc.date.accessioned2023-12-05T22:46:28Z
dc.date.available2023-12-05T22:46:28Z
dc.date.issued2022-03
dc.descriptionFunding Information: This research was funded by the Champalimaud Foundation; by the Fundação para a Ciência e Tecnologia—FCT (Research Grant PTDC/MEC-HEM/30315/2017). Publisher Copyright: © 2022 by the authors.
dc.description.abstractMultiple myeloma (MM) is the second deadliest hematological cancer. Despite the enormous innovation on MM treatment in the last decades, still 48% of patients die within 5 years after diagnosis. MM diagnosis and therapeutic strategy mainly rely on direct bone marrow (BM) assessment. Given the MM heterogeneity, BM biopsies do not accurately reflect the whole disease status, hampering accurate disease prognosis. Moreover, biopsies are painful and invasive procedures, highlighting the need for non-invasive and more accurate source of biomarkers. Liquid biopsies are promising sources of biomarkers that may overcome these limitations. Peripheral blood carries circulating myeloma components that are being extensively explored since the last few years as an alternative to BM aspirates. These include circulating tumor cells (CTC), cell-free DNA (cfDNA), and extracellular vesicles containing miRNA and proteins. The current review summarizes scientific evidence establishing BM as a gold standard for the diagnosis, prognosis, and evaluation of minimal residual disease. We discuss the last advances regarding cfDNA and CTC biomarkers from peripheral blood in patients with MM as well as the statistical validations. This paper addresses the technological hurdles associated with liquid biopsies and examines the missing steps for their inclusion into the clinical practice.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent19
dc.format.extent371944
dc.identifier.doi10.3390/hemato3010006
dc.identifier.otherPURE: 77747387
dc.identifier.otherPURE UUID: bdb2145c-bf90-4d6c-b73e-79934c17c73c
dc.identifier.otherScopus: 85177730452
dc.identifier.urihttp://hdl.handle.net/10362/160927
dc.identifier.urlhttps://www.scopus.com/pages/publications/85177730452
dc.language.isoeng
dc.peerreviewedyes
dc.subjectbiomarker validation
dc.subjectcell-free DNA
dc.subjectcirculating tumor plasma cell
dc.subjectdiagnosis
dc.subjectliquid biopsies
dc.subjectminimal residual disease
dc.subjectmultiple myeloma
dc.subjectprognosis
dc.subjectstatistical assessment
dc.subjectHematology
dc.subjectSDG 3 - Good Health and Well-being
dc.titleIs Circulating DNA and Tumor Cells in Myeloma the Way Forward?en
dc.typereview
degois.publication.firstPage63
degois.publication.issue1
degois.publication.lastPage81
degois.publication.titleHemato
degois.publication.volume3
dspace.entity.typePublication
rcaap.rightsopenAccess

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