Detection of tumor-derived DNA mutations in cerebrospinal fluid of patients with primary or metastatic brain tumors.

Authors

null

Jianfei Wang

Genecast Precision Medicine Technology Institute, Beijing, China

Jianfei Wang , Wenbo Han , Chen Tian , Ying Hu , Yanhui Chen , Xiangru Li , Ruihan Guo , Haibo Wang , Henghui Zhang

Organizations

Genecast Precision Medicine Technology Institute, Beijing, China, Beijing Genecast Biotechnology Co., Beijing, China, Institute of Genecast Precision Medicine, Beijing, China, Institute of Infectious Diseases, Beijing Ditan Hospital, Capital Medical University, Genecast Precision Medicine Technology Institute, Beijing, China, Institute of Infectious Diseases, Beijing Ditan Hospital, Capital Medical University, Beijing, China

Research Funding

Other

Background: Because detecting tumor-derived cell free DNA (cfDNA) in the blood of patients with primary or metastatic brain tumors is challenging, here we studied whether cerebrospinal fluid (CSF) could be serve as an alternative “liquid biopsy” by enabling measurement of circulating DNA within CSF to characterize tumor specific mutations. Methods: The paired cfDNA in CSF and plasma were collected from 20 patients with brain tumors and was subjected to enrichment for a 1.15M size panel cover exon regions from 1,086 genes. Followed by next generation sequencing on an Illumina X10 platform, the captured sequencing data was further processed using bioinformatics analysis to identify somatic mutations, including single nucleotide variants (SNV) and short insertions/deletions (indels). Results: The mutation profiles of 48 tumor associated genes in cfDNA were compared between the CSF and plasma. Our results showed that both average somatic mutation number and frequency identified in the cerebrospinal fluid was much higher than that in the corresponding plasma samples (25 vs. 18 & 1.39% vs. 0.55%). Among the twenty cases, one more potential actionable mutation, EGFR exon 19 deletion mutation with a 25.38% allele frequency variation, was only detected in the CSF cfDNA of a patient with brain metastasis lung cancer. Conclusions: Tumor mutations were detectable in CSF cfDNA of patients with different primary and metastatic brain tumors. Thus cerebrospinal fluid cell free DNA analysis could be a potential alternative analysis for patients with primary or metastatic brain tumors.

Disclaimer

This material on this page is ©2024 American Society of Clinical Oncology, all rights reserved. Licensing available upon request. For more information, please contact licensing@asco.org

Abstract Details

Meeting

2017 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Central Nervous System Tumors

Track

Central Nervous System Tumors

Sub Track

Brain Metastases

Citation

J Clin Oncol 35, 2017 (suppl; abstr 2070)

DOI

10.1200/JCO.2017.35.15_suppl.2070

Abstract #

2070

Poster Bd #

312

Abstract Disclosures