RT Dissertation/Thesis T1 Liquid biopsy and precision medicine: Characterization of circulating biomarkers in patients with advanced lung cancer A1 Mondelo MacĂ­a, Patricia K1 Liquid biopsy K1 lung cancer K1 precision medicine AB The study of liquid biopsy, together with the application of new targetedtherapies, has revolutionized the oncology field. However more research is required to effectively apply thesetechniques into the clinical routine. Although lung cancer is currently one of the tumours in which molecularoncology has more impact, this tumour remains the leading cause of cancer related deaths worldwide, being thedevelopment of tools to guide the therapy selection and monitoring key points to improve this tumour survival rates.With the present thesis we investigated the value of different blood biomarkers for improving the management ofadvanced lung cancer patients through the analysis of circulating free DNA (cfDNA), circulating tumour cells(CTCs), and circulating proteins. We established and validated new protocols to characterize clinically relevantalterations in CTCs and ctDNA and demonstrated the potential of cfDNA monitoring as a prognostic and predictivetool in the context of both NSCLC and SCLC. Of note, we also identified a proteomic signature with value to predictimmunotherapy response in patients with NSCLC. Overall, our results improve the knowledge and applicability ofliquid biopsy analyses in patients with advanced lung cancer and help to advance in precision medicine. YR 2023 FD 2023 LK http://hdl.handle.net/10347/30919 UL http://hdl.handle.net/10347/30919 LA eng DS Minerva RD 24 abr 2026