The feasibility of using liquid biopsies as a complementary assay for copy number aberration profiling in routinely collected paediatric cancer patient samples

. 2022 Jan ; 160 () : 12-23. [epub] 20211116

Jazyk angličtina Země Anglie, Velká Británie Médium print-electronic

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/pmid34794856
Odkazy

PubMed 34794856
DOI 10.1016/j.ejca.2021.09.022
PII: S0959-8049(21)00613-4
Knihovny.cz E-zdroje

BACKGROUND: Paediatric tumours are often characterised by the presence of recurrent DNA copy number alterations (CNAs). These DNA copy number profiles, obtained from a tissue biopsy, can aid in the correct prognostic classification and therapeutic stratification of several paediatric cancer entities (e.g. MYCN amplification in neuroblastoma) and are part of the routine diagnostic practice. Liquid biopsies (LQBs) offer a potentially safer alternative for such invasive tumour tissue biopsies and can provide deeper insight into tumour heterogeneity. PROCEDURE: The robustness and reliability of LQB CNA analyses was evaluated. We performed retrospective CNA profiling using shallow whole-genome sequencing (sWGS) on paired plasma circulating cell-free DNA (cfDNA) and tissue DNA samples from routinely collected samples from paediatric patients (n = 128) representing different tumour entities, including osteosarcoma, Ewing sarcoma, rhabdomyosarcoma, Wilms tumour, brain tumours and neuroblastoma. RESULTS: Overall, we observed a good concordance between CNAs in tissue DNA and cfDNA. The main cause of CNA discordance was found to be low cfDNA sample quality (i.e. the ratio of cfDNA (<700 bp) and high molecular weight DNA (>700 bp)). Furthermore, CNAs were observed that were present in cfDNA and not in tissue DNA, or vice-versa. In neuroblastoma samples, no false-positives or false-negatives were identified for the detection of the prognostic marker MYCN amplification. CONCLUSION: In future prospective studies, CNA analysis on LQBs that are of sufficient quality can serve as a complementary assay for CNA analysis on tissue biopsies, as either cfDNA or tissue DNA can contain CNAs that cannot be identified in the other biomaterial.

Cancer Research Institute Ghent Ghent Belgium; Department of Pathology Ghent University Hospital Ghent Belgium

Cancer Research Institute Ghent Ghent Belgium; Department of Pediatric Hematology Oncology and Stem Cell Transplantation Ghent University Hospital Ghent Belgium

Center for Medical Biotechnology Flemish Institute Biotechnology Ghent Belgium; Research Foundation Flanders Belgium

Center for Medical Genetics Ghent University Hospital Ghent Belgium

Center for Medical Genetics Ghent University Hospital Ghent Belgium; Cancer Research Institute Ghent Ghent Belgium; Department of Biomolecular Medicine Ghent University Ghent Belgium

Center for Medical Genetics Ghent University Hospital Ghent Belgium; Cancer Research Institute Ghent Ghent Belgium; Department of Pathology Ghent University Hospital Ghent Belgium

Center for Medical Genetics Ghent University Hospital Ghent Belgium; Cancer Research Institute Ghent Ghent Belgium; Department of Pediatric Hematology Oncology and Stem Cell Transplantation Ghent University Hospital Ghent Belgium

Center for Medical Genetics Ghent University Hospital Ghent Belgium; Cancer Research Institute Ghent Ghent Belgium; Department of Pediatric Hematology Oncology and Stem Cell Transplantation Ghent University Hospital Ghent Belgium; Department of Biomolecular Medicine Ghent University Ghent Belgium; Research Foundation Flanders Belgium

Department of Pathology and Molecular Medicine 2nd Faculty of Medicine Charles University and Motol University Hospital Prague Czech Republic

Department of Pediatric Hematology and Oncology Charles University 2nd Faculty of Medicine and University Hospital Motol Prague Czech Republic

Department of Pediatric Hematology Oncology and Stem Cell Transplantation Ghent University Hospital Ghent Belgium

Hôpital Universitaire des Enfants Reine Fabiola Brussels Belgium

Princess Máxima Center for Pediatric Oncology Utrecht the Netherlands

Princess Máxima Center for Pediatric Oncology Utrecht the Netherlands; Department of Experimental Immunohematology Sanquin Research and Landsteiner Laboratory Amsterdam University Medical Center Amsterdam the Netherlands

Translational Pediatric Oncology Centre de recherche de l'Institut Curie Paris France

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