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KRAS mutations in blood circulating cell-free DNA: a pancreatic cancer case-control
F. Le Calvez-Kelm, M. Foll, MB. Wozniak, TM. Delhomme, G. Durand, P. Chopard, M. Pertesi, E. Fabianova, Z. Adamcakova, I. Holcatova, L. Foretova, V. Janout, MP. Vallee, S. Rinaldi, P. Brennan, JD. McKay, GB. Byrnes, G. Scelo,
Language English Country United States
Document type Journal Article, Multicenter Study, Validation Study
NLK
Free Medical Journals
from 2010
Freely Accessible Journals
from 2010
PubMed Central
from 2010
Europe PubMed Central
from 2010
Open Access Digital Library
from 2010-01-01
- MeSH
- CA-19-9 Antigen blood MeSH
- Circulating Tumor DNA blood genetics MeSH
- Carcinoma, Pancreatic Ductal blood genetics pathology MeSH
- Phenotype MeSH
- Gene Frequency MeSH
- Genetic Predisposition to Disease MeSH
- Middle Aged MeSH
- Humans MeSH
- Mutation * MeSH
- DNA Mutational Analysis MeSH
- Biomarkers, Tumor blood genetics MeSH
- Pancreatic Neoplasms blood genetics pathology MeSH
- Pilot Projects MeSH
- Predictive Value of Tests MeSH
- Proto-Oncogene Proteins p21(ras) blood genetics MeSH
- Reproducibility of Results MeSH
- Aged MeSH
- Neoplasm Staging MeSH
- Case-Control Studies MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Validation Study MeSH
- Geographicals
- Czech Republic MeSH
- Slovakia MeSH
The utility of KRAS mutations in plasma circulating cell-free DNA (cfDNA) samples as non-invasive biomarkers for the detection of pancreatic cancer has never been evaluated in a large case-control series. We applied a KRAS amplicon-based deep sequencing strategy combined with analytical pipeline specifically designed for the detection of low-abundance mutations to screen plasma samples of 437 pancreatic cancer cases, 141 chronic pancreatitis subjects, and 394 healthy controls. We detected mutations in 21.1% (N=92) of cases, of whom 82 (89.1%) carried at least one mutation at hotspot codons 12, 13 or 61, with mutant allelic fractions from 0.08% to 79%. Advanced stages were associated with an increased proportion of detection, with KRAS cfDNA mutations detected in 10.3%, 17,5% and 33.3% of cases with local, regional and systemic stages, respectively. We also detected KRAS cfDNA mutations in 3.7% (N=14) of healthy controls and in 4.3% (N=6) of subjects with chronic pancreatitis, but at significantly lower allelic fractions than in cases. Combining cfDNA KRAS mutations and CA19-9 plasma levels on a limited set of case-control samples did not improve the overall performance of the biomarkers as compared to CA19-9 alone. Whether the limited sensitivity and specificity observed in our series of KRAS mutations in plasma cfDNA as biomarkers for pancreatic cancer detection are attributable to methodological limitations or to the biology of cfDNA should be further assessed in large case-control series.
International Agency for Research on Cancer Lyon France
Masaryk Memorial Cancer Institute and Medical Faculty of Masaryk University Brno Czech Republic
Regional Authority of Public Health Banska Bystrica Slovakia
References provided by Crossref.org
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