REVIEW PAPER
LIQUID BIOPSY: REVOLUTIONIZING MINIMAL RESIDUAL DISEASE DETECTION IN LUNG CANCER
 
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1
Lower Silesian Oncology, Pulmonology and Hematology Center, Wrocław, Poland
 
2
Lower Silesian T. Marciniak Specialist Hospital – Center for Emergency Medicine, Wrocław, Poland
 
3
Jan Mikulicz-Radecki University Clinical Hospital, Wrocław, Poland
 
4
Independent Public Health Care Facility of the Ministry of Internal Affairs and Administration, Kraków, Poland
 
 
Submission date: 2025-03-06
 
 
Final revision date: 2025-05-30
 
 
Acceptance date: 2025-06-03
 
 
Publication date: 2025-06-18
 
 
 
KEYWORDS
TOPICS
ABSTRACT
Lung cancer is the leading cause of cancer-related deaths globally, with over 1.8 million fatalities annually. A major challenge is late-stage diagnosis, limiting treatment options and survival rates. Minimal residual disease (MRD), referring to lingering tumor cells post-treatment, poses a significant risk for recurrence or metastasis. Early MRD detection is crucial for timely intervention and personalized therapy. Liquid biopsy emerges as a revolutionary, non-invasive method for MRD detection by analyzing circulating tumor DNA (ctDNA) in blood. This approach surpasses traditional imaging in sensitivity, enabling early relapse prediction and better patient stratification. Additionally, it facilitates personalized treatment adjustments and advances cancer research by improving clinical trial designs. Despite its promise, liquid biopsy faces challenges such as sensitivity limitations, assay standardization issues, and high costs. Continued research and innovation are necessary to enhance accuracy and accessibility. Integrating liquid biopsy into clinical practice could revolutionize lung cancer management, leading to earlier interventions, improved survival rates, and a new era of precision oncology. This paper highlights the critical role of MRD detection and advocates for the adoption of liquid biopsy as a transformative tool in lung cancer treatment.
REFERENCES (52)
1.
Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024; 74(3): 229-263. https://doi.org/10.3322/caac.2....
 
2.
Isaka T, Adachi H, Murakami K, Miura J, Kikunishi N, Shigeta N, et al. Preoperative predictors for recurrence sites associated with poor post-recurrence survival after surgery of non-small cell lung cancer: a multicenter study. BMC Cancer. 2023; 23(1): 1064. https://doi.org/10.1186/s12885....
 
3.
Zhong R, Gao R, Fu W, Li C, Huo Z, Gao Y, et al. Accuracy of minimal residual disease detection by circulating tumor DNA profiling in lung cancer: a meta-analysis. BMC Med. 2023; 21(1): 180. https://doi.org/10.1186/s12916....
 
4.
Moding EJ, Nabet BY, Alizadeh AA, Diehn M. Detecting liquid remnants of solid tumors: circulating tumor DNA minimal residual disease. Cancer Discov. 2021; 11(12): 2968-2986. https://doi.org/10.1158/2159-8....
 
5.
Chen H, Zhou Q. Detecting liquid remnants of solid tumors treated with curative intent: circulating tumor DNA as a biomarker of minimal residual disease (review). Oncol Rep. 2023; 49(5): 106. https://doi.org/10.3892/or.202....
 
6.
Cortés-Jofré M, Madera M, Tirado-Amador L, Asenjo-Lobos C, Bonfill-Cosp X. Treatments for non-small cell lung cancer: a systematic quality assessment of clinical practice guidelines. Clin Transl Oncol. 2023; 25(12): 3541-3555. https://doi.org/10.1007/s12094....
 
7.
Zhou J, Xu Y, Liu J, Feng L, Yu J, Chen D. Global burden of lung cancer in 2022 and projections to 2050: incidence and mortality estimates from GLOBOCAN. Cancer Epidemiol. 2024; 93: 102693. https://doi.org/10.1016/j.cane....
 
8.
Huang J, Deng Y, Tin MS, Lok V, Ngai CH, Zhang L, et al. Distribution, risk factors, and temporal trends for lung cancer incidence and mortality: a global analysis. Chest. 2022; 161(4): 1101-1111. https://doi.org/10.1016/j.ches....
 
9.
Ma Y, Gan J, Bai Y, Cao D, Jiao Y. Minimal residual disease in solid tumors: an overview. Front Med. 2023; 17(4): 649-674. https://doi.org/10.1007/s11684....
 
10.
Peng Y, Mei W, Ma K, Zeng C. Circulating tumor DNA and minimal residual disease (MRD) in solid tumors: current horizons and future perspectives. Front Oncol. 2021; 11: 763790. https://doi.org/10.3389/fonc.2....
 
11.
Hendrick RE, Smith RA. Benefit-to-radiation-risk of low-dose computed tomography lung cancer screening. Cancer. 2024; 130(2): 216-223. https://doi.org/10.1002/cncr.3....
 
12.
Ruchalski K, Anaokar JM, Benz MR, Dewan R, Douek ML, Goldin JG. A call for objectivity: radiologists' proposed wishlist for response evaluation in solid tumors (RECIST 1.1). Cancer Imaging. 2024; 24(1): 154. https://doi.org/10.1186/s40644....
 
13.
Ozkara BB, Chen MM, Federau C, Karabacak M, Briere TM, Li J, et al. Deep learning for detecting brain metastases on MRI: a systematic review and meta-analysis. Cancers (Basel). 2023; 15(2): 334. https://doi.org/10.3390/cancer....
 
14.
Shahraki Mojahed B, Saravani K, Parooie F. Thoracic staging in patients with non-small cell lung cancer: a systematic review and meta-analysis on diagnostic accuracy of [18F]FDG PET/MRI and [18F]FDG PET/CT. Nucl Med Rev Cent East Eur. 2023; 26(0): 11-19. https://doi.org/10.5603/NMR.a2....
 
15.
Verzè M, Pluchino M, Leonetti A, Corianò M, Bonatti F, Armillotta MP, et al. Role of ctDNA for the detection of minimal residual disease in resected non-small cell lung cancer: a systematic review. Transl Lung Cancer Res. 2022; 11(12): 2588-2600. https://doi.org/10.21037/tlcr-....
 
16.
Wen X, Pu H, Liu Q, Guo Z, Luo D. Circulating tumor DNA-a novel biomarker of tumor progression and its favorable detection techniques. Cancers (Basel). 2022; 14(24): 6025. https://doi.org/10.3390/cancer....
 
17.
Tellez-Gabriel M, Knutsen E, Perander M. Current status of circulating tumor cells, circulating tumor DNA, and exosomes in breast cancer liquid biopsies. Int J Mol Sci. 2020; 21(24): 9457. https://doi.org/10.3390/ijms21....
 
18.
Bamodu OA, Chung CC, Pisanic TR. Harnessing liquid biopsies: exosomes and ctDNA as minimally invasive biomarkers for precision cancer medicine. J Liquid Biopsy. 2023; 2: 100126. https://doi.org/10.1016/j.jlb.....
 
19.
Jiang H. Latest research progress of liquid biopsy in tumor – a narrative review. Cancer Manag Res. 2024; 16: 1031-1042. https://doi.org/10.2147/CMAR.S....
 
20.
Ge Q, Zhang ZY, Li SN, Ma JQ, Zhao Z. Liquid biopsy: comprehensive overview of circulating tumor DNA (Review). Oncol Lett. 2024; 28(5): 548. https://doi.org/10.3892/ol.202....
 
21.
Chang L, Li J, Zhang R. Liquid biopsy for early diagnosis of non-small cell lung carcinoma: recent research and detection technologies. Biochim Biophys Acta Rev Cancer. 2022; 1877(3):188729. https://doi.org/10.1016/j.bbca....
 
22.
Fernandes G, Rodrigues A, Matos C, Barata F, Cirnes L, Ferreira L, et al. Liquid biopsy in the management of advanced lung cancer: implementation and practical aspects. Cancer Treat Res Commun. 2023; 36: 100725. https://doi.org/10.1016/j.ctar....
 
23.
Mishra M, Ahmed R, Das DK, Pramanik DD, Dash SK, Pramanik A. Recent advancements in the application of circulating tumor DNA as biomarkers for early detection of cancers. ACS Biomater Sci Eng. 2024; 10(8): 4740-4756. https://doi.org/10.1021/acsbio....
 
24.
Pinzani P, D'Argenio V, Del Re M, Pellegrini C, Cucchiara F, Salvianti F, et al. Updates on liquid biopsy: current trends and future perspectives for clinical application in solid tumors. Clin Chem Lab Med. 2021; 59(7): 1181-1200. https://doi.org/10.1515/cclm-2....
 
25.
Sheriff S, Saba M, Patel R, Fisher G, Schroeder T, Arnolda G, et al. A scoping review of factors influencing the implementation of liquid biopsy for cancer care. J Exp Clin Cancer Res. 2025; 44(1): 50. https://doi.org/10.1186/s13046....
 
26.
Caputo V, Ciardiello F, Corte CMD, Martini G, Troiani T, Napolitano S. Diagnostic value of liquid biopsy in the era of precision medicine: 10 years of clinical evidence in cancer. Explor Target Antitumor Ther. 2023; 4(1): 102-138. https://doi.org/10.37349/etat.....
 
27.
Reina C, Šabanović B, Lazzari C, Gregorc V, Heeschen C. Unlocking the future of cancer diagnosis - promises and challenges of ctDNA-based liquid biopsies in non-small cell lung cancer. Transl Res. 2024; 272: 41-53https://doi.org/10.1016/j.trsl.2024.05.014.
 
28.
Sun Q, Li W, Yang D, Lin PP, Zhang L, Guo H. The presence of small-size circulating tumor cells predicts worse prognosis in non-small cell lung cancer patients. Arch Pathol Lab Med. 2025; 149(1): 39-49. https://doi.org/10.5858/arpa.2....
 
29.
Saini VM, Oner E, Ward MP, Hurley S, Henderson BD, Lewis F, et al. A comparative study of circulating tumor cell isolation and enumeration technologies in lung cancer. Mol Oncol. Forthcoming 2024. https://doi.org/10.1002/1878-0....
 
30.
Sadique Hussain M, Gupta G, Ghaboura N, Moglad E, Hassan Almalki W, Alzarea SI, et al. Exosomal ncRNAs in liquid biopsies for lung cancer. Clin Chim Acta. 2025; 565: 119983. https://doi.org/10.1016/j.cca.....
 
31.
Tang H, Yu D, Zhang J, Wang M, Fu M, Qian Y, et al. The new advance of exosome-based liquid biopsy for cancer diagnosis. J Nanobiotechnology. 2024; 22(1): 610. https://doi.org/10.1186/s12951....
 
32.
Zviran A, Schulman RC, Shah M, Hill STK, Deochand S, Khamnei CC, et al. Genome-wide cell-free DNA mutational integration enables ultra-sensitive cancer monitoring. Nat Med. 2020; 26(7): 1114-1124. https://doi.org/10.1038/s41591....
 
33.
Lo YMD, Han DSC, Jiang P, Chiu RWK. Epigenetics, fragmentomics, and topology of cell-free DNA in liquid biopsies. Science. 2021; 372(6538): eaaw3616. https://doi.org/10.1126/scienc....
 
34.
Rao DY, Huang DF, Si MY, Lu H, Tang ZX, Zhang ZX. Role of exosomes in non-small cell lung cancer and EGFR-mutated lung cancer. Front Immunol. 2023; 14: 1142539. https://doi.org/10.3389/fimmu.....
 
35.
Zhang S, Liu X, Zhou L, Wang K, Shao J, Shi J, et al. Intelligent prognosis evaluation system for stage I-III resected non-small-cell lung cancer patients on CT images: a multi-center study. EClinicalMedicine. 2023; 65: 102270. https://doi.org/10.1016/j.ecli....
 
36.
Zhang JT, Liu SY, Gao W, Liu SM, Yan HH, Ji L, et al. Longitudinal undetectable molecular residual disease defines potentially cured population in localized non-small cell lung cancer. Cancer Discov. 2022; 12(7): 1690-1701. https://doi.org/10.1158/2159-8....
 
37.
Stergiopoulou D, Markou A, Strati A, Zavridou M, Tzanikou E, Mastoraki S, et al. Comprehensive liquid biopsy analysis as a tool for the early detection of minimal residual disease in breast cancer. Sci Rep. 2023; 13(1): 1258. https://doi.org/10.1038/s41598....
 
38.
Jin Y, Yang F, Chen K. An overview of current development and barriers on liquid biopsy in patients with early-stage non-small-cell Lung cancer. Holist Integ Oncol. 2023; 2: 43. https://doi.org/10.1007/s44178....
 
39.
Zheng H, Wu X, Yin J, Wang S, Li Z, You C. Clinical applications of liquid biopsies for early lung cancer detection. Am J Cancer Res. 2019; 9(12): 2567-2579.
 
40.
Vandekerckhove O, Cuppens K, Pat K, Du Pont B, Froyen G, Maes B. Liquid biopsy in early-stage lung cancer: current and future clinical applications. Cancers (Basel). 2023; 15(10): 2702. https://doi.org/10.3390/cancer....
 
41.
Zhou S, Shen C, Wang Y, Zhao Z, Che G. Values of circulating tumor DNA for non-small cell lung cancer patients receiving neoadjuvant therapy, progress and challenges: a narrative review. J Thorac Dis. 2024; 16(7): 4742-4755. https://doi.org/10.21037/jtd-2....
 
42.
Singal AG, Kurtzman KN, Thompson MJ. Leveraging multi-cancer blood tests to improve diagnostic efficiency for patients with nonspecific signs and symptoms. Future Oncol. 2024; 20(34): 2603-2607. https://doi.org/10.1080/147966....
 
43.
Sehayek O, Kian W, Onn A, Stoff R, Sorotsky HG, Zemel M, et al. liquid first is "solid" in naïve non-small cell lung cancer patients: faster turnaround time with high concordance to solid next-generation sequencing. Front Oncol. 2022; 12: 912801. https://doi.org/10.3389/fonc.2....
 
44.
Semenkovich NP, Szymanski JJ, Earland N, Chauhan PS, Pellini B, Chaudhuri AA. Genomic approaches to cancer and minimal residual disease detection using circulating tumor DNA. J Immunother Cancer. 2023; 11(6): e006284. https://doi.org/10.1136/jitc-2....
 
45.
Franzi S, Seresini G, Borella P, Raviele PR, Bonitta G, Croci GA, et al. Liquid biopsy in non-small cell lung cancer: a meta-analysis of state-of-the-art and future perspectives. Front Genet. 2023; 14: 1254839. https://doi.org/10.3389/fgene.....
 
46.
Tomasik B, Skrzypski M, Bieńkowski M, Dziadziuszko R, Jassem J. Current and future applications of liquid biopsy in non-small-cell lung cancer-a narrative review. Transl Lung Cancer Res. 2023; 12(3): 594-614. https://doi.org/10.21037/tlcr-....
 
47.
Heidrich I, Ačkar L, Mohammadi PM, Pantel K. Liquid biopsies: potential and challenges. Int J Cancer. 2021; 148(8): 1795-1807. https://doi.org/10.1002/ijc.33....
 
48.
Jin Y, Mu W, Shi Y, Qi Q, Wang W, He Y, et al. Development and validation of an integrated system for lung cancer screening and post-screening pulmonary nodules management: a proof-of-concept study (ASCEND-LUNG). EClinicalMedicine. 2024; 75: 102769. https://doi.org/10.1016/j.ecli....
 
49.
Duranti L, Tavecchio L, Rolli L, Solli P. New perspectives on lung cancer screening and artificial intelligence. Life (Basel). 2025; 15(3): 498. https://doi.org/10.3390/life15....
 
50.
Chen K, He Y, Wang W, Yuan X, Carbone DP, Yang F. Development of new techniques and clinical applications of liquid biopsy in lung cancer management. Sci Bull (Beijing). 2024; 69(10): 1556-1568. https://doi.org/10.1016/j.scib....
 
51.
Brockley LJ, Souza VGP, Forder A, Pewarchuk ME, Erkan M, Telkar N, et al. Sequence-based platforms for discovering biomarkers in liquid biopsy of non-small-cell lung cancer. Cancers (Basel). 2023; 15(8): 2275. https://doi.org/10.3390/cancer....
 
52.
Foser S, Maiese K, Digumarthy SR, Puig-Butille JA, Rebhan C. Looking to the future of early detection in cancer: liquid biopsies, imaging, and artificial intelligence. Clin Chem. 2024; 70(1): 27-32. https://doi.org/10.1093/clinch....
 
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