Quantification of free circulating tumor DNA as a diagnostic marker for breast cancer

Quantification of free circulating tumor DNA as a diagnostic marker for breast cancer
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DOI:
10.1089/dna.2008.0744
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发表时间:
2008-08-01
影响因子:
3.1
通讯作者:
Medeiros, Rui
Medeiros, Rui
中科院分区:
生物学4区
文献类型:
--
作者:
Catarino, Raquel;Ferreira, Maria M.;Medeiros, Rui

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目的:通过实时荧光定量PCR方法检测乳腺癌患者和健康人外周血循环DNA的含量,以确定其是否能够区分乳腺癌患者和健康人。研究方法:我们的标准方案,用于定量的无细胞血浆DNA涉及175个连续的乳腺癌患者和80个健康对照。结果:我们发现与对照个体相比,乳腺癌患者的循环DNA水平增加(105.2对77.06 ng/mL,p < 0.001)。我们还发现乳腺手术前后患者的循环DNA量存在统计学显著差异(105.2 vs. 59.0 ng/mL,p 0.001)。血浆游离DNA浓度增加是乳腺癌的一个强危险因素,增加了患乳腺癌的风险(OR,12.32; 95%CI,2.09-52.28; p < 0.001)。结论:通过实时PCR定量循环DNA可能是检测乳腺癌的一个很好的和简单的工具,具有潜在的临床适用性与其他当前用于监测疾病的方法一起。
Aim: To determine whether the amounts of circulating DNA could discriminate between breast cancer patients and healthy individuals by using real-time PCR quantification methodology. Methods: Our standard protocol for quantification of cell-free plasma DNA involved 175 consecutive patients with breast cancer and 80 healthy controls. Results: We found increased levels of circulating DNA in breast cancer patients compared to control individuals (105.2 vs. 77.06 ng/mL, p < 0.001). We also found statistically significant differences in circulating DNA amounts in patients before and after breast surgery ( 105.2 vs. 59.0 ng/mL, p 0.001). Increased plasma cell-free DNA concentration was a strong risk factor for breast cancer, conferring an increased risk for the presence of this disease ( OR, 12.32; 95% CI, 2.09-52.28; p < 0.001). Conclusions: Quantification of circulating DNA by real-time PCR may be a good and simple tool for detection of breast cancer with a potential to clinical applicability together with other current methods used for monitoring the disease.