影响建立黑色素瘤患者多参数液体活检检测单管检测的分析前因素。
Pre-analytical factors affecting the establishment of a single tube assay for multiparameter liquid biopsy detection in melanoma patients.
机构信息
Department of Tumor Biology, University Medical Center Hamburg-Eppendorf, Germany.
Centre of Dermatology, Elbe Clinics, Buxtehude, Germany.
出版信息
Mol Oncol. 2020 May;14(5):1001-1015. doi: 10.1002/1878-0261.12669. Epub 2020 Apr 4.
The combination of liquid biomarkers from a single blood tube can provide more comprehensive information on tumor development and progression in cancer patients compared to single analysis. Here, we evaluated whether a combined analysis of circulating tumor cells (CTCs), circulating tumor DNA (ctDNA), and circulating cell-free microRNA (miRNA) in total plasma and extracellular vesicles (EV) from the same blood sample is feasible and how the results are influenced by the choice of different blood tubes. Peripheral blood from 20 stage IV melanoma patients and five healthy donors (HD) was collected in EDTA, Streck, and Transfix tubes. Peripheral blood mononuclear cell fraction was used for CTC analysis, whereas plasma and EV fractions were used for ctDNA mutation and miRNA analysis. Mutations in cell-free circulating DNA were detected in 67% of patients, with no significant difference between the tubes. CTC was detected in only EDTA blood and only in 15% of patients. miRNA NGS (next-generation sequencing) results were highly influenced by the collection tubes and could only be performed from EDTA and Streck tubes due to hemolysis in Transfix tubes. No overlap of significantly differentially expressed miRNA (patients versus HD) could be found between the tubes in total plasma, whereas eight miRNA were commonly differentially regulated in the EV fraction. In summary, high-quality CTCs, ctDNA, and miRNA data from a single blood tube can be obtained. However, the choice of blood collection tubes is a critical pre-analytical variable.
来自单个血管的液体生物标志物的组合可以为癌症患者的肿瘤发展和进展提供比单一分析更全面的信息。在这里,我们评估了从同一血样中总血浆和细胞外囊泡(EV)中循环肿瘤细胞(CTC)、循环肿瘤 DNA(ctDNA)和循环无细胞 microRNA(miRNA)的联合分析是否可行,以及不同血管的选择如何影响结果。采集 20 名 IV 期黑色素瘤患者和 5 名健康供体(HD)的外周血于 EDTA、Streck 和 Transfix 管中。外周血单核细胞分离用于 CTC 分析,而血浆和 EV 分离用于 ctDNA 突变和 miRNA 分析。在 67%的患者中检测到游离循环 DNA 中的突变,各管之间无显著差异。仅在 EDTA 血中检测到 CTC,且仅在 15%的患者中检测到。miRNA NGS(下一代测序)结果高度受采集管的影响,由于 Transfix 管中的溶血,只能从 EDTA 和 Streck 管中进行。在总血浆中,各管之间未发现显著差异表达 miRNA(患者与 HD)的重叠,而在 EV 部分中共有 8 个 miRNA 受到共同调节。总之,可以从单个血管中获得高质量的 CTC、ctDNA 和 miRNA 数据。然而,血液采集管的选择是一个关键的预分析变量。