Kroeze, Leonie I., de Voer, Richarda M., Kamping, Eveline J., von Rhein, Daniel, Jansen, Erik A. M., Hermsen, Mandy J. W., Barberis, Massimo C. P., Botling, Johan, Garrido-Martin, Eva M., Haller, Florian, Lacroix, Ludovic, Maes, Brigitte, Merkelbach-Bruse, Sabine, Pestinger, Valerie, Pfarr, Nicole, Stenzinger, Albrecht, van den Heuvel, Michel M., Grunberg, Katrien and Ligtenberg, Marjolijn J. L. (2020). Evaluation of a Hybrid Capture-Based Pan-Cancer Panel for Analysis of Treatment Stratifying Oncogenic Aberrations and Processes. J. Mol. Diagn., 22 (6). S. 757 - 770. NEW YORK: ELSEVIER SCIENCE INC. ISSN 1943-7811

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Abstract

Stratification of patients for targeted and immune-based therapies requires extensive genomic profiling that enables sensitive detection of clinically relevant variants and interrogation of biomarkers, such as tumor mutational burden (TMB) and microsatellite instability (MSI). Detection of single and multiple nucleotide variants, copy number variants, MSI, and TMB was evaluated using a commercially available next-generation sequencing panel containing 523 cancer-related genes (1.94 megabases). Analysis of formalin-fixed, paraffin-embedded tissue sections and cytologic material from 45 tumor samples showed that all previously known MSI-positive samples (n = 7), amplifications (n = 9), and pathogenic variants (n = 59) could be detected. TMB and MSI scores showed high intralaboratory and interlaboratory reproducibility (eight samples tested in 11 laboratories). For reliable TMB analysis, 20 ng DNA was shown to be sufficient, even for relatively poor-quality samples. A minimum of 20% neoplastic cells was required to minimize variations in TMB values induced by chromosomal instability or tumor heterogeneity. Subsequent analysis of 58 consecutive lung cancer samples in a diagnostic setting was successful and revealed sufficient somatic mutations to generate mutational signatures in 14 cases. In conclusion, the 523-gene assay can be applied for evaluation of multiple DNA-based biomarkers relevant for treatment selection.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Kroeze, Leonie I.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
de Voer, Richarda M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kamping, Eveline J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
von Rhein, DanielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jansen, Erik A. M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hermsen, Mandy J. W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Barberis, Massimo C. P.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Botling, JohanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Garrido-Martin, Eva M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Haller, FlorianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lacroix, LudovicUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Maes, BrigitteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Merkelbach-Bruse, SabineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pestinger, ValerieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pfarr, NicoleUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stenzinger, AlbrechtUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van den Heuvel, Michel M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Grunberg, KatrienUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ligtenberg, Marjolijn J. L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-332047
DOI: 10.1016/j.jmoldx.2020.02.009
Journal or Publication Title: J. Mol. Diagn.
Volume: 22
Number: 6
Page Range: S. 757 - 770
Date: 2020
Publisher: ELSEVIER SCIENCE INC
Place of Publication: NEW YORK
ISSN: 1943-7811
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
TUMOR MUTATIONAL BURDEN; NIVOLUMAB PLUS IPILIMUMAB; MICROSATELLITE INSTABILITY; PD-L1 EXPRESSION; IMMUNOHISTOCHEMISTRY; SIGNATURES; BLOCKADE; EFFICACYMultiple languages
PathologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/33204

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