A rapid, sensitive, reproducible and cost-effective method for mutation profiling of colon cancer and metastatic lymph nodesReport as inadecuate

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BMC Cancer

, 10:101

First Online: 16 March 2010Received: 12 August 2009Accepted: 16 March 2010DOI: 10.1186-1471-2407-10-101

Cite this article as: Fumagalli, D., Gavin, P.G., Taniyama, Y. et al. BMC Cancer 2010 10: 101. doi:10.1186-1471-2407-10-101


BackgroundAn increasing number of studies show that genetic markers can aid in refining prognostic information and predicting the benefit from systemic therapy. Our goal was to develop a high throughput, cost-effective and simple methodology for the detection of clinically relevant hot spot mutations in colon cancer.

MethodsThe Maldi-Tof mass spectrometry platform and OncoCarta panel from Sequenom were used to profile 239 colon cancers and 39 metastatic lymph nodes from NSABP clinical trial C-07 utilizing routinely processed FFPET formalin-fixed paraffin-embedded tissue.

ResultsAmong the 238 common hot-spot cancer mutations in 19 genes interrogated by the OncoCarta panel, mutations were detected in 7 different genes at 26 different nucleotide positions in our colon cancer samples. Twenty-four assays that detected mutations in more than 1% of the samples were reconfigured into a new multiplexed panel, termed here as ColoCarta. Mutation profiling was repeated on 32 mutant samples using ColoCarta and the results were identical to results with OncoCarta, demonstrating that this methodology was reproducible. Further evidence demonstrating the validity of the data was the fact that the mutation frequencies of the most common colon cancer mutations were similar to the COSMIC Catalog of Somatic Mutations in Cancer database. The frequencies were 43.5% for KRAS, 20.1% for PIK3CA, and 12.1% for BRAF. In addition, infrequent mutations in NRAS, AKT1, ABL1, and MET were detected. Mutation profiling of metastatic lymph nodes and their corresponding primary tumors showed that they were 89.7% concordant. All mutations found in the lymph nodes were also found in the corresponding primary tumors, but in 4 cases a mutation was present in the primary tumor only.

ConclusionsThis study describes a high throughput technology that can be used to interrogate DNAs isolated from routinely processed FFPET and identifies the specific mutations that are common to colon cancer. The development of this technology and the ColoCarta panel may provide a mechanism for rapid screening of mutations in clinically relevant genes like KRAS, PIK3CA, and BRAF.

Trial RegistrationClinicalTrials.gov: NSABP C-07: NCT00004931

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2407-10-101 contains supplementary material, which is available to authorized users.

Debora Fumagalli, Patrick G Gavin contributed equally to this work.

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Author: Debora Fumagalli - Patrick G Gavin - Yusuke Taniyama - Seung-Il Kim - Hyun-Joo Choi - Soonmyung Paik - Katherine L Pogue-

Source: https://link.springer.com/

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