Detection of tumor ALK status in neuroblastoma patients using peripheral blood

New protocols based on ALK‐targeted therapy by crizotinib or other ALK‐targeting molecules have opened for the treatment of patients with neuroblastoma (NB) if their tumors showed mutation and/or amplification of the ALK gene. However, tumor samples are not always available for analysis of ALK mutat...

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Veröffentlicht in:Cancer medicine (Malden, MA) MA), 2015-04, Vol.4 (4), p.540-550
Hauptverfasser: Combaret, Valérie, Iacono, Isabelle, Bellini, Angela, Bréjon, Stéphanie, Bernard, Virginie, Marabelle, Aurélien, Coze, Carole, Pierron, Gaelle, Lapouble, Eve, Schleiermacher, Gudrun, Blay, Jean Yves
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container_issue 4
container_start_page 540
container_title Cancer medicine (Malden, MA)
container_volume 4
creator Combaret, Valérie
Iacono, Isabelle
Bellini, Angela
Bréjon, Stéphanie
Bernard, Virginie
Marabelle, Aurélien
Coze, Carole
Pierron, Gaelle
Lapouble, Eve
Schleiermacher, Gudrun
Blay, Jean Yves
description New protocols based on ALK‐targeted therapy by crizotinib or other ALK‐targeting molecules have opened for the treatment of patients with neuroblastoma (NB) if their tumors showed mutation and/or amplification of the ALK gene. However, tumor samples are not always available for analysis of ALK mutational status in particular at relapse. Here, we evaluated the ALK mutational status of NB samples by analysis of circulating DNA, using the droplet digital PCR (ddPCR) system. ddPCR assays was developed for the detection of ALK mutations at F1174 and R1275 hotspots found in NB tumors and was applied for the analysis of circulating DNA obtained from 200 μL of serum or plasma samples collected from 114 patients with NB. The mutations F1174L (exon 23 position 3520, T>C and position 3522, C>A) and the mutation R1275Q (exon 25 position 3824, G>A) were detected in circulating DNA. The sensitivity of our test was 100%, 85%, and 92%, respectively, and the specificity was 100%, 91%, and 98%, respectively. In conclusion, the assay that we have developed offers a reliable, noninvasive blood test to assess ALK mutational status at F1174 and R1275 hotspots and should help clinicians to identify patients showing an ALK mutation in particular when no tumor tissue is available. In the present report, by targeting the F1174 and R1275 hotspots of ALK gene and using the droplet digital PCR system, we demonstrate that ALK mutations are detectable in cell‐free plasma DNA from neuroblastoma patients showing a high risk of relapse. This assay offers a reliable, noninvasive blood test to assess ALK mutational status at F1174 and R1275 hotspots and should help the clinicians to identify patients showing an ALK mutation in particular when no tumor tissue is available.
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However, tumor samples are not always available for analysis of ALK mutational status in particular at relapse. Here, we evaluated the ALK mutational status of NB samples by analysis of circulating DNA, using the droplet digital PCR (ddPCR) system. ddPCR assays was developed for the detection of ALK mutations at F1174 and R1275 hotspots found in NB tumors and was applied for the analysis of circulating DNA obtained from 200 μL of serum or plasma samples collected from 114 patients with NB. The mutations F1174L (exon 23 position 3520, T&gt;C and position 3522, C&gt;A) and the mutation R1275Q (exon 25 position 3824, G&gt;A) were detected in circulating DNA. The sensitivity of our test was 100%, 85%, and 92%, respectively, and the specificity was 100%, 91%, and 98%, respectively. In conclusion, the assay that we have developed offers a reliable, noninvasive blood test to assess ALK mutational status at F1174 and R1275 hotspots and should help clinicians to identify patients showing an ALK mutation in particular when no tumor tissue is available. In the present report, by targeting the F1174 and R1275 hotspots of ALK gene and using the droplet digital PCR system, we demonstrate that ALK mutations are detectable in cell‐free plasma DNA from neuroblastoma patients showing a high risk of relapse. 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Cancer Medicine published by John Wiley &amp; Sons Ltd.</rights><rights>2015. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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However, tumor samples are not always available for analysis of ALK mutational status in particular at relapse. Here, we evaluated the ALK mutational status of NB samples by analysis of circulating DNA, using the droplet digital PCR (ddPCR) system. ddPCR assays was developed for the detection of ALK mutations at F1174 and R1275 hotspots found in NB tumors and was applied for the analysis of circulating DNA obtained from 200 μL of serum or plasma samples collected from 114 patients with NB. The mutations F1174L (exon 23 position 3520, T&gt;C and position 3522, C&gt;A) and the mutation R1275Q (exon 25 position 3824, G&gt;A) were detected in circulating DNA. The sensitivity of our test was 100%, 85%, and 92%, respectively, and the specificity was 100%, 91%, and 98%, respectively. In conclusion, the assay that we have developed offers a reliable, noninvasive blood test to assess ALK mutational status at F1174 and R1275 hotspots and should help clinicians to identify patients showing an ALK mutation in particular when no tumor tissue is available. In the present report, by targeting the F1174 and R1275 hotspots of ALK gene and using the droplet digital PCR system, we demonstrate that ALK mutations are detectable in cell‐free plasma DNA from neuroblastoma patients showing a high risk of relapse. This assay offers a reliable, noninvasive blood test to assess ALK mutational status at F1174 and R1275 hotspots and should help the clinicians to identify patients showing an ALK mutation in particular when no tumor tissue is available.</abstract><cop>United States</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>25653133</pmid><doi>10.1002/cam4.414</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-7190-120X</orcidid><oa>free_for_read</oa></addata></record>
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subjects ALK mutation
ALK protein
Biopsy
Cancer
Cancer Research
Case-Control Studies
cell‐free DNA
Child
ddPCR
Deoxyribonucleic acid
DNA
DNA Mutational Analysis
DNA, Neoplasm - genetics
Exons
Humans
Kinases
Life Sciences
Metastasis
Mutation
Mutation - genetics
Neuroblastoma
Neuroblastoma - genetics
Patients
Peripheral blood
Plasma
Polymerase Chain Reaction - methods
Receptor Protein-Tyrosine Kinases - genetics
Tumors
title Detection of tumor ALK status in neuroblastoma patients using peripheral blood
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