Zhang Ruixiang, Hu Ying, Zhou Tao, Han Wenbo, Liu Yang, Qian Juanjuan, Chen Yanhui, Liu Xianben, Liu Shilei, Yu Yongkui, Zeng Hui, Zhang Henghui, Li Yin
Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Department of Thoracic Surgery, The Affiliated Cancer Hospital of Zhengzhou University/Henan Cancer Hospital, Zhengzhou, China.
J Thorac Dis. 2020 Aug;12(8):4274-4283. doi: 10.21037/jtd-20-230.
The aim of this study was to evaluate the clinical value of plasma cell-free DNA (cfDNA) mutation profiles in patients with oesophageal squamous cell carcinoma (OSCC) who received neoadjuvant chemotherapy.
Twenty-two OSCC patients received neoadjuvant chemotherapy and were divided into two groups according to their response to the therapy. Fifteen patients were in the responsive group, and seven patients were in the non-responsive group. The blood samples were collected, and the plasma cfDNA mutation profiles were sequenced by a cancer gene-targeted next-generation sequencing (NGS) panel.
The driver gene molecular mutation burden (MMB) was significantly higher in the non-responsive group compared with the responsive group. Furthermore, we found that the differential MMB included the DNA damage response, Wnt, PI3K, Hippo, RTK/RAS, p53, and AHR pathway. The MMB yielded an area under the receiver operation characteristic (ROC) curve of 0.89 for predicting the response to neoadjuvant chemotherapy. The cfDNA copy number variations (CNVs) yielded an area under ROC curve of 1.0 for predicting the response to neoadjuvant chemotherapy.
The driver gene MMB and CNVs in plasma cfDNA may be potential biomarkers for predicting the response to neoadjuvant chemotherapy in patients with OSCC.
本研究旨在评估接受新辅助化疗的食管鳞状细胞癌(OSCC)患者血浆游离DNA(cfDNA)突变谱的临床价值。
22例OSCC患者接受新辅助化疗,并根据治疗反应分为两组。反应组15例患者,无反应组7例患者。采集血样,通过癌症基因靶向二代测序(NGS)面板对血浆cfDNA突变谱进行测序。
与反应组相比,无反应组驱动基因分子突变负担(MMB)显著更高。此外,我们发现差异MMB包括DNA损伤反应、Wnt、PI3K、Hippo、RTK/RAS、p53和AHR通路。MMB在预测新辅助化疗反应方面的受试者操作特征(ROC)曲线下面积为0.89。cfDNA拷贝数变异(CNV)在预测新辅助化疗反应方面的ROC曲线下面积为1.0。
血浆cfDNA中的驱动基因MMB和CNV可能是预测OSCC患者新辅助化疗反应的潜在生物标志物。