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Enrichment of short mutant cell-free DNA fragments enhanced detection of pancreatic cancer.

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机构: [a]Department of Interventional Radiology, Zhongshan Hospital Fudan University, Shanghai, China [b]Shanghai Institute of Medical Imaging, Shanghai, China [c]Institute of Neuroscience, State Kay Laboratory of Neuroscience, CAS Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences, Shanghai, China [d]Department of Pathology, Zhongshan Hospital Fudan University, Shanghai, China [e]Department of Hepatobiliary and Pancreatic Surgery, School of Medicine, The Second Affiliated Hospital of Zhejiang University, Hangzhou, China [f]Department of Radiology, Shuguang Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, China [g]Precision Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China [h]Qihan Bio Inc., Hangzhou, Zhejiang, China [i]Stanford Genome Technology Center, Palo Alto, CA, USA [j]Department of Radiology, Zhongshan Hospital Fudan University, Shanghai, China [k]Department of Pancreatic Surgery, Zhongshan Hospital Fudan University, Shanghai, China [l]Department of General Surgery, Zhongshan Hospital Fudan University, Shanghai, China
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关键词: Pancreatic cancer Cell-free DNA Fragmentation Tissue biopsy Diagnosis and prognosis

摘要:
Analysis of cell-free DNA (cfDNA) is promising for broad applications in clinical settings, but with significant bias towards late-stage cancers. Although recent studies have discussed the diverse and degraded nature of cfDNA molecules, little is known about its impact on the practice of cfDNA analysis. We developed single-strand library preparation and hybrid-capture-based cfDNA sequencing (SLHC-seq) to analysis degraded cfDNA fragments. Next we used SLHC-seq to perform cfDNA profiling in 112 pancreatic cancer patients, and the results were compared with 13 previous reports. Extensive analysis was performed in terms of cfDNA fragments to explore the reasons for higher detection rate of KRAS mutations in the circulation of pancreatic cancers. By applying the new approach, we achieved higher efficiency in analysis of mutations than previously reported using other detection assays. 791 cancer-specific mutations were detected in plasma of 88% patients with KRAS hotspots detected in 70% of all patients. Only 8 mutations were detected in 28 healthy controls without any known oncogenic or truncating alleles. cfDNA profiling by SLHC-seq was largely consistent with results of tissue-based sequencing. SLHC-seq rescued short or damaged cfDNA fragments along to increase the sensitivity and accuracy of circulating-tumour DNA detection. We found that the small mutant fragments are prevalent in early-stage patients, which provides strong evidence for fragment size-based detection of pancreatic cancer. The new pipeline enhanced our understanding of cfDNA biology and provide new insights for liquid biopsy. Copyright © 2019. Published by Elsevier B.V.

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出版当年[2019]版:
大类 | 1 区 医学
小类 | 1 区 医学:研究与实验
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 医学:研究与实验
第一作者:
第一作者机构: [a]Department of Interventional Radiology, Zhongshan Hospital Fudan University, Shanghai, China [b]Shanghai Institute of Medical Imaging, Shanghai, China [c]Institute of Neuroscience, State Kay Laboratory of Neuroscience, CAS Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences, Shanghai, China
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通讯作者:
通讯机构: [a]Department of Interventional Radiology, Zhongshan Hospital Fudan University, Shanghai, China [b]Shanghai Institute of Medical Imaging, Shanghai, China [k]Department of Pancreatic Surgery, Zhongshan Hospital Fudan University, Shanghai, China [l]Department of General Surgery, Zhongshan Hospital Fudan University, Shanghai, China [*1]Department of Pancreatic Surgery, Zhongshan Hospital Fudan University, Shanghai, China. [*2]Department of Interventional Radiology, Zhongshan Hospital Fudan University, Shanghai, China.
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