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Title [sv]
Ultrakänslig och kostnadseffektiv diagnostik för AML
Title [en]
An ultra-sensitive and cost-effective diagnostic to improve AML patient outcome.
Abstract [sv]
Syfte och mål:Vi har undersökt blod- och benmärgsprover från AML-patienter med vår ultrakänsliga SafeLock-teknik för att tidigt upptäcka återinsjuknande, genom att detektera sällsynta mutationssekvenser på ett kostnadseffektivt sätt. Vi avser nu att implementera SafeLock-analyser i en klinisk miljö med minimala behov av investeringar för instrument och personalutbildning för att utföra analyser som kan vägleda terapi för enskilda patienter.Förväntade effekter och resultat:Vi har framgångsrikt visat att SafeLock-analyser kan på ett tillförlitligt sätt upptäcka AML-relaterade mutationer från så lite som 1 cell som bär mutationen bland 100 000, i både referens- och patientprover. Analyserna kan vara av värde för att justera terapin vid leukemi för optimal effekt och för tidig upptäckt av återfall. Vi hoppas nu kunna implementera automatiserade SafeLock -analysen i kliniska miljöer inom en snar framtid för att förbättra patientvården vid AML.Upplägg och genomförande:Detta VINNOVA-finansierade projekt har genomförts i ett effektivt samarbete mellan Landegrens och Caveliers forskargrupper. Parterna har fokuserat på arbetspaketen som beskrevs i applikationen, utformade för att optimalt utnyttja deras respektive kompetenser. De två parterna har samarbetat genom att dela både personal och deras olika kliniska och forskningsnätverk.
Abstract [en]
Purpose and goal:Taking advantage of the large amounts of DNA available from blood and bone marrow samples from AML patients, we have explored the possibility to apply the ultra-sensitive SafeLock assay for early detection of relapse of AML patients by detecting rare mutant sequences in a cost-effective manner. We aim to deploy the SafeLock assay in a clinical environment with minimal investment for instruments and staff training in order to operate assays for guiding therapy for individual patients.Expected results and effects:We have successfully demonstrated that the SafeLock assay can reliably detect AML-related mutations from as little as 1 cell carrying the mutation among a total of 100,000 in both reference and patient samples. The analyses cab help the clinician adjust therapy for optimal effect and for early detection of relapse. We expect that the automated SafeLock assay will be implemented in clinical settings in the near future to improve AML patient care.Approach and implementation:This VINNOVA-funded project has been implemented effectively in cooperation between the Landegren and Cavelier research groups. Each party has concentrated on the allocated work packages in the application, designed to optimally exploit the competence of each party. The two parties have collaborated by sharing both staff as well as their respective research and clinical networks.
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Sandberg, E., Nunes, L., Edqvist, P.-H., Mathot, L., Chen, L., Edgren, T., . . . Sjöblom, T. (2024). Sensitive and Specific Analyses of Colorectal Cancer Recurrence through Multiplex superRCA Mutation Detection in Blood Plasma. Cancers, 16(3), Article ID 549.
Open this publication in new window or tab >>Sensitive and Specific Analyses of Colorectal Cancer Recurrence through Multiplex superRCA Mutation Detection in Blood Plasma
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2024 (English)In: Cancers, ISSN 2072-6694, Vol. 16, no 3, article id 549Article in journal (Refereed) Published
Abstract [en]

Mutation analysis of circulating tumor DNA (ctDNA) has applications in monitoring of colorectal cancer (CRC) patients for recurrence. Considering the low tumor fraction of ctDNA in cell-free DNA (cfDNA) isolated from blood plasma, the sensitivity of the detection method is important. Here, plasma DNA collected at diagnosis and follow-up from 25 CRC patients was analyzed using a multiplex superRCA mutation detection assay. The assay was also performed on genomic DNA (gDNA) from tumor and normal tissue from 20 of these patients. The lower limit of detection for most sequence variants was in the range of 10−5, while when analyzing cfDNA from plasma with a typical input of 33 ng, the practical detection limit was ~10−4 or 0.01% mutant allele frequency (MAF). In 17 of 19 patients with identified hotspot mutations in tumor gDNA, at least one hotspot mutation could be detected in plasma DNA at the time of diagnosis. The MAF increased at subsequent time points in four of the patients who experienced a clinical relapse. Multiplex superRCA analysis of the remaining six patients did not reveal any hotspot mutations. In conclusion, multiplex superRCA assays proved suitable for monitoring CRC patients by analyzing hotspot mutations in cfDNA, and dynamic changes in MAF were observed in patients with clinical relapse.

Place, publisher, year, edition, pages
MDPI, 2024
Keywords
colorectal cancer, recurrence, cfDNA, ctDNA
National Category
Cancer and Oncology
Identifiers
urn:nbn:se:uu:diva-524607 (URN)10.3390/cancers16030549 (DOI)001161089400001 ()38339300 (PubMedID)
Funder
European Commission, 294409European Commission, 115234Swedish Research Council, 2013-06023Swedish Research Council, 2014-02969Swedish Research Council, 2018-05895Swedish Research Council, 2022-00570Swedish Foundation for Strategic Research, SB16-0046Swedish Cancer Society, 19 0384Swedish Cancer Society, CAN 2018/772Vinnova, 2019-01464
Available from: 2024-03-12 Created: 2024-03-12 Last updated: 2024-03-12Bibliographically approved
Principal InvestigatorLandegren, Ulf
Coordinating organisation
Uppsala University
Funder
Period
2019-07-01 - 2021-06-30
National Category
Biomedical Laboratory Science/Technology
Identifiers
DiVA, id: project:6642Project, id: 2019-01464_Vinnova

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