Identification of circulating tumor DNA using a targeted 545-gene next generation sequencing panel in patients with gastric cancer

被引:5
作者
Lan, Jing [1 ]
Lu, Yaping [2 ]
Guan, Yanfang [2 ]
Chang, Lianpeng [2 ]
Yu, Zhengyuan [3 ]
Qian, Haixin [1 ]
机构
[1] Soochow Univ, Dept Gen Surg, Affiliated Hosp 1, 899 Pinghai Rd, Suzhou 215006, Jiangsu, Peoples R China
[2] Geneplus Beijing Inst, Dept Res & Dev, Beijing 102206, Peoples R China
[3] Soochow Univ, Dept Oncol, Affiliated Hosp 1, 899 Pinghai Rd, Suzhou 215006, Jiangsu, Peoples R China
基金
美国国家科学基金会;
关键词
gastric cancer; noninvasive; ctDNA; targeted sequencing; HER2; MUTATIONAL LANDSCAPE; GENOMIC ALTERATIONS; EGFR MUTATIONS; HER2; BREAST; TRASTUZUMAB; INHIBITOR; PROGNOSIS;
D O I
10.3892/ol.2020.11305
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Gastric cancer (GC) is characterized by unique genetic aberrations. Some of these mutations may be used to predict tumor prognosis or to guide patient therapy. Cell-free circulating tumor DNA (ctDNA) has been considered a promising alternative to biopsy to identify genome aberrations. However, no standardized methods to detect ctDNA variations in patients with GC are currently available. In the present study, the targeted sequencing of 545 genes was used to identify somatic alterations in tissues and matched plasma samples of nine patients with GC. Driver gene mutations were detected in matched tissues and plasma ctDNA. The mutated reads concordance rate of ctDNA in GC tissues with matched tissues was 45%. A true positive copy number gain of human epidermal growth factor receptor 2 in plasma from patients with GC was identified. Furthermore, the ctDNA fraction in plasma cell-free DNA (cfDNA) was positively correlated with metastasis lymph node number and with lactate dehydrogenase level. In conclusion, results from the present study suggested that targeted sequencing of plasma ctDNA may be considered a potential option for the clinical monitoring of GC.
引用
收藏
页码:2251 / 2257
页数:7
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