1. Molecular Profiling for Supernatants and Matched Cell Pellets of Pleural Effusions in Non–Small-Cell Lung Cancer
- Author
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Chan Xiang, Jie Zhang, Ruiying Zhao, Mingfei Huo, Lianying Guo, Shengji Ma, Yuchen Han, and Haohua Teng
- Subjects
Adult ,Male ,0301 basic medicine ,Lung Neoplasms ,Pleural effusion ,Somatic cell ,Cell ,Pellets ,Pathology and Forensic Medicine ,03 medical and health sciences ,T790M ,0302 clinical medicine ,Carcinoma, Non-Small-Cell Lung ,Biomarkers, Tumor ,medicine ,Humans ,Lung cancer ,Aged ,Gene Library ,Neoplasm Staging ,Aged, 80 and over ,Chemistry ,Liquid Biopsy ,High-Throughput Nucleotide Sequencing ,Sequence Analysis, DNA ,Middle Aged ,medicine.disease ,Molecular biology ,Pleural Effusion, Malignant ,Cell Pellet ,030104 developmental biology ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Nucleic acid ,Molecular Medicine ,Female ,Cell-Free Nucleic Acids - Abstract
Pleural effusion (PE) is commonly observed in advanced lung cancer patients. Cell-free total nucleic acid (cfTNA) isolated from cancer patients' plasma has allowed noninvasive tumor genome analyses; however, there are limited studies of detection and characterization of cfTNA in PE. Herein, we included 47 advanced non-small-cell lung cancer patients with PE, who had lung cancer driver mutations tested on tumor tissue specimens either at diagnosis or during disease progression. The supernatant and cell pellet of each PE were evaluated for molecular profiles in parallel on an Ion Torrent next-generation sequencing platform. Somatic mutations were detected in 89.1% supernatant cfTNA, but in only 54.3% of cell pellets. The overall concordance rate between supernatants and formalin-fixed, paraffin-embedded cell pellets at the mutation level was 53.3%. By contrast, 41.7% and 5.0% of somatic alterations were detected in supernatants and cell pellets, respectively. Furthermore, joint analysis of supernatants and cell pellets from PE showed a high concordance (88.3%) of variant detection with their respective tumor tissue specimens. Low-frequency T790M mutations in three cases (0.29%, 0.41%, and 1.56%) were detected in supernatants but not in the matched cell pellets or tumor tissues. In conclusion, pleural effusion-derived cfTNA can effectively be used in clinical practice for molecular analysis by next-generation sequencing, even in cases where corresponding cell pellets or tumor tissues yield insufficient material.
- Published
- 2020
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