Whole exome sequencing for determination of tumor mutation load in liquid biopsy from advanced cancer patients

Autor: Charles Marcaillou, Etienne Rouleau, Steven B. Blanchard, Fabrice Andre, Emmanuel Martin, Jean-Charles Soria, Eric Solary, Cécile Jovelet, Bérengère Genin, Ludovic Lacroix, Florence Koeppel
Rok vydání: 2017
Předmět:
0301 basic medicine
Male
Pathology
Mutation rate
Colorectal cancer
Molecular biology
Biopsy
Gene Identification and Analysis
lcsh:Medicine
Artificial Gene Amplification and Extension
Polymerase Chain Reaction
Prostate cancer
0302 clinical medicine
Sequencing techniques
Mutation Rate
Neoplasms
Medicine and Health Sciences
Medicine
DNA sequencing
lcsh:Science
Exome sequencing
Multidisciplinary
medicine.diagnostic_test
DNA
Neoplasm

Genomics
030220 oncology & carcinogenesis
Biomarker (medicine)
Female
Cell-Free Nucleic Acids
Research Article
medicine.medical_specialty
Surgical and Invasive Medical Procedures
03 medical and health sciences
Breast cancer
Genomic Medicine
Exome Sequencing
Biomarkers
Tumor

Genetics
Humans
Liquid biopsy
Mutation Detection
business.industry
lcsh:R
Liquid Biopsy
Biology and Life Sciences
Computational Biology
medicine.disease
Genome Analysis
Genomic Libraries
Research and analysis methods
030104 developmental biology
Molecular biology techniques
Mutation
Somatic Mutation
lcsh:Q
business
Zdroj: PLoS ONE
PLoS ONE, Vol 12, Iss 11, p e0188174 (2017)
ISSN: 1932-6203
Popis: Tumor mutation load (TML) has been proposed as a biomarker of patient response to immunotherapy in several studies. TML is usually determined by tumor biopsy DNA (tDNA) whole exome sequencing (WES), therefore TML evaluation is limited by informative biopsy availability. Circulating cell free DNA (cfDNA) provided by liquid biopsy is a surrogate specimen to biopsy for molecular profiling. Nevertheless performing WES on DNA from plasma is technically challenging and the ability to determine tumor mutation load from liquid biopsies remains to be demonstrated. In the current study, WES was performed on cfDNA from 32 metastatic patients of various cancer types included into MOSCATO 01 (NCT01566019) and/or MATCHR (NCT02517892) molecular triage trials. Results from targeted gene sequencing (TGS) and WES performed on cfDNA were compared to results from tumor tissue biopsy. In cfDNA samples, WES mutation detection sensitivity was 92% compared to targeted sequencing (TGS). When comparing cfDNA-WES to tDNA-WES, mutation detection sensitivity was 53%, consistent with previously published prospective study comparing cfDNA-TGS to tDNA-TGS. For samples in which presence of tumor DNA was confirmed in cfDNA, tumor mutation load from liquid biopsy was correlated with tumor biopsy. Taken together, this study demonstrated that liquid biopsy may be applied to determine tumor mutation load. Qualification of liquid biopsy for interpretation is a crucial point to use cfDNA for mutational load estimation.
Databáze: OpenAIRE