The latter, presented by Eric Lander of the Broad Institute in Cambridge, Massachusetts, would systematically sequence
tumor samples for mutations involved in cancer to speed up the search for new drugs and diagnostics.
Cells were extracted from the biopsy of
her tumor sample for use in research without her knowledge or consent.
More than 150 cancer researchers have divvied up the work of sequencing about 500
tumor samples for each of some 20 cancer types (10,000 samples in total) at a cost of more than $ 375 million.
The idea is to sequence 10,000
tumor samples for each of several common cancers, such as breast and prostate.
Not exact matches
Interest in liquid biopsy has escalated in recent years due to the minimally invasive
sampling method, potential to overcome the challenges of
tumor heterogeneity, and the potential
for longitudinal monitoring of
tumor burden through serial
sampling.
For example, TCGA, with genomic data on 33
tumor types taken from
samples from 11,000 patients, is finishing 2018 by publishing a series of papers and holding a symposium.
While the latter has a reputation
for being hard to isolate, she explains that even degraded RNA generally contains enough intact sequence to analyze — provided investigators can detect the scarce
tumor signals against the immense background of other RNA molecules in a
sample.
«The minimum
sample volume required is only 1 µL
for analysis of 92 proteins, which has been proven to be a great advantage
for applications with limited
sample volumes, such as pediatric applications, fine - needle biopsies, and
tumor microbiopsies,» he says.
For investigators studying circulating
tumor cells, the next step after
sampling is to isolate the desired cells as quickly and gently as possible.
«Circulating
tumor cells have the advantage that they are... intact living cells,» says Michael Kazinski, senior director and head of global product management
for sample technologies at Qiagen in Hilden, Germany.
These
tumor samples consistently tied to worse outcomes in children, suggesting a critical marker
for predicting prognosis.
In order to enable a spatially precise
sampling, the
tumor areas in the PET and CT data
for the examination are defined and transferred to a machine.
An index ranging from 0 to 1 was created
for each
tumor sample.
Plasma
samples of patients with NSCLC is a less invasive method and has been used as surrogate
tumor tissues
for detecting genetic alterations.
A total of 67 biochemical features discriminated cancer from benign
tumors in these
samples, but only four specific metabolites could be considered as biomarkers
for cancer: creatinine riboside, tryptophan, Nε, Nε, Nε - trimethyllysine, and 3 - methylhistidine.
The authors acknowledge that «
tumor tissue should be considered the preferred
sample type when available, however, our encouraging results suggest that a single plasma - derived ctDNA
sample may be considered appropriate
for assessment of EGFR mutation status when
tumor tissue is unavailable or exhausted.»
The researchers next will turn to analyzing the presence of myoferlin in
samples from numerous human
tumor types available in an Ohio State tissue bank, which will allow them to compare protein levels in
tumors to clinical outcomes
for the patients who provided the
samples.
For the study, researchers investigated tissue
samples from 297 people with brain
tumors.
The minimally invasive test could reduce the need
for the sometimes painful and risky procedures involved in
sampling tumors, particularly those that reside deep within the body.
They analyzed bacterial DNA found in breast tissue
samples from 58 women who were undergoing lumpectomies or mastectomies
for either benign or cancerous
tumors, as well as from 23 healthy women who had undergone breast reductions or enhancements.
Samples of the
tumor are excised, examined under a microscope and, often, analyzed to pinpoint the genetic mutations responsible
for the malignancy.
Unlike other solid
tumors, there has been limited progress in understanding the contribution of genetic risk factors to the development of uveal melanoma, researchers say, primarily due to the absence of comprehensive genetic data from patients as the large
sample cohorts
for this rare cancer type have not been available
for research.
«With liquid biopsies, we don't have to wait
for tumor growth to get a DNA
sample,» says Dr. Vasmatzis.
«Being able to safely take tissue
samples will also allow us to test
for specific
tumor sub-types and better decide the most appropriate treatment
for each individual patient,» added Dr Booton.
For example, cancer cells floated above denser blood cells, which could allow clinicians to spot rare circulating
tumor cells in a patient
sample.
The role of rebiopsy and repeat analysis in the setting of post-treatment relapse, along with testing of blood
samples for mutations in circulating
tumor cells, cell free
tumor DNA, or exosomes will be considered.
Analyzing the poly - G profiles of primary and metastatic colon cancer
samples from 22 patients revealed that how the primary and metastatic
tumors related to each other was different
for each patient.
Answering important clinical questions — such as whether genetic diversity is a risk factor
for aggressive
tumor development or how it relates to treatment resistance — requires analyzing
samples from many patients with different types of cancer.
NYGC computational biologists and members of the Simon Laboratory at The Rockefeller University discussed the possibility of using a series of computer algorithms to search
for sequence differences between the
tumor samples and
samples of healthy liver tissue.
To confirm that the missing mutations were important
for generating an immune response, the researchers cultured a subset of the neoantigen protein fragments containing the
tumor mutations with immune cells taken from three patients» blood
samples.
«Our findings show that high - intensity circulating
tumor DNA sequencing is possible and may provide invaluable information
for clinical decision - making, potentially without any need
for tumor tissue
samples,» said lead study author Pedram Razavi, MD, PhD, a medical oncologist and instructor in medicine at Memorial Sloan Kettering Cancer Center (MSK) in New York, NY.
To search
for other characteristics of ccRCC
tumors that influences immunotherapy response or resistance, the researchers used whole - exome DNA sequencing to analyze
tumor samples from 35 patients treated in a clinical trial with the checkpoint blocker nivolumab (Opdivo).
For 124 evaluable patients for concordance analysis, researchers compared genetic changes in the tumors to those in circulating tumor DNA from the blood sampl
For 124 evaluable patients
for concordance analysis, researchers compared genetic changes in the tumors to those in circulating tumor DNA from the blood sampl
for concordance analysis, researchers compared genetic changes in the
tumors to those in circulating
tumor DNA from the blood
samples.
For this study the authors studied
tumor samples from 111 patients treated at the Instituto Nacional de Enfermedades Neoplásicas (INEN), in Lima, Perú.
To explore this idea, Hopkins oncologists Dung Le, Luis Diaz, and others looked
for mismatch repair mutations in
tumor samples from patients with advanced colon cancer and other cancer types whose
tumors had stopped responding to other treatments.
«This broad implication is in contrast to a more traditional vaccine - based approach, which requires a specialist to surgically remove
tumor samples from a patient's body then create a personalized vaccine approach
for one specific patient.»
Searching
for T cells that had infiltrated the
tumors, they collected as many as 50 T cell
samples from a single
tumor; next, the team tested each batch of T cells against other
tumor samples from the same patient.
Fifteen teams analyzed nearly 500 patients»
tumors for genetic aberrations and sequenced the protein - coding DNA of 316
samples — by far the largest cancer sequencing effort to date.
To test their hunch, the researchers isolated microvesicles from 30 frozen
tumor samples and looked
for mRNA from a particular growth receptor unique to glioblastomas.
Rather than wait
for tumor biopsy
samples to become available, scientists captured «cell - free» DNA shed into the bloodstream by the
tumor cells.
Applying this tool to the six patients»
tumor samples yielded dozens of unique neoantigens
for each patient's personal vaccine.
In order to test whether the method is suitable
for use in clinical routine diagnostics, the scientists analyzed more than 1,100 additional
tumor samples.
«Based on our findings, the next phase will be to measure exosomes and exomeres in plasma
samples to help predict organs that may be targeted
for metastasis during
tumor progression,» said Dr. Lyden.
The test, called ProsignaTM and manufactured by NanoString Technologies, comes with a machine and kit, so patients»
tumor samples do not have to be sent to a single laboratory
for analysis.
The company has labs around the world, from London to Israel to Singapore, to reduce the amount of time a given
tumor sample spends on a plane,
for example.
The researchers took healthy tissue and
tumor samples from mice, and trained the nanoparticle - GFP sensors to recognize the bad cells, and
for the GFP to fluoresce in the presence of metastatic tissues.
The scientists extensively studied 28
tumor samples from children with medulloblastoma, surveying each
tumor for details about how its genes are turned on and off.
To that end, Sharma gave an overview of MD Anderson's efforts to comprehensively characterize the activity of the immune cells in the patients they treat, and they've already analyzed over 42,000
tumor tissue
samples, from both before and after treatment, looking
for clues regarding how treatment outcomes relate to immune cell infiltration into
tumors.
Guided by a camera and the ultrasound probe, Waxman carefully positioned the endoscope over the
tumor and passed a fine needle into the pancreatic lesion to
sample tissue cells
for biopsy.
Blood and
tumor samples were also taken
for immune cell response analyses.