1. Circulating tumor DNA profiling from breast cancer screening through to metastatic disease
- Author
-
Robert K. Hastings, Kelly L. T. Gleason, Kate Goddard, Justin Stebbing, David S. Guttery, Carlo Palmieri, Karen Page, Charlotte Ions, Mark R Openshaw, Simak Ali, Daniel Fernandez-Garcia, Amelia J Rushton, Luke Martinson, Georgios Nteliopoulos, R. Charles Coombes, Allison Hills, Vilas Parmar, Molly C Gray, L Primrose, Jacqueline A Shaw, National Institute for Health Research, and Imperial College Healthcare NHS Trust- BRC Funding
- Subjects
Adult ,Oncology ,Cancer Research ,medicine.medical_specialty ,Class I Phosphatidylinositol 3-Kinases ,Population ,Breast Neoplasms ,Disease ,Circulating Tumor DNA ,Breast cancer screening ,Internal medicine ,Biomarkers, Tumor ,medicine ,Humans ,Nucleic Acid Sequencing ,Breast screening ,Neoplasm Metastasis ,education ,skin and connective tissue diseases ,Aged ,Aged, 80 and over ,education.field_of_study ,medicine.diagnostic_test ,Aromatase Inhibitors ,business.industry ,Estrogen Receptor alpha ,High-Throughput Nucleotide Sequencing ,ORIGINAL REPORTS ,Middle Aged ,Survival Analysis ,Drug Resistance, Neoplasm ,Circulating tumor DNA ,Case-Control Studies ,Mutation ,Female ,Tumor Suppressor Protein p53 ,business - Abstract
PURPOSE We investigated the utility of the Oncomine Breast cfDNA Assay for detecting circulating tumor DNA (ctDNA) in women from a breast screening population, including healthy women with no abnormality detected by mammogram, and women on follow-up through to advanced breast cancer. MATERIALS AND METHODS Blood samples were taken from 373 women (127 healthy controls recruited through breast screening, 28 ductal carcinoma in situ, 60 primary breast cancers, 47 primary breast cancer on follow-up, and 111 metastatic breast cancers [MBC]) to recover plasma and germline DNA for analysis with the Oncomine Breast cfDNA Assay on the Ion S5 platform. RESULTS One hundred sixteen of 373 plasma samples had one or more somatic variants detected across eight of the 10 genes and were called ctDNA-positive; MBC had the highest proportion of ctDNA-positive samples (61; 55%) and healthy controls the lowest (20; 15.7%). ESR1, TP53, and PIK3CA mutations account for 93% of all variants detected and predict poor overall survival in MBC (hazard ratio = 3.461; 95% CI, 1.866 to 6.42; P = .001). Patients with MBC had higher plasma cell-free DNA levels, higher variant allele frequencies, and more polyclonal variants, notably in ESR1 than in all other groups. Only 15 individuals had evidence of potential clonal hematopoiesis of indeterminate potential mutations. CONCLUSION We were able detect ctDNA across the breast cancer spectrum, notably in MBC where variants in ESR1, TP53, and PIK3CA predicted poor overall survival. The assay could be used to monitor emergence of resistance mutations such as in ESR1 that herald resistance to aromatase inhibitors to tailor adjuvant therapies. However, we suggest caution is needed when interpreting results from a single plasma sample as variants were also detected in a small proportion of HCs., Detection of ctDNA increases as breast cancer progresses and predicts poor overall survival in metastatic patients. or ctDNA detection increases as breast cancer progresses and predicts poor overall survival in metastatic patients.
- Published
- 2021