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Fragmentation patterns and personalized sequencing of cellā€free DNA in urine and plasma of glioma patients

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Peer-reviewed

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Type

Article

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Authors

Smith, Christopher G  ORCID logo  https://orcid.org/0000-0001-7357-2737
Heider, Katrin 
Su, Jing 

Abstract

Abstract: Gliomaā€derived cellā€free DNA (cfDNA) is challenging to detect using liquid biopsy because quantities in body fluids are low. We determined the gliomaā€derived DNA fraction in cerebrospinal fluid (CSF), plasma, and urine samples from patients using sequencing of personalized capture panels guided by analysis of matched tumor biopsies. By sequencing cfDNA across thousands of mutations, identified individually in each patientā€™s tumor, we detected tumorā€derived DNA in the majority of CSF (7/8), plasma (10/12), and urine samples (10/16), with a median tumor fraction of 6.4 Ɨ 10āˆ’3, 3.1 Ɨ 10āˆ’5, and 4.7 Ɨ 10āˆ’5, respectively. We identified a shift in the size distribution of tumorā€derived cfDNA fragments in these body fluids. We further analyzed cfDNA fragment sizes using wholeā€genome sequencing, in urine samples from 35 glioma patients, 27 individuals with nonā€malignant brain disorders, and 26 healthy individuals. cfDNA in urine of glioma patients was significantly more fragmented compared to urine from patients with nonā€malignant brain disorders (P = 1.7 Ɨ 10āˆ’2) and healthy individuals (P = 5.2 Ɨ 10āˆ’9). Machine learning models integrating fragment length could differentiate urine samples from glioma patients (AUC = 0.80ā€“0.91) suggesting possibilities for truly nonā€invasive cancer detection.

Description

Funder: FP7 Ideas: European Research Council (FP7 Ideas); Id: http://dx.doi.org/10.13039/100011199; Grant(s): 337905

Keywords

EMBO02, EMBO03, Article, Articles, cellā€free DNA, circulating tumor DNA, fragmentomics, gliomas, liquid biopsy

Journal Title

EMBO Molecular Medicine

Conference Name

Journal ISSN

1757-4676
1757-4684

Volume Title

Publisher

Sponsorship
Cancer Research UK (CRUK) (A20240, A29580, A17197, A16465)
KWF Kankerbestrijding (DCS) (12822)