Tagawa Michihito, Shimbo Genya, Inokuma Hisashi, Miyahara Kazuro
Veterinary Medical Center (Tagawa, Shimbo, Miyahara), Obihiro University of Agriculture and Veterinary Medicine, Obihiro, Hokkaido, Japan.
Department of Clinical Veterinary Science (Inokuma), Obihiro University of Agriculture and Veterinary Medicine, Obihiro, Hokkaido, Japan.
J Vet Diagn Invest. 2019 Nov;31(6):836-843. doi: 10.1177/1040638719880245. Epub 2019 Oct 4.
Circulating cell-free DNA (cfDNA) is extracellular DNA released into the bloodstream by apoptotic or necrotic tumor cells, with cfDNA determination proposed as a noninvasive, sensitive marker for the diagnosis of human cancer. We evaluated cfDNA quantification as a diagnostic and prognostic tool in dogs with various tumors. We quantified plasma cfDNA concentration by absolute real-time PCR of long interspersed nuclear elements in 50 dogs with malignant tumors, 13 dogs with benign tumors or nodules, and 11 healthy controls. Six patients with malignant tumors were followed-up, and plasma cfDNA was quantified throughout disease progression. We found that plasma cfDNA concentrations were significantly elevated in dogs with malignant tumors compared with dogs with benign nodules or healthy controls. The DNA integrity index (the ratio between long and short cfDNA fragments) was significantly lower in dogs with malignant tumors compared to healthy controls. Significantly higher cfDNA levels and a lower DNA integrity index were observed in dogs with lymphoma or leukemia, hemangiosarcoma, and distant metastasis; cfDNA levels correlated well with clinical stage and tended to increase during or before periods of disease progression, suggesting potential efficacy of cfDNA for the detection of distant metastasis and to monitor the clinical stage of neoplasia.
循环游离DNA(cfDNA)是凋亡或坏死肿瘤细胞释放到血液中的细胞外DNA,cfDNA测定被认为是诊断人类癌症的一种非侵入性、敏感的标志物。我们评估了cfDNA定量作为各种肿瘤犬诊断和预后工具的价值。我们通过长散在核元件的绝对实时PCR对50只患有恶性肿瘤的犬、13只患有良性肿瘤或结节的犬以及11只健康对照犬的血浆cfDNA浓度进行了定量。对6例患有恶性肿瘤的患者进行了随访,并在疾病进展过程中对血浆cfDNA进行了定量。我们发现,与患有良性结节的犬或健康对照犬相比,患有恶性肿瘤的犬血浆cfDNA浓度显著升高。与健康对照犬相比,患有恶性肿瘤的犬的DNA完整性指数(长cfDNA片段与短cfDNA片段的比率)显著降低。在患有淋巴瘤或白血病、血管肉瘤以及远处转移的犬中观察到显著更高的cfDNA水平和更低的DNA完整性指数;cfDNA水平与临床分期密切相关,并且在疾病进展期间或之前往往会升高,这表明cfDNA在检测远处转移和监测肿瘤临床分期方面具有潜在疗效。