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Erschienen in: International Journal of Clinical Oncology 5/2016

04.04.2016 | Original Article

Quantitative analysis of the BRAF V600E mutation in circulating tumor-derived DNA in melanoma patients using competitive allele-specific TaqMan PCR

verfasst von: Atsuko Ashida, Kaori Sakaizawa, Asuka Mikoshiba, Hisashi Uhara, Ryuhei Okuyama

Erschienen in: International Journal of Clinical Oncology | Ausgabe 5/2016

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Abstract

Background

BRAF V600E is a common mutation in melanoma, and BRAF inhibitors are effective in treating of BRAF mutation-positive melanoma. DNA carrying this mutation is released from melanoma cells into the circulation. As such, circulating tumor-derived DNA (ctDNA) in peripheral blood represents a novel biomarker for evaluating tumor features in cancer patients. However, ctDNA is present in the peripheral blood at very low levels, which makes the detection of specific mutations in this DNA a challenge. Competitive allele-specific TaqMan PCR (castPCR), a straightforward commercially available assay, is a sensitive technique for quantitating a small amount of DNA.

Methods

The level of BRAF V600E ctDNA was quantified by castPCR in 26 consecutive plasma samples from six melanoma patients.

Results

The castPCR assay was performed using a mixture of BRAF V600E DNA and BRAF wild DNA and found to be able to detect BRAF V600E at a fractional abundance of ≥0.5 % in 2- to 10-ng samples of genomic DNA. Cell-free DNA was then extracted from peripheral blood samples collected from six patients with melanoma harboring the BRAF V600E mutation. BRAF V600E ctDNA was detected in three patients, at a fractional abundance of between 1.28 and 58.0 % of total BRAF cell-free DNA. The abundance of BRAF V600E ctDNA correlated with tumor burden, as determined by computed tomography imaging. In two cases, an increase in the level of BRAF V600E ctDNA preceded exacerbation of clinical symptoms.

Conclusion

The castPCR assay can detect and quantitate small amounts of BRAF V600E ctDNA in samples containing large amounts of BRAF wild cell-free DNA. Thus, we suggest that the castPCR assay is suitable for monitoring ctDNA in the plasma of melanoma patients.
Literatur
1.
Zurück zum Zitat Menzies AM, Long GV (2014) Systemic treatment for BRAF-mutant melanoma: where do we go next? Lancet Oncol 15:e371–e381CrossRefPubMed Menzies AM, Long GV (2014) Systemic treatment for BRAF-mutant melanoma: where do we go next? Lancet Oncol 15:e371–e381CrossRefPubMed
2.
Zurück zum Zitat Diaz-Lagares A, Alegre E, Arroyo A et al (2011) Evaluation of multiple serum markers in advanced melanoma. Tumour Biol 32:1155–1161CrossRefPubMed Diaz-Lagares A, Alegre E, Arroyo A et al (2011) Evaluation of multiple serum markers in advanced melanoma. Tumour Biol 32:1155–1161CrossRefPubMed
3.
Zurück zum Zitat Sanmamed MF, Fernandez-Landazuri S, Rodriguez C et al (2014) Relevance of MIA and S100 serum tumor markers to monitor BRAF inhibitor therapy in metastatic melanoma patients. Clin Chim Acta 429:168–174CrossRefPubMed Sanmamed MF, Fernandez-Landazuri S, Rodriguez C et al (2014) Relevance of MIA and S100 serum tumor markers to monitor BRAF inhibitor therapy in metastatic melanoma patients. Clin Chim Acta 429:168–174CrossRefPubMed
4.
Zurück zum Zitat Schwarzenbach H, Hoon DS, Pantel K (2011) Cell-free nucleic acids as biomarkers in cancer patients. Nat Rev Cancer 11:426–437CrossRefPubMed Schwarzenbach H, Hoon DS, Pantel K (2011) Cell-free nucleic acids as biomarkers in cancer patients. Nat Rev Cancer 11:426–437CrossRefPubMed
5.
Zurück zum Zitat Dawson SJ, Tsui DW, Murtaza M et al (2013) Analysis of circulating tumor DNA to monitor metastatic breast cancer. N Engl J Med 368:1199–1209CrossRefPubMed Dawson SJ, Tsui DW, Murtaza M et al (2013) Analysis of circulating tumor DNA to monitor metastatic breast cancer. N Engl J Med 368:1199–1209CrossRefPubMed
6.
Zurück zum Zitat Oxnard GR, Paweletz CP, Kuang Y et al (2014) Noninvasive detection of response and resistance in EGFR-mutant lung cancer using quantitative next-generation genotyping of cell-free plasma DNA. Clin Cancer Res 20:1698–1705CrossRefPubMedPubMedCentral Oxnard GR, Paweletz CP, Kuang Y et al (2014) Noninvasive detection of response and resistance in EGFR-mutant lung cancer using quantitative next-generation genotyping of cell-free plasma DNA. Clin Cancer Res 20:1698–1705CrossRefPubMedPubMedCentral
7.
Zurück zum Zitat Taly V, Pekin D, Benhaim L et al (2013) Multiplex picodroplet digital PCR to detect KRAS mutations in circulating DNA from the plasma of colorectal cancer patients. Clin Chem 59:1722–1731CrossRefPubMed Taly V, Pekin D, Benhaim L et al (2013) Multiplex picodroplet digital PCR to detect KRAS mutations in circulating DNA from the plasma of colorectal cancer patients. Clin Chem 59:1722–1731CrossRefPubMed
8.
Zurück zum Zitat Thierry AR, Mouliere F, El Messaoudi S et al (2014) Clinical validation of the detection of KRAS and BRAF mutations from circulating tumor DNA. Nat Med 20:430–435CrossRefPubMed Thierry AR, Mouliere F, El Messaoudi S et al (2014) Clinical validation of the detection of KRAS and BRAF mutations from circulating tumor DNA. Nat Med 20:430–435CrossRefPubMed
9.
Zurück zum Zitat Huggett JF, Whale A (2013) Digital PCR as a novel technology and its potential implications for molecular diagnostics. Clin Chem 59:1691–1693CrossRefPubMed Huggett JF, Whale A (2013) Digital PCR as a novel technology and its potential implications for molecular diagnostics. Clin Chem 59:1691–1693CrossRefPubMed
10.
Zurück zum Zitat Siravegna G, Bardelli A (2014) Minimal residual disease in breast cancer: in blood veritas. Clin Cancer Res 20:2505–2507CrossRefPubMed Siravegna G, Bardelli A (2014) Minimal residual disease in breast cancer: in blood veritas. Clin Cancer Res 20:2505–2507CrossRefPubMed
11.
Zurück zum Zitat Ashida A, Uhara H, Kiniwa Y et al (2012) Assessment of BRAF and KIT mutations in Japanese melanoma patients. J Dermatol Sci 66:240–242CrossRefPubMed Ashida A, Uhara H, Kiniwa Y et al (2012) Assessment of BRAF and KIT mutations in Japanese melanoma patients. J Dermatol Sci 66:240–242CrossRefPubMed
12.
Zurück zum Zitat Cheng SP, Hsu YC, Liu CL et al (2014) Significance of allelic percentage of BRAF c.1799T > A (V600E) mutation in papillary thyroid carcinoma. Ann Surg Oncol 21[Suppl 4]:S619–S626CrossRefPubMed Cheng SP, Hsu YC, Liu CL et al (2014) Significance of allelic percentage of BRAF c.1799T > A (V600E) mutation in papillary thyroid carcinoma. Ann Surg Oncol 21[Suppl 4]:S619–S626CrossRefPubMed
13.
Zurück zum Zitat Didelot A, Le Corre D, Luscan A et al (2012) Competitive allele specific TaqMan PCR for KRAS, BRAF and EGFR mutation detection in clinical formalin fixed paraffin embedded samples. Exp Mol Pathol 92:275–280CrossRefPubMed Didelot A, Le Corre D, Luscan A et al (2012) Competitive allele specific TaqMan PCR for KRAS, BRAF and EGFR mutation detection in clinical formalin fixed paraffin embedded samples. Exp Mol Pathol 92:275–280CrossRefPubMed
14.
Zurück zum Zitat Ashida A, Uhara H, Mikoshiba A et al (2015) Melanoma with BRAF mutation in circulating cell-free DNA despite no mutation in the primary lesion: a case report. Acta Derm Venereol 96:128–129CrossRef Ashida A, Uhara H, Mikoshiba A et al (2015) Melanoma with BRAF mutation in circulating cell-free DNA despite no mutation in the primary lesion: a case report. Acta Derm Venereol 96:128–129CrossRef
15.
Zurück zum Zitat Schreuer M, Meersseman G, van Den Herrewegen S et al (2016) Applications for quantitative measurement of BRAF V600 mutant cell-free tumor DNA in the plasma of patients with metastatic melanoma. Melanoma Res 26:157–163CrossRefPubMed Schreuer M, Meersseman G, van Den Herrewegen S et al (2016) Applications for quantitative measurement of BRAF V600 mutant cell-free tumor DNA in the plasma of patients with metastatic melanoma. Melanoma Res 26:157–163CrossRefPubMed
16.
Zurück zum Zitat Wakamatsu K, Ito S, Horikoshi T (1991) Normal values of urinary excretion and serum concentration of 5-S-cysteinyldopa and 6-hydroxy-5-methoxyindole-2-carboxylic acid, biochemical markers of melanoma progression. Melanoma Res 1:141–147CrossRefPubMed Wakamatsu K, Ito S, Horikoshi T (1991) Normal values of urinary excretion and serum concentration of 5-S-cysteinyldopa and 6-hydroxy-5-methoxyindole-2-carboxylic acid, biochemical markers of melanoma progression. Melanoma Res 1:141–147CrossRefPubMed
17.
Zurück zum Zitat Sakaizawa K, Goto Y, Kiniwa Y et al (2012) Mutation analysis of BRAF and KIT in circulating melanoma cells at the single cell level. Br J Cancer 106:939–946CrossRefPubMedPubMedCentral Sakaizawa K, Goto Y, Kiniwa Y et al (2012) Mutation analysis of BRAF and KIT in circulating melanoma cells at the single cell level. Br J Cancer 106:939–946CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Stoecklein NH, Hosch SB, Bezler M et al (2008) Direct genetic analysis of single disseminated cancer cells for prediction of outcome and therapy selection in esophageal cancer. Cancer Cell 13:441–453CrossRefPubMed Stoecklein NH, Hosch SB, Bezler M et al (2008) Direct genetic analysis of single disseminated cancer cells for prediction of outcome and therapy selection in esophageal cancer. Cancer Cell 13:441–453CrossRefPubMed
19.
Zurück zum Zitat Diehl F, Schmidt K, Choti MA et al (2008) Circulating mutant DNA to assess tumor dynamics. Nat Med 14:985–990CrossRefPubMed Diehl F, Schmidt K, Choti MA et al (2008) Circulating mutant DNA to assess tumor dynamics. Nat Med 14:985–990CrossRefPubMed
20.
Zurück zum Zitat Taniguchi K, Uchida J, Nishino K et al (2011) Quantitative detection of EGFR mutations in circulating tumor DNA derived from lung adenocarcinomas. Clin Cancer Res 17:7808–7815CrossRefPubMed Taniguchi K, Uchida J, Nishino K et al (2011) Quantitative detection of EGFR mutations in circulating tumor DNA derived from lung adenocarcinomas. Clin Cancer Res 17:7808–7815CrossRefPubMed
21.
Zurück zum Zitat Sanmamed MF, Fernandez-Landazuri S, Rodriguez C et al (2015) Quantitative cell-free circulating BRAFV600E mutation analysis by use of droplet digital PCR in the follow-up of patients with melanoma being treated with BRAF inhibitors. Clin Chem 61:297–304CrossRefPubMed Sanmamed MF, Fernandez-Landazuri S, Rodriguez C et al (2015) Quantitative cell-free circulating BRAFV600E mutation analysis by use of droplet digital PCR in the follow-up of patients with melanoma being treated with BRAF inhibitors. Clin Chem 61:297–304CrossRefPubMed
22.
Zurück zum Zitat Kukita Y, Uchida J, Oba S et al (2013) Quantitative identification of mutant alleles derived from lung cancer in plasma cell-free DNA via anomaly detection using deep sequencing data. PLoS One 8:e81468CrossRefPubMedPubMedCentral Kukita Y, Uchida J, Oba S et al (2013) Quantitative identification of mutant alleles derived from lung cancer in plasma cell-free DNA via anomaly detection using deep sequencing data. PLoS One 8:e81468CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Wakamatsu K, Kageshita T, Furue M et al (2002) Evaluation of 5-S-cysteinyldopa as a marker of melanoma progression: 10 years’ experience. Melanoma Res 12:245–253CrossRefPubMed Wakamatsu K, Kageshita T, Furue M et al (2002) Evaluation of 5-S-cysteinyldopa as a marker of melanoma progression: 10 years’ experience. Melanoma Res 12:245–253CrossRefPubMed
24.
Zurück zum Zitat Colombino M, Capone M, Lissia A et al (2012) BRAF/NRAS mutation frequencies among primary tumors and metastases in patients with melanoma. J Clin Oncol 30:2522–2529CrossRefPubMed Colombino M, Capone M, Lissia A et al (2012) BRAF/NRAS mutation frequencies among primary tumors and metastases in patients with melanoma. J Clin Oncol 30:2522–2529CrossRefPubMed
25.
Zurück zum Zitat Saint-Jean M, Quereux G, Nguyen JM et al (2014) Is a single BRAF wild-type test sufficient to exclude melanoma patients from vemurafenib therapy? J Invest Dermatol 134:1468–1470CrossRefPubMed Saint-Jean M, Quereux G, Nguyen JM et al (2014) Is a single BRAF wild-type test sufficient to exclude melanoma patients from vemurafenib therapy? J Invest Dermatol 134:1468–1470CrossRefPubMed
Metadaten
Titel
Quantitative analysis of the BRAF V600E mutation in circulating tumor-derived DNA in melanoma patients using competitive allele-specific TaqMan PCR
verfasst von
Atsuko Ashida
Kaori Sakaizawa
Asuka Mikoshiba
Hisashi Uhara
Ryuhei Okuyama
Publikationsdatum
04.04.2016
Verlag
Springer Japan
Erschienen in
International Journal of Clinical Oncology / Ausgabe 5/2016
Print ISSN: 1341-9625
Elektronische ISSN: 1437-7772
DOI
https://doi.org/10.1007/s10147-016-0976-y

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