Use of cancer-specific genomic rearrangements to quantify disease burden in plasma from patients with solid tumors.

Use of cancer-specific genomic rearrangements to quantify disease burden in plasma from patients with solid tumors.
复制标题

使用癌症特异性基因组重排来量化实体瘤患者血浆中的疾病负担。

DOI:
10.1002/gcc.20815
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发表时间:
2010-11
影响因子:
3.7
通讯作者:
Campbell, Peter J.
Campbell, Peter J.
中科院分区:
医学2区
文献类型:
--
作者:
McBride, David J.;Orpana, Arto K.;Sotiriou, Christos;Joensuu, Heikki;Stephens, Philip J.;Mudie, Laura J.;Hamalainen, Eija;Stebbings, Lucy A.;Andersson, Leif C.;Flanagan, Adrienne M.;Durbecq, Virginie;Ignatiadis, Michail;Kallioniemi, Olli;Heckman, Caroline A.;Alitalo, Kari;Edgren, Henrik;Futreal, P. Andrew;Stratton, Michael R.;Campbell, Peter J.

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检测复发的躯体重排可以常规监测白血病的残留疾病负担,但不适用于大多数实体瘤。然而,下一代测序现在可以快速识别实体肿瘤中患者特定的重排。我们绘制了三种癌症的基因组重排图谱,并表明重排的PCR分析可以检测到血浆中肿瘤基因组的单一副本,而不会出现假阳性。疾病状态、药物反应性和早期复发可以连续评估。未来,这一战略很容易在诊断实验室中建立起来,对监测疾病状态和实体肿瘤的个性化治疗产生重大影响。
Detection of recurrent somatic rearrangements routinely allows monitoring of residual disease burden in leukemias, but is not used for most solid tumors. However, next-generation sequencing now allows rapid identification of patient-specific rearrangements in solid tumors. We mapped genomic rearrangements in three cancers and showed that PCR assays for rearrangements could detect a single copy of the tumor genome in plasma without false positives. Disease status, drug responsiveness, and incipient relapse could be serially assessed. In future, this strategy could be readily established in diagnostic laboratories, with major impact on monitoring of disease status and personalizing treatment of solid tumors.
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