scholarly journals Multiregional sequencing and circulating tumour DNA analysis provide complementary approaches for comprehensive disease profiling of small lymphocytic lymphoma

Author(s):  
Riccardo Moia ◽  
Chiara Favini ◽  
Valentina Ferri ◽  
Gabriela Forestieri ◽  
Lodovico Terzi Di Bergamo ◽  
...  
ESMO Open ◽  
2020 ◽  
Vol 5 (Suppl 1) ◽  
pp. e000600 ◽  
Author(s):  
Yoshiaki Nakamura ◽  
Kohei Shitara

Comprehensive genomic profiling using next-generation sequencing (NGS) enables the identification of multiple genomic biomarkers established in advanced gastrointestinal (GI) cancers. However, tissue-based NGS has limitations, such as long turnaround time and failure to detect tumour heterogeneity. Recently, the analysis of circulating tumour DNA (ctDNA) using polymerase chain reaction-based or NGS-based methods has demonstrated the capability to detect genomic alterations with high accuracy compared with tumour tissue analysis with short turnaround time and identify heterogeneous resistance mechanisms. Furthermore, ctDNA analysis can be repeatedly performed on disease progression to clarify resistant clones. Clinical trials that test the outcome of a selected targeted therapy based on a ctDNA result are ongoing to prospectively evaluate the clinical utility of ctDNA analysis. Furthermore, the improvement of ctDNA analysis beyond current technical limits of mutation-based ctDNA detection methods has expanded the potential for detecting the presence of tumours in patients with no clinically evident disease, such as minimal residual disease and early cancer. Although a careful understanding of the advantages and limitations are required and further prospective studies are needed, the ctDNA analysis has the potential to overcome several challenges in the treatment of various types of cancers at all stages, including GI cancers.


Oncotarget ◽  
2017 ◽  
Vol 8 (53) ◽  
pp. 90610-90611 ◽  
Author(s):  
Sridurga Mithraprabhu ◽  
Andrew Spencer

2018 ◽  
Vol 29 ◽  
pp. viii14-viii15
Author(s):  
L. Tan ◽  
S.K. Sandhu ◽  
R. Lee ◽  
J. Li ◽  
J. Callahan ◽  
...  

2020 ◽  
Vol 21 (10) ◽  
pp. 1296-1308 ◽  
Author(s):  
Nicholas C Turner ◽  
Belinda Kingston ◽  
Lucy S Kilburn ◽  
Sarah Kernaghan ◽  
Andrew M Wardley ◽  
...  

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Belinda Kingston ◽  
Rosalind J. Cutts ◽  
Hannah Bye ◽  
Matthew Beaney ◽  
Giselle Walsh-Crestani ◽  
...  

AbstractThe genomics of advanced breast cancer (ABC) has been described through tumour tissue biopsy sequencing, although these approaches are limited by geographical and temporal heterogeneity. Here we use plasma circulating tumour DNA sequencing to interrogate the genomic profile of ABC in 800 patients in the plasmaMATCH trial. We demonstrate diverse subclonal resistance mutations, including enrichment of HER2 mutations in HER2 positive disease, co-occurring ESR1 and MAP kinase pathway mutations in HR + HER2− disease that associate with poor overall survival (p = 0.0092), and multiple PIK3CA mutations in HR + disease that associate with short progression free survival on fulvestrant (p = 0.0036). The fraction of cancer with a mutation, the clonal dominance of a mutation, varied between genes, and within hotspot mutations of ESR1 and PIK3CA. In ER-positive breast cancer subclonal mutations were enriched in an APOBEC mutational signature, with second hit PIK3CA mutations acquired subclonally and at sites characteristic of APOBEC mutagenesis. This study utilises circulating tumour DNA analysis in a large clinical trial to demonstrate the subclonal diversification of pre-treated advanced breast cancer, identifying distinct mutational processes in advanced ER-positive breast cancer, and novel therapeutic opportunities.


2018 ◽  
Vol 19 (7) ◽  
pp. 1858 ◽  
Author(s):  
Sridurga Mithraprabhu ◽  
Shreerang Sirdesai ◽  
Maoshan Chen ◽  
Tiffany Khong ◽  
Andrew Spencer

Leukemia ◽  
2016 ◽  
Vol 31 (8) ◽  
pp. 1695-1705 ◽  
Author(s):  
S Mithraprabhu ◽  
T Khong ◽  
M Ramachandran ◽  
A Chow ◽  
D Klarica ◽  
...  

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