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Research ArticleExperimental Studies

Combinatory Analysis of Cell-free and Circulating Tumor Cell DNAs Provides More Variants for Cancer Treatment

SUN-YOUNG LEE, DONG-KYU CHAE, JAHYUN AN, SEOKCHAN YOO, SUNGMOK JUNG, CHANG HOON CHAE, JONG BHAK, BYUNG CHUL KIM and DONG-HYU CHO
Anticancer Research December 2019, 39 (12) 6595-6602; DOI: https://doi.org/10.21873/anticanres.13875
SUN-YOUNG LEE
1Department of Radiation Oncology, Chonbuk National University Hospital-Chonbuk National University Medical School, Jeonju, Republic of Korea
2Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Republic of Korea
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DONG-KYU CHAE
3Clinomics Inc., Suwon, Republic of Korea
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JAHYUN AN
3Clinomics Inc., Suwon, Republic of Korea
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SEOKCHAN YOO
3Clinomics Inc., Suwon, Republic of Korea
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SUNGMOK JUNG
3Clinomics Inc., Suwon, Republic of Korea
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CHANG HOON CHAE
4Department of Biophysics and Radiation Biology, Lab of Nanochemistry, Semmelweis University, Budapest, Hungary
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JONG BHAK
3Clinomics Inc., Suwon, Republic of Korea
5KOGIC, UNIST, Ulsan, Republic of Korea
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BYUNG CHUL KIM
3Clinomics Inc., Suwon, Republic of Korea
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  • For correspondence: obgyn2001{at}jbnu.ac.kr bckim{at}clinomics.co.kr
DONG-HYU CHO
2Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Republic of Korea
6Department of Obstetrics and Gynecology, Chonbuk National University Hospital-Chonbuk National University Medical School, Jeonju, Republic of Korea
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  • For correspondence: obgyn2001{at}jbnu.ac.kr bckim{at}clinomics.co.kr
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    Figure 1.

    The number of circulating tumor cells (CTCs) in gynecological cancer patients. (A) CTCs isolated from whole blood from the 20 gynecological cancer patients using a size-selective CTC isolation platform. The number of CTCs were quantified by counting anti-EpCAM and anti-cytokeratin among all mononuclear cells. (B) CTC numbers are determined in gynecological cancer patients of different clinical stages (means±SD, **p<0.005, Student's t-test).

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    Figure 2.

    The performance of the customized NGS panel was measured using cfDNA reference standard or the blood spiking PC9 cells, respectively. (A) The average allele frequency of eight variants (triplicate, y-axis) as a function of the expected allele frequency (x-axis) for the Horizon cfDNA reference standards. (B) The 10- and 100-PC9 cell pools were generated by serial dilutions. Cultured KOREF cells and PC9 cells used as EGFR exon 19 deleted negative cells and positive cells, respectively.

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    Figure 3.

    The combinatory analysis of genetic alterations using cfDNA and ctcDNA. (A) Venn diagram of matched cfDNA variants (blue) and ctcDNA (grey). The genetic alterations in cfDNA and ctcDNA in gynecological cancer patients. Nine genetic variants (red) were shared between cfDNA and ctcDNA. Four variants matched in cfDNA and ctcDNA of same patients. (B) The percentage of patients with mutations detected using combination, cfDNA or ctcDNA alone. Multiple genetic variants within the same gene in each patient were counted as one.

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Anticancer Research
Vol. 39, Issue 12
December 2019
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Combinatory Analysis of Cell-free and Circulating Tumor Cell DNAs Provides More Variants for Cancer Treatment
SUN-YOUNG LEE, DONG-KYU CHAE, JAHYUN AN, SEOKCHAN YOO, SUNGMOK JUNG, CHANG HOON CHAE, JONG BHAK, BYUNG CHUL KIM, DONG-HYU CHO
Anticancer Research Dec 2019, 39 (12) 6595-6602; DOI: 10.21873/anticanres.13875

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Combinatory Analysis of Cell-free and Circulating Tumor Cell DNAs Provides More Variants for Cancer Treatment
SUN-YOUNG LEE, DONG-KYU CHAE, JAHYUN AN, SEOKCHAN YOO, SUNGMOK JUNG, CHANG HOON CHAE, JONG BHAK, BYUNG CHUL KIM, DONG-HYU CHO
Anticancer Research Dec 2019, 39 (12) 6595-6602; DOI: 10.21873/anticanres.13875
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Keywords

  • NGS
  • cancer panel
  • liquid biopsy
  • cell free DNA (cfDNA)
  • circulating tumor cells (CTC)
  • gynecological cancer
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