학술논문

Circulating free DNA concentration as a marker of disease recurrence and metastatic potential in lung cancer.
Document Type
Article
Source
Clinical & Translational Medicine. Dec2019, Vol. 8 Issue 1, p1-6. 6p.
Subject
*CIRCULATING tumor DNA
*LUNG cancer
*GENETIC markers
*DISEASE relapse
*EARLY detection of cancer
*TUMOR classification
Language
ISSN
2001-1326
Abstract
publisher‐imprint‐name Springer volume‐issue‐count 1 issue‐article‐count 0 issue‐toc‐levels 0 issue‐pricelist‐year 2019 issue‐copyright‐holder The Author(s) issue‐copyright‐year 2019 article‐contains‐esm No article‐numbering‐style Unnumbered article‐registration‐date‐year 2019 article‐registration‐date‐month 4 article‐registration‐date‐day 6 article‐toc‐levels 0 toc‐levels 0 volume‐type Regular journal‐product ArchiveJournal numbering‐style Unnumbered article‐grants‐type OpenChoice metadata‐grant OpenAccess abstract‐grant OpenAccess bodypdf‐grant OpenAccess bodyhtml‐grant OpenAccess bibliography‐grant OpenAccess esm‐grant OpenAccess online‐first false pdf‐file‐reference BodyRef/PDF/40169_2019_Article_229.pdf target‐type OnlinePDF issue‐type Regular article‐type OriginalPaper journal‐subject‐primary Medicine & Public Health journal‐subject‐secondary Medicine/Public Health, general journal‐subject‐collection Medicine --> Background: Plasma circulating cell‐free (cf) DNA is regarded as a source of tumor DNA. Based on availability of blood tissue for the purposes of early detection of cancer and patients' follow‐up, several studies have evaluated concentration of cf DNA in cancer patients in association with tumor features. In the present study, we assessed concentration of cf DNA in lung cancer patients with two commercial kits (MN and QIAGEN) to find whether it can be used as a prognostic biomarker. Results: Primary cf DNA concentrations as measured by QIAGEN kit was significantly higher in patients who died in the follow‐up period compared with alive patients (P = 0.007). Moreover, the concentrations as measured by both methods were higher in patients who experienced recurrence in the follow‐up period compared with patients without recurrence (P = 0.008 and 0.007 for MN and QIAGEN kits respectively). Significant associations were also found between cf DNA concentrations and tumor stage (P = 0.005 and 0.02 for MN and QIAGEN kits respectively). Notably, cf DNA concentration was higher in metastatic tumors compared with non‐metastatic tumors in association with number of involved organs. Based on the AUC values, both kits could differentiate metastatic cancers from non‐metastatic ones with accuracy of 98%. Conclusions: The current study highlights the accuracy of cf DNA concentrations for prediction of disease course in lung cancer patients. [ABSTRACT FROM AUTHOR]