Liquid biopsy for KRAS, NRAS and BRAF mutation testing in advanced colorectal cancer patients: the Argentinean experience

被引:6
作者
Guettlein, Leandro [1 ,3 ]
Luca, Maria R. [2 ]
Esteso, Federico [2 ]
Fresno, Cristobal
Mariani, Javier [2 ]
Pizarro, Mercedes Otero [1 ,3 ]
Brest, Esteban [1 ]
Starapoli, Solange [1 ,3 ]
Kreimberg, Kevin [1 ,3 ]
Teves, Paula [1 ,3 ]
Bertelli, Andrea Mendoza [1 ]
Girotti, Maria R. [1 ]
Salanova, Ruben [1 ]
O'Connor, Juan M. [2 ]
机构
[1] Biomakers SA, Mol Biol Lab, Av Pueyrredon 1777,9 Floor,C1119ACA, Buenos Aires, DF, Argentina
[2] Inst Alexander Fleming, Clin Oncol, Av Cramer 1180,C1426ANZ, Buenos Aires, DF, Argentina
[3] Natl Inst Genom Med, Technol Dev Dept, Mexico City, DF, Mexico
关键词
BRAF; hotspot mutations; KRAS; liquid biopsy; metastatic colorectal cancer; NRAS; oncogene drivers; CIRCULATING TUMOR DNA; PREVALENCE; AMERICAN; SOCIETY; BLOOD;
D O I
10.2217/fon-2022-0329
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objective: To analyze the frequency of KRAS, NRAS and BRAF hotspot mutations in circulating tumor DNA (ctDNA) from patients with metastatic colorectal cancer (mCRC). Methods: Observational, descriptive and retrospective study in mCRC patients with available ctDNA-based genotype of KRAS, NRAS and BRAF. Results: The frequencies of plasma mutations for KRAS, NRAS and BRAF were 34% (+/- 7), 4% (+/- 3) and 4% (+/- 3), respectively. Median overall survival of plasma-tested RAS/BRAF-mutated patients was 26.6 months (95% CI: 14.4-not estimable [NE]), while RAS/BRAF wild-type patients did not reach the median survival during follow-up. Median progression-free survival for RAS/BRAF wild-type and RAS/BRAF-mutated patients was 12 (95% CI: 7-NE) and 4 months (95% CI: 4-NE), respectively. Conclusion: Our work supports the utility of KRAS, NRAS and BRAF analysis in liquid biopsy from mCRC patients.
引用
收藏
页码:3277 / 3287
页数:11
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