The role of cell-free circulating DNA in the diagnosis and prognosis of prostate cancer

Abstract The presence of small amounts of circulating DNA in plasma was demonstrated 60 years ago. Since then, cell-free DNA has been tested for quantity, fragmentation pattern, and tumor-specific sequences in patients with various malignancies. Recent studies have shown that cell-free DNA levels ar...

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Veröffentlicht in:Urologic oncology 2011-03, Vol.29 (2), p.124-129
Hauptverfasser: Ellinger, Jörg, M.D, Müller, Stefan C., M.D, Stadler, Thomas C., M.D, Jung, Andreas, Ph.D, von Ruecker, Alexander, M.D, Bastian, Patrick J., M.D
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container_end_page 129
container_issue 2
container_start_page 124
container_title Urologic oncology
container_volume 29
creator Ellinger, Jörg, M.D
Müller, Stefan C., M.D
Stadler, Thomas C., M.D
Jung, Andreas, Ph.D
von Ruecker, Alexander, M.D
Bastian, Patrick J., M.D
description Abstract The presence of small amounts of circulating DNA in plasma was demonstrated 60 years ago. Since then, cell-free DNA has been tested for quantity, fragmentation pattern, and tumor-specific sequences in patients with various malignancies. Recent studies have shown that cell-free DNA levels are distinctly increased in most patients with prostate cancer (PCA) and that the DNA fragmentation pattern is different from healthy individuals and patients with benign prostate disease. The origin of this circulating DNA remains largely unknown, but it is established that a small fraction of the DNA is derived from the tumor itself, and genetic (allelic imbalances) and epigenetic (DNA methylation) alterations are regularly detected in patients with PCA. The detection of increased DNA levels and tumor-specific DNA sequences may provide diagnostic and prognostic information. The recent findings in the emerging field of cell-free DNA will be discussed.
doi_str_mv 10.1016/j.urolonc.2009.05.010
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Since then, cell-free DNA has been tested for quantity, fragmentation pattern, and tumor-specific sequences in patients with various malignancies. Recent studies have shown that cell-free DNA levels are distinctly increased in most patients with prostate cancer (PCA) and that the DNA fragmentation pattern is different from healthy individuals and patients with benign prostate disease. The origin of this circulating DNA remains largely unknown, but it is established that a small fraction of the DNA is derived from the tumor itself, and genetic (allelic imbalances) and epigenetic (DNA methylation) alterations are regularly detected in patients with PCA. The detection of increased DNA levels and tumor-specific DNA sequences may provide diagnostic and prognostic information. 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Since then, cell-free DNA has been tested for quantity, fragmentation pattern, and tumor-specific sequences in patients with various malignancies. Recent studies have shown that cell-free DNA levels are distinctly increased in most patients with prostate cancer (PCA) and that the DNA fragmentation pattern is different from healthy individuals and patients with benign prostate disease. The origin of this circulating DNA remains largely unknown, but it is established that a small fraction of the DNA is derived from the tumor itself, and genetic (allelic imbalances) and epigenetic (DNA methylation) alterations are regularly detected in patients with PCA. The detection of increased DNA levels and tumor-specific DNA sequences may provide diagnostic and prognostic information. 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Urinary tract diseases</subject><subject>Prognosis</subject><subject>Prostate cancer</subject><subject>Prostatic Neoplasms - blood</subject><subject>Prostatic Neoplasms - diagnosis</subject><subject>Prostatic Neoplasms - genetics</subject><subject>Tumors</subject><subject>Tumors of the urinary system</subject><subject>Urinary tract. 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source MEDLINE; Elsevier ScienceDirect Journals
subjects Allelic imbalance
Biological and medical sciences
Biomarker
Biomarkers, Tumor - blood
Biomarkers, Tumor - genetics
Cell-free DNA
CpG Islands - genetics
DNA Methylation
DNA, Neoplasm - blood
DNA, Neoplasm - genetics
Glutathione S-Transferase pi - genetics
Humans
Male
Medical sciences
Methylation
Nephrology. Urinary tract diseases
Prognosis
Prostate cancer
Prostatic Neoplasms - blood
Prostatic Neoplasms - diagnosis
Prostatic Neoplasms - genetics
Tumors
Tumors of the urinary system
Urinary tract. Prostate gland
Urology
title The role of cell-free circulating DNA in the diagnosis and prognosis of prostate cancer
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