A review.Originating from chromosomal DNA, ecDNA primarilyforms through mechanisms associated with chromosomal instability, such as DNA damage repair, chromothripsis,episome formation, and the breakageefusionebridge cycle.Ranging in size from 100 kb to several Mb, ecDNA is distinct from smaller extrachromosomal circular DNA (eccDNA) found in both tumor and normal eukaryotic cells.EcDNA confers cancer cells with significant advantages in proliferation and energy metabolism, while also contributing to tumor heterogeneity and malignancy.The eDyNAmiC project further reported that 17.1% of tumor samples in the 100,000 Genomes Project (100kGP) harbor ecDNA, with the highest prevalence in liposarcoma (54.9%), GBM (49.1%), and HER2-pos. breast cancer (46.4%) patients2.Imaging techniques, such as electron microscopy, fluorescence in situ hybridization, and live-cell imaging with ecTag, are effective but are limited by the need for metaphase preparation, prior DNA sequencing, and low throughput.However, the development of clin. viable and cost-effective ecDNA detection tools remains a challenge.The 100kGP project revealed that while ecDNAs predominantly amplify oncogenes, they also carry immunomodulatory genes.In the TCGA GBMLGG cohort, ecDNA frequently carries genes located on chromosomes 1, 4, 7, and 12, including well-known oncogenes such as CDK4, MDM2, SOX2, and EGFR, all recognized as tumor drivers by the GISTIC algorithm and/or listed in OncoKB.EcDNA also carries immunomodulatory genes like KDR and LAG3, which contribute to immune evasion.The circular structure of ecDNA facilitates the spatial proximity of DNA elements and oncogenes, enabling a phenomenon known as enhancer hijacking.Microsatellite instability (MSI) was significantly lower, consistent with the well-established pan-cancer pattern of mutual exclusivity between ecDNA amplification and MSI.Interestingly, we observed that ploidy was not elevated in ecDNApos. samples, and that these samples exhibited increased purity, a result that deviates from typical pan-cancer trends.No significant differences were observed between unamplified and linear-amplified groups, suggesting that ecDNA-driven amplification has a more profound impact on glioma progression than linear amplification alone.