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Sensitive and Specific Analyses of Colorectal Cancer Recurrence through Multiplex superRCA Mutation Detection in Blood Plasma
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för immunologi, genetik och patologi, Cancerprecisionsmedicin. Uppsala universitet, Science for Life Laboratory, SciLifeLab. (Tobias Sjöblom)ORCID-id: 0009-0003-5681-4417
Uppsala universitet, Science for Life Laboratory, SciLifeLab. Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för immunologi, genetik och patologi, Cancerprecisionsmedicin. (Tobias Sjöblom)ORCID-id: 0000-0002-3391-1607
Uppsala universitet, Science for Life Laboratory, SciLifeLab. Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för immunologi, genetik och patologi, Cancerprecisionsmedicin. (Tobias Sjöblom)ORCID-id: 0000-0002-8330-0134
Uppsala universitet, Science for Life Laboratory, SciLifeLab. Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för immunologi, genetik och patologi, Cancerprecisionsmedicin. (Panagiotis Baliakas)ORCID-id: 0000-0002-2990-2038
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2024 (engelsk)Inngår i: Cancers, ISSN 2072-6694, Vol. 16, nr 3, artikkel-id 549Artikkel i tidsskrift (Fagfellevurdert) 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.

sted, utgiver, år, opplag, sider
MDPI, 2024. Vol. 16, nr 3, artikkel-id 549
Emneord [en]
colorectal cancer, recurrence, cfDNA, ctDNA
HSV kategori
Identifikatorer
URN: urn:nbn:se:uu:diva-524607DOI: 10.3390/cancers16030549ISI: 001161089400001PubMedID: 38339300OAI: oai:DiVA.org:uu-524607DiVA, id: diva2:1843942
Ingår i projekt
En ny generation molekylära verktyg för snabb diagnostik av nukleinsyror och proteiner, Swedish Research CouncilMinimally invasive molecular tumor diagnostics, Swedish Research CouncilsRCA ‚Äì Ultrakänslig detektion av sällsynta mutationer för vätskebaserad biopsi, Swedish Research CouncilFunctional proteomics for precision medicine, Swedish Research CouncilUltrakänslig och kostnadseffektiv diagnostik för AML, Vinnova
Forskningsfinansiär
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, 2019-01464Tilgjengelig fra: 2024-03-12 Laget: 2024-03-12 Sist oppdatert: 2024-03-12bibliografisk kontrollert

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Sandberg, EmmaNunes, LuísEdqvist, Per-HenrikMathot, LucyChen, LeiGlimelius, BengtLandegren, UlfSjöblom, Tobias

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