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Heitzer, E; Auinger, L; Speicher, MR.
Cell-Free DNA and Apoptosis: How Dead Cells Inform About the Living.
Trends Mol Med. 2020; 26(5):519-528 Doi: 10.1016/j.molmed.2020.01.012
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Führende Autor*innen der Med Uni Graz
Heitzer Ellen
Speicher Michael
Co-Autor*innen der Med Uni Graz
Auinger Lisa
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Abstract:
Cell-free DNA (cfDNA) is evolving into a widely used prognostic and predictive biomarker, particularly in oncology. However, its versatile clinical use precedes a profound understanding of the underlying biology of cfDNA release. There is much evidence to suggest that cfDNA is mainly derived from dying (i.e., apoptotic) cells. However, numerous cancer studies have shown that cfDNA is informative about acquired resistance to given therapies, which is present in living, proliferating tumor subclones. To explain this contradiction, we review current insights regarding cfDNA release, in particular the interplay between apoptosis and proliferation. We describe how improved knowledge about cfDNA biology could be used for novel therapeutic strategies and how this may affect patient management. Copyright © 2020 Elsevier Ltd. All rights reserved.

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