机构:[1]Department of Pathology, Guangdong Provincial Hospital of TCM, Guangzhou University of Chinese Medicine,Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, Guangdong 510120大德路总院珠海院区病理科病理科大德路总院病理科广东省中医院[2]GenoSaber Biotech Co., Ltd., Shanghai 201203, P.R. China
Quantification of epidermal growth factor receptor (EGFR) mutations is important for the prediction of tyrosine kinase inhibitor (TKI) efficacy in patients with non-small cell lung cancer (NSCLC). However, clinicians lack a sensitive and convenient method to quantify EGFR mutant abundance. The present study introduces a novel method, namely amplification refractory mutation system (ARMS)-Plus, for the quantitative analysis of EGFR exon 19 deletion (19Del), L858R and T790M mutations. Formalin-fixed paraffin-embedded tumor samples were collected from 77 patients with lung adenocarcinoma. DNA was extracted and analyzed for EGFR mutations using ARMS-Plus. The performance of ARMS-Plus was then compared with that of conventional ARMS-polymerase chain reaction (ARMS-PCR) and droplet digital PCR (ddPCR). The results demonstrated that the concordance rate of EGFR mutation testing between ARMS-Plus and ddPCR was 98.7% (76/77, Kappa=0.9739). 19Del and L858R mutations were detected in 23 and 12 patients, respectively. There was a significant difference between ARMS-Plus and ddPCR in the evaluation of 19Del mutant abundance (P=0.0002); however, not in that of L858R mutant abundance (P=0.7334). The ARMS-Plus results in L858R mutant abundance were concordant with that of ddPCR (R-2=0.8081). These results indicated that the sensitivity and specificity of ARMS-Plus in identifying EGFR mutations were similar to that of ddPCR. For quantitative analysis, the results of ARMS-Plus in evaluating L858R mutant abundance revealed a positive correlation with the ddPCR results. Thus, ARMS-Plus provides an alternative method, which is reliable and cost-effective, to quantify EGFR mutations and thereby, aid treatment decisions in patients with lung adenocarcinoma.
第一作者机构:[1]Department of Pathology, Guangdong Provincial Hospital of TCM, Guangzhou University of Chinese Medicine,Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, Guangdong 510120
共同第一作者:
通讯作者:
通讯机构:[1]Department of Pathology, Guangdong Provincial Hospital of TCM, Guangzhou University of Chinese Medicine,Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, Guangdong 510120[2]GenoSaber Biotech Co., Ltd., Shanghai 201203, P.R. China[*1]GenoSaber Biotech Co., Ltd., Block 26, Lane 908 Ziping Road, Pudong, Shanghai 201203, P.R. China[*2]Department of Pathology, Guangdong Provincial Hospital of TCM, Guangzhou University of Chinese Medicine, Guangdong Provincial Academy of Chinese Medical Sciences, 111 Dade Road, Guangzhou, Guangdong 510120, P.R. China
推荐引用方式(GB/T 7714):
YAZHEN ZHU,ZHIWEI GUO,YING LIU,et al.A novel ARMS-based assay for the quantification of EGFR mutations in patients with lung adenocarcinoma[J].ONCOLOGY LETTERS.2018,15(3):2905-2912.doi:10.3892/ol.2017.7679.
APA:
YAZHEN ZHU,ZHIWEI GUO,YING LIU,XIYUN ZHENG,GUOHUA YANG&GUANGJUAN ZHENG.(2018).A novel ARMS-based assay for the quantification of EGFR mutations in patients with lung adenocarcinoma.ONCOLOGY LETTERS,15,(3)
MLA:
YAZHEN ZHU,et al."A novel ARMS-based assay for the quantification of EGFR mutations in patients with lung adenocarcinoma".ONCOLOGY LETTERS 15..3(2018):2905-2912