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Evolving roles of liquid biopsy in precision medicine for colorectal cancer: from single-gene analysis to broad genomic profiling
Nat Rev Clin Oncol. 2026 Feb 20. doi: 10.1038/s41571-026-01126-1. Online ahead of print.
ABSTRACT
Colorectal cancer (CRC) is a heterogeneous malignancy, with various alterations in molecular signalling pathways driving disease progression and resistance to therapy. Liquid biopsy, as a source of circulating tumour DNA (ctDNA), has been utilized to characterize tumour molecular heterogeneity, facilitating the identification of actionable targets for precision medicine-guided therapies and the detection of emerging genomic drivers of drug resistance in patients with metastatic CRC. In addition, liquid biopsy-based analysis of ctDNA has been validated as a tool for detecting minimal residual disease (MRD) following locoregional treatment in patients with localized colon or rectal cancer, offering improved prognostic stratification and supporting the tailoring of adjuvant systemic therapy. Methodological evolution from PCR analysis of a few known mutations in one gene or a small panel of genes to the assessment of hundreds of genes and pathogenic variants by next-generation sequencing has enabled comprehensive genomic profiling (CGP), thereby improving knowledge of cancer molecular complexity at the individual patient level. In this respect, liquid biopsy-based CGP is an easily repeatable and minimally invasive approach that can provide a dynamic portrait of CRC molecular heterogeneity to guide personalized and adaptive treatment based on biomarkers of response and resistance. In this Review, we discuss current and potential roles of liquid biopsy-based ctDNA analysis in the clinical management of metastatic CRC. We also discuss the evidence supporting implementation of liquid biopsy-based assessment of MRD to refine the management of locoregional CRC and potentially improve cure rates while reducing overtreatment of many patients.
PMID:41720942 | DOI:10.1038/s41571-026-01126-1
STAT+: Nature Medicine to investigate study that found cancer treatment is better in morning
The notion that oncologists could boost immunotherapy responses simply by giving infusions in the morning, rather than late afternoon, is an attractive one. So when a clinical trial published in Nature Medicine this month showed that lung cancer patients treated in the morning had a massive reduction in the risk of progression compared to those treated in the afternoon, many scientists were intrigued, if skeptical.
Now that study is coming under fire, as multiple scientists and sleuths raise serious concerns about the data and point out inconsistencies in the trial.
These have called the study’s conclusions even further into question, which experts told STAT already lacked strong biological plausibility, and Nature Medicine appended a note on the study on Thursday that it is starting an investigation into the concerns.
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© Jenny Kane/AP
Gastric cancer occurrence and heterogeneity: integration of clinical data, multi-omics and tumor microenvironment
Future Oncol. 2026 Feb 20:1-14. doi: 10.1080/14796694.2026.2631302. Online ahead of print.
ABSTRACT
Gastric cancer (GC) is an epithelial malignant tumor with high morbidity and mortality. In recent years, more and more studies have strengthened our understanding of how GC develops, including the origin of GC cells, precancerous lesions, gene mutations, transcriptional changes, protein translation and the tumor microenvironment. With the concept of accurate tumor therapy gradually applied to clinical practice, these data provide more reference and basis for early prevention, early screening, early detection and accurate treatment of GC.
PMID:41717787 | DOI:10.1080/14796694.2026.2631302
MedClarify: An information-seeking AI agent for medical diagnosis with case-specific follow-up questions
Intent Laundering: AI Safety Datasets Are Not What They Seem
Be Wary of Your Time Series Preprocessing
<b>AI stethoscope trial highlights the perils of implementation gaps</b>
Nature Medicine, Published online: 20 February 2026; doi:10.1038/d41591-026-00011-9
When used as intended, an AI stethoscope enhanced the detection of cardiovascular disease — but low uptake and workflow challenges hampered effectiveness in a large pragmatic trial.Clinically distinct genetic diseases converge on shared, druggable nodes
Nature Medicine, Published online: 20 February 2026; doi:10.1038/s41591-026-04230-y
How to accelerate cures for genetic diseases using an artificial intelligence-enabled discovery engine to identify druggable nodes and develop clinical targets.Artificial intelligence–enhanced microsurgical training: a systematic review
npj Digital Medicine, Published online: 20 February 2026; doi:10.1038/s41746-026-02452-5
Artificial intelligence–enhanced microsurgical training: a systematic reviewCancerLLM: a large language model in cancer domain
npj Digital Medicine, Published online: 20 February 2026; doi:10.1038/s41746-026-02441-8
CancerLLM: a large language model in cancer domainSTAT+: Key study of Grail’s cancer detection test fails in setback for company
A blood test for detecting cancer early being developed by the diagnostics firm Grail failed to meet its main goal in a giant study being conducted with England’s National Health Service, the company said Thursday.
Grail’s test has been the standard bearer for new technologies that promise a blood test can be used to detect many different types of cancer early and eventually even to indicate to scientists where in the body to look for tumors. The company already sells its test, called Galleri, for a list price of $1,000, although it is not yet approved by the Food and Drug Administration. Grail said Thursday it sold 185,000 tests in 2025, generating $136.8 million.
The company’s shares were down 47% in after-hours trading.
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Two Types of ADT for Prostate Cancer, Different Effects on Coronary Artery Plaque
(MedPage Today) -- Two types of androgen deprivation therapy (ADT) had different effects on coronary atherosclerosis in a small randomized trial of men with prostate cancer.
Significantly more coronary artery plaque progression occurred in men... STAT+: AI-guided cancer treatments, telehealth usage, and other health tech news
You’re reading the web edition of STAT’s Health Tech newsletter, our guide to how technology is transforming the life sciences. Sign up to get it delivered in your inbox every Tuesday and Thursday.
Good morning health tech readers!
Please join me in congratulating my colleagues as STAT, who have been honored with a fourth Polk Award for our coverage of the Trump administration’s impacts on the federal health department and American science. The award recognizes the whole newsroom and in particular the work of Lizzy Lawrence covering a dramatic year of changes at the Food and Drug Administration.
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Live biotherapeutics in cancer therapy
Prog Mol Biol Transl Sci. 2026;220:361-403. doi: 10.1016/bs.pmbts.2026.01.002. Epub 2026 Jan 23.
ABSTRACT
Cancer poses a global challenge in diagnostics and therapeutics. Treatments like chemotherapy, radiotherapy, surgery, and immunotherapy have significantly decreased the fatality rate, but drug resistance, therapy side effects, and relapse remain as major concerns. Live biotherapeutics are microorganisms that can be developed as therapeutic agents to modulate cancer pathophysiology and aid in disease management. Live biotherapeutic products (LBPs) have the potential to suppress tumour growth, enhance the effectiveness of conventional therapies, and reduce treatment-related side effects. Dysbiosis in the gut and cancer-specific tissues is linked to cancers of the colon, stomach, pancreas, and liver. Live biotherapeutics aim either to re-establish microbial balance or to employ microbes directly as anticancer tools. Both native and engineered LBPs (bacteria and viruses) represent promising interventions that may form part of next-generation cancer treatment strategies. Their clinical application draws on the integration of microbiology, immunology, synthetic biology, and oncology. LBPs can be used to target cancer cells by delivering antitumour payloads such as immune modulators, toxins, exposing cancer antigens, and molecules for targeted killing. LBPs offer advantages such as reduced systemic toxicity, overcoming drug resistance, and synergy with chemo-, radio-, and immunotherapies. Despite challenges in safety, manufacturing, regulation, and personalization, advances in synthetic biology and omics are enabling precision approaches. Future innovations such as bacteriobots, biocontainment systems, and patient-specific microbiome integration highlight their potential as next-generation cancer therapeutics.
PMID:41714084 | DOI:10.1016/bs.pmbts.2026.01.002
Breakthrough CRISPR system could reverse antibiotic resistance crisis
One stem cell generates 14 million tumor-killing NK cells in major cancer breakthrough
Personalized mRNA vaccine induces strong, durable immunity in hard-to-treat breast cancer
Nature, Published online: 18 February 2026; doi:10.1038/d41586-026-00477-0
In an experimental trial, a personalized mRNA vaccine was tested in 14 individuals with an aggressive form of breast cancer. It trained immune cells to target cancer-specific mutant proteins, inducing strong, lasting immunity. Ten participants remained disease-free. Analysis of relapses revealed resistance mechanisms, offering essential insights for future therapies.AI succeeds in diagnosing rare diseases
Nature, Published online: 18 February 2026; doi:10.1038/d41586-026-00290-9
An artificial-intelligence system uses clinical data, genetic information and literature searches to suggest diagnoses and provides the underlying reasoning.