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Sensitive and Specific Analyses of Colorectal Cancer Recurrence through Multiplex superRCA Mutation Detection in Blood Plasma
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Cancer precision medicine. Uppsala University, Science for Life Laboratory, SciLifeLab. (Tobias Sjöblom)ORCID iD: 0009-0003-5681-4417
Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Cancer precision medicine. (Tobias Sjöblom)ORCID iD: 0000-0002-3391-1607
Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Cancer precision medicine. (Tobias Sjöblom)ORCID iD: 0000-0002-8330-0134
Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Cancer precision medicine. (Panagiotis Baliakas)ORCID iD: 0000-0002-2990-2038
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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. Vol. 16, no 3, article id 549
Keywords [en]
colorectal cancer, recurrence, cfDNA, ctDNA
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:uu:diva-524607DOI: 10.3390/cancers16030549ISI: 001161089400001PubMedID: 38339300OAI: oai:DiVA.org:uu-524607DiVA, id: diva2:1843942
Part of project
Next generation molecular tools for rapid nucleic acid and protein diagnostics, Swedish Research CouncilMinimalt invasiv molkylär tumördiagnostik, Swedish Research CouncilsRCA ‚Äì Ultra sensitive rare mutation detection for Liquid Biopsy, Swedish Research CouncilFunktionell proteomik för precisionsmedicin, Swedish Research CouncilAn ultra-sensitive and cost-effective diagnostic to improve AML patient outcome., Vinnova
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, 2019-01464Available from: 2024-03-12 Created: 2024-03-12 Last updated: 2024-03-12Bibliographically approved

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

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Sandberg, EmmaNunes, LuísEdqvist, Per-HenrikMathot, LucyChen, LeiGlimelius, BengtLandegren, UlfSjöblom, Tobias
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Cancer precision medicineScience for Life Laboratory, SciLifeLabMolecular Tools and Functional GenomicsDepartment of Immunology, Genetics and Pathology
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