multi-purpose utility of circulating plasma dna testing in patients with advanced cancers多用途的循环在晚期癌症患者血浆dna测试.pdfVIP
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multi-purpose utility of circulating plasma dna testing in patients with advanced cancers多用途的循环在晚期癌症患者血浆dna测试
Multi-Purpose Utility of Circulating Plasma DNA Testing in Patients with Advanced Cancers 1 1,2 1 1 1 1 Geraldine Perkins , Timothy A. Yap , Lorna Pope , Amy M. Cassidy , Juliet P. Dukes , Ruth Riisnaes , 1,2 2 1 1 2 Christophe Massard , Philippe A. Cassier , Susana Miranda , Jeremy Clark , Katie A. Denholm , 1 1 1,2 2 1,2 Khin Thway , David Gonzalez De Castro , Gerhardt Attard , L. Rhoda Molife , Stan B. Kaye , Udai Banerji1,2, Johann S. de Bono1,2* 1 Division of Clinical Studies, The Institute of Cancer Research, Sutton, Surrey, United Kingdom, 2 Drug Development Unit, Royal Marsden NHS Foundation Trust, Sutton, Surrey, United Kingdom Abstract Tumor genomic instability and selective treatment pressures result in clonal disease evolution; molecular stratification for molecularly targeted drug administration requires repeated access to tumor DNA. We hypothesized that circulating plasma DNA (cpDNA) in advanced cancer patients is largely derived from tumor, has prognostic utility, and can be utilized for multiplex tumor mutation sequencing when repeat biopsy is not feasible. We utilized the Sequenom MassArray System and OncoCarta panel for somatic mutation profiling. Matched samples, acquired from the same patient but at different time points were evaluated; these comprised formalin-fixed paraffin-embedded (FFPE) archival tumor tissue (primary and/or met
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