Evidence map›Paper›PMID 30223392›Full record

ArticleCancer biomarkers : section A of Disease markers2018

Comparison of circulating DNA from plasma and urine for EGFR mutations in NSCLC patients.

Hao Zhang, Bin He, Jun Cui, Mingzhang Zhao, Zengwang Zhang

Abstract read
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Article in Cancer biomarkers : section A of Disease markers, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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7citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Hao ZhangCentre for Cardiothoracic Surgery, Xiangyang Central Hospital, Hospital Affiliated to Hubei University of Arts and Science, Xiangyang 441021, Hubei, China.
Bin HeCentre for Cardiothoracic Surgery, Xiangyang Central Hospital, Hospital Affiliated to Hubei University of Arts and Science, Xiangyang 441021, Hubei, China.
Jun CuiCentre for Cardiothoracic Surgery, Xiangyang Central Hospital, Hospital Affiliated to Hubei University of Arts and Science, Xiangyang 441021, Hubei, China.
Mingzhang ZhaoGeneral Thoracic Surgery, Yicheng People's Hospital, Xiangyang 441400, Hubei, China.
Zengwang ZhangCentre for Cardiothoracic Surgery, Xiangyang Central Hospital, Hospital Affiliated to Hubei University of Arts and Science, Xiangyang 441021, Hubei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe need for less invasive procedures for lung cancer probing is critically needed to better understand the disease. The purpose of the current study aims to explore the use of circulating tumor DNA (ctDNA) derived from plasma and urine specimens.

methodsMatched peripheral blood and morning urine specimens were obtained from 160 late stage NSCLC patients. The amount of ctDNA was quantified for each of the patients. Activating and sensitizing EGFR mutations commonly found in NSCLC patients were profiled. Longitudinal analysis was performed to compared DNA variations during disease progression.

resultsMeasurement of EGFR mutations in NSCLC patients using plasma and urinal DNA demonstrated strong concordance to conventional tissue biopsy profiling. Baseline matched tumor samples yielded 82.8% and 84.0% for plasma and urinal DNA respectively. For these measurements, the positive predictive value was 100% for plasma and urinal DNA. In the longitudinal study, we observed strong links to disease severity and survival analysis showed a clear trend with patients having higher DNA concentrations to have worse outcome especially for urinal DNA. HR for patients stratified using plasma and urinal DNA were 1.23 and 2.55 respectively.

conclusionMeasurements of circulating DNA within body fluids presented potentially new tools for the disease management of NSCLC patients with EGFR mutations. We demonstrated both plasma and urinal DNA correlated well to tissue biopsies and were potentially prognostic to address patients' survival outcome.

Indexed as

AdultAgedBiomarkers, TumorCarcinoma, Non-Small-Cell LungCirculating Tumor DNADisease-Free SurvivalErbB ReceptorsFemaleHumansMaleMiddle AgedMutationNeoplasm StagingPrognosisProtein Kinase InhibitorsBiomarkers, TumorCirculating Tumor DNAEGFR protein, humanErbB ReceptorsProtein Kinase InhibitorsctDNAEGFRNSCLCplasma DNAT790Murinal DNA

Identifiers

PMID30223392
PMCPMC13078565

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.