无法从羊膜母细胞瘤患者的循环无细胞DNA中检测到BRAF V600E突变:一项诊断准确性研究。

IF 2.7 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Allan Vinícius Martins-de-Barros, Fábio Andrey da Costa Araújo, Ana Maria Ipólito Barros, Elenisa Glaucia Ferreira dos Santos, Adauto Gomes Barbosa Neto, Helker Albuquerque Macedo da Silva, Elker Lene Santos de Lima, Maria Tereza Cartaxo Muniz, Riedel Frota Sá Nogueira Neves, Rômulo Oliveira de Hollanda Valente, Emanuel Dias de Oliveira e Silva, Marianne de Vasconcelos Carvalho
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引用次数: 0

摘要

研究背景本研究的目的是评估基于血浆的液体活检在检测羊膜母细胞瘤患者循环无细胞DNA中BRAF V600E突变方面的诊断准确性:这是一项前瞻性诊断准确性研究,依据的是《诊断准确性报告标准》(Standards for Reporting Diagnostic Accuracy)的建议。指标检测是基于血浆的液体活检,而参考标准是传统的组织活检。目标条件是检测 BRAF V600E 突变。研究对象包括从巴西三家三甲医院招募的骨髓母细胞瘤患者。阴性对照组由三名确诊为野生型 BRAF 病变的患者组成。参与者均接受了血浆循环无细胞DNA和肿瘤组织DNA分离,并使用竞争性等位基因特异性TaqMan™实时聚合酶链反应技术进行突变检测。计算灵敏度和特异度以及阳性和阴性预测值:结果:共纳入12例常规骨髓母细胞瘤患者。在 11/12 例(91.66%)骨髓母细胞瘤组织样本中检测到 BRAF V600E 突变。然而,在骨髓母细胞瘤和阴性对照组的血浆液体活检循环无细胞DNA样本中均未检测到该突变。血浆液体活检检测循环无细胞DNA中BRAF V600E突变的灵敏度和特异度分别为0.0和1.0。指标检测结果与参考标准结果的一致性为26.66%:结论:无论肿瘤大小、解剖位置、复发状况和其他临床病理特征如何,基于血浆的液体活检似乎都不是检测母细胞瘤患者循环游离细胞DNA中BRAF V600E突变的准确方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
It was not possible to detect BRAF V600E mutation in circulating cell-free DNA from patients with ameloblastoma: A diagnostic accuracy study

Background

The objective of this study is to evaluate the diagnostic accuracy of plasma-based liquid biopsy for the detection of the BRAF V600E mutation in circulating cell-free DNA from patients with ameloblastoma.

Methods

This is a prospective diagnostic accuracy study conducted based on the Standards for Reporting Diagnostic Accuracy recommendations. The index test was the plasma-based liquid biopsy, whereas the reference standard was the conventional tissue biopsy. The target condition was the detection of BRAF V600E mutation. The study population consisted of individuals with ameloblastoma recruited from three tertiary hospitals from Brazil. A negative control group composed of three individuals with confirmed wild-type BRAF lesions were included. The participants underwent plasma circulating cell-free DNA and tumor tissue DNA isolation, and both were submitted to using competitive allele-specific TaqMan™ real-time polymerase chain reaction technology mutation detection assays. Sensitivity and specificity measures and positive and negative predictive values were calculated.

Results

Twelve patients with conventional ameloblastoma were included. BRAF V600E mutation was detected in 11/12 (91.66%) ameloblastoma tissue samples. However, the mutation was not detected in any of the plasma-based liquid biopsy circulating cell-free DNA samples in both ameloblastomas and negative control group. The sensitivity and specificity of plasma-based liquid biopsy for the detection of the BRAF V600E mutation in circulating cell-free DNA was 0.0 and 1.0, respectively. The agreement between index test and reference standard results was 26.66%.

Conclusion

Plasma-based liquid biopsy does not seem to be an accurate method for the detection of the BRAF V600E mutation in circulating circulating cell-free DNA from patients with ameloblastoma, regardless of tumor size, anatomic location, recurrence status, and other clinicopathological features.

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来源期刊
CiteScore
5.90
自引率
6.10%
发文量
121
审稿时长
4-8 weeks
期刊介绍: The aim of the Journal of Oral Pathology & Medicine is to publish manuscripts of high scientific quality representing original clinical, diagnostic or experimental work in oral pathology and oral medicine. Papers advancing the science or practice of these disciplines will be welcomed, especially those which bring new knowledge and observations from the application of techniques within the spheres of light and electron microscopy, tissue and organ culture, immunology, histochemistry and immunocytochemistry, microbiology, genetics and biochemistry.
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