China Oncology ›› 2014, Vol. 24 ›› Issue (6): 469-475.doi: 10.3969/j.issn.1007-3969.2014.06.012

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Recent advances in cancer-associated circulating cell-free nucleic acids

XING Xing1, LIU Yong2, SUN Yong2, ZHOU Xin1, HU Chao-su1   

  1. 1.Department of Radiation Oncology, Fudan University Shanghai Cancer Center; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China;
    2.Cancer Research Institute, Fudan University Shanghai Cancer Center; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
  • Online:2014-06-30 Published:2014-07-29
  • Contact: HU Chao-su E-mail: hucsu62@yahoo.com

Abstract:

Circulating cell-free nucleic acids are defined as extracellular DNAs or RNAs in blood with physiological or pathological origins. Previous studies showed that the concentration of cell-free nucleic acids in the blood of cancer patients is significantly higher than in healthy people. Further studies showed that the genetic and epigenetic alterations of circulating cell-free nucleic acids are relevant to cancer development and progression, including mutation, hypermethylation, loss of heterozygosity, change of integrity, and abnormal expression of microRNAs. Detection of circulating cell-free nucleic acids shows promising potential in cancer screening, diagnosis, personalized treatment, and prognosis.

Key words: Cancer, Circulating cell-free nucleic acids, Cancer biomarker