Stringent Base Specific and Optimization-Free Multiplex Mediator Probe ddPCR for the Quantification of Point Mutations in Circulating Tumor DNA

There is an increasing demand for optimization-free multiplex assays to rapidly establish comprehensive target panels for cancer monitoring by liquid biopsy. We present the mediator probe (MP) PCR for the quantification of the seven most frequent point mutations and corresponding wild types (<i&g...

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Autores principales: Franziska Schlenker, Elena Kipf, Max Deuter, Inga Höffkes, Michael Lehnert, Roland Zengerle, Felix von Stetten, Florian Scherer, Julius Wehrle, Nikolas von Bubnoff, Peter Juelg, Tobias Hutzenlaub, Nadine Borst
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:facbddc1b3114a928e035a7c1228b7302021-11-25T17:03:29ZStringent Base Specific and Optimization-Free Multiplex Mediator Probe ddPCR for the Quantification of Point Mutations in Circulating Tumor DNA10.3390/cancers132257422072-6694https://doaj.org/article/facbddc1b3114a928e035a7c1228b7302021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/22/5742https://doaj.org/toc/2072-6694There is an increasing demand for optimization-free multiplex assays to rapidly establish comprehensive target panels for cancer monitoring by liquid biopsy. We present the mediator probe (MP) PCR for the quantification of the seven most frequent point mutations and corresponding wild types (<i>KRAS</i> and <i>BRAF</i>) in colorectal carcinoma. Standardized parameters for the digital assay were derived using design of experiments. Without further optimization, the limit of detection (LoD) was determined through spiking experiments with synthetic mutant DNA in human genomic DNA. The limit of blank (LoB) was measured in cfDNA plasma eluates from healthy volunteers. The 2-plex and 4-plex MP ddPCR assays showed a LoB of 0 copies/mL except for 4-plex <i>KRAS</i> G13D (9.82 copies/mL) and 4-plex <i>BRAF</i> V600E (16.29 copies/mL) and allele frequencies of 0.004% ≤ LoD ≤ 0.38% with R<sup>2</sup> ≥ 0.98. The quantification of point mutations in patient plasma eluates (18 patients) during follow-up using the 4-plex MP ddPCR showed a comparable performance to the reference assays. The presented multiplex assays need no laborious optimization, as they use the same concentrations and cycling conditions for all targets. This facilitates assay certification, allows a fast and flexible design process, and is thus easily adaptable for individual patient monitoring.Franziska SchlenkerElena KipfMax DeuterInga HöffkesMichael LehnertRoland ZengerleFelix von StettenFlorian SchererJulius WehrleNikolas von BubnoffPeter JuelgTobias HutzenlaubNadine BorstMDPI AGarticlemediator probe PCRdigital PCRmultiplex PCRoptimization-freecolorectal carcinomastandardized universal reporterNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5742, p 5742 (2021)
institution DOAJ
collection DOAJ
language EN
topic mediator probe PCR
digital PCR
multiplex PCR
optimization-free
colorectal carcinoma
standardized universal reporter
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle mediator probe PCR
digital PCR
multiplex PCR
optimization-free
colorectal carcinoma
standardized universal reporter
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Franziska Schlenker
Elena Kipf
Max Deuter
Inga Höffkes
Michael Lehnert
Roland Zengerle
Felix von Stetten
Florian Scherer
Julius Wehrle
Nikolas von Bubnoff
Peter Juelg
Tobias Hutzenlaub
Nadine Borst
Stringent Base Specific and Optimization-Free Multiplex Mediator Probe ddPCR for the Quantification of Point Mutations in Circulating Tumor DNA
description There is an increasing demand for optimization-free multiplex assays to rapidly establish comprehensive target panels for cancer monitoring by liquid biopsy. We present the mediator probe (MP) PCR for the quantification of the seven most frequent point mutations and corresponding wild types (<i>KRAS</i> and <i>BRAF</i>) in colorectal carcinoma. Standardized parameters for the digital assay were derived using design of experiments. Without further optimization, the limit of detection (LoD) was determined through spiking experiments with synthetic mutant DNA in human genomic DNA. The limit of blank (LoB) was measured in cfDNA plasma eluates from healthy volunteers. The 2-plex and 4-plex MP ddPCR assays showed a LoB of 0 copies/mL except for 4-plex <i>KRAS</i> G13D (9.82 copies/mL) and 4-plex <i>BRAF</i> V600E (16.29 copies/mL) and allele frequencies of 0.004% ≤ LoD ≤ 0.38% with R<sup>2</sup> ≥ 0.98. The quantification of point mutations in patient plasma eluates (18 patients) during follow-up using the 4-plex MP ddPCR showed a comparable performance to the reference assays. The presented multiplex assays need no laborious optimization, as they use the same concentrations and cycling conditions for all targets. This facilitates assay certification, allows a fast and flexible design process, and is thus easily adaptable for individual patient monitoring.
format article
author Franziska Schlenker
Elena Kipf
Max Deuter
Inga Höffkes
Michael Lehnert
Roland Zengerle
Felix von Stetten
Florian Scherer
Julius Wehrle
Nikolas von Bubnoff
Peter Juelg
Tobias Hutzenlaub
Nadine Borst
author_facet Franziska Schlenker
Elena Kipf
Max Deuter
Inga Höffkes
Michael Lehnert
Roland Zengerle
Felix von Stetten
Florian Scherer
Julius Wehrle
Nikolas von Bubnoff
Peter Juelg
Tobias Hutzenlaub
Nadine Borst
author_sort Franziska Schlenker
title Stringent Base Specific and Optimization-Free Multiplex Mediator Probe ddPCR for the Quantification of Point Mutations in Circulating Tumor DNA
title_short Stringent Base Specific and Optimization-Free Multiplex Mediator Probe ddPCR for the Quantification of Point Mutations in Circulating Tumor DNA
title_full Stringent Base Specific and Optimization-Free Multiplex Mediator Probe ddPCR for the Quantification of Point Mutations in Circulating Tumor DNA
title_fullStr Stringent Base Specific and Optimization-Free Multiplex Mediator Probe ddPCR for the Quantification of Point Mutations in Circulating Tumor DNA
title_full_unstemmed Stringent Base Specific and Optimization-Free Multiplex Mediator Probe ddPCR for the Quantification of Point Mutations in Circulating Tumor DNA
title_sort stringent base specific and optimization-free multiplex mediator probe ddpcr for the quantification of point mutations in circulating tumor dna
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/facbddc1b3114a928e035a7c1228b730
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