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These studies suggest that the DNA of cancer cells can be characterized by somatic DNA alterations, DNA methylation abnormalities, and the presence of circulating tumor DNA (ctDNA) and cell-free DNA (cfDNA) which serve as potential biomarkers for diagnosis, prognosis, and monitoring.
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Cancer cells release DNA fragments into the bloodstream, known as circulating tumor DNA (ctDNA) and cell-free DNA (cfDNA). These fragments can be detected and quantified, providing valuable insights into tumor-specific genetic alterations. Studies have shown that ctDNA and cfDNA can be used for cancer diagnostics, monitoring, and prognosis . For instance, high levels of cfDNA in patients with metastatic colorectal cancer (mCRC) are associated with poorer prognosis, indicating that cfDNA levels can serve as a prognostic marker.
Cancer cells exhibit numerous somatic DNA alterations, including mutations and changes in ploidy. These alterations can be analyzed to infer tumor purity and detect subclonal heterogeneity. The ABSOLUTE method, for example, has been used to analyze exome sequencing data, revealing pervasive subclonal somatic point mutations and clonal mutations in tumor suppressor genes like TP53 and NF1. This method also highlights the common occurrence of genome-doubling events in cancer cells, which influence tumor progression.
DNA methylation, a chemical modification that affects gene expression and genome stability, is often disrupted in cancer cells. Cancer cells typically exhibit genome-wide hypomethylation and site-specific hypermethylation, particularly in CpG islands of gene regulatory elements. This aberrant methylation can lead to the silencing of tumor suppressor genes, promoting oncogenesis. Recent studies using terahertz spectroscopy have identified specific methylation patterns in cancer DNA, which could serve as potential biomarkers for early cancer detection.
Recent advancements in ctDNA analysis methods have significantly improved the sensitivity and specificity of cancer detection. Techniques such as targeted error correction sequencing (TEC-Seq) allow for the ultrasensitive detection of sequence changes in ctDNA, enabling the identification of early-stage tumors. These methods have shown high concordance with genetic alterations found in primary tumors, making them valuable tools for noninvasive cancer screening and management.
The DNA of cancer cells is characterized by a variety of genetic and epigenetic alterations, including somatic mutations, changes in ploidy, and aberrant methylation. The detection and analysis of ctDNA and cfDNA provide critical insights into these alterations, offering potential applications in cancer diagnostics, prognosis, and monitoring. Advances in detection technologies continue to enhance our ability to identify and understand these changes, paving the way for improved cancer management and early detection strategies.
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