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Enhanced detection of target DNA by fragment size analysis

A fragment and size technology, applied in the field of circulating tumor DNA, can solve unmet problems

Pending Publication Date: 2021-09-07
CANCER RES TECH LTD
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0004] Despite the promise of ctDNA testing in the field of cancer care, there remains an unmet need for methods and systems that maximize the signal-to-noise ratio in the context of ctDNA testing

Method used

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  • Enhanced detection of target DNA by fragment size analysis
  • Enhanced detection of target DNA by fragment size analysis
  • Enhanced detection of target DNA by fragment size analysis

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0177] Characteristic fragments of tumor cfDNA: 1 Example

[0178] Using 344 plasma samples and additional samples from 65 healthy control plasma from 18 different types of cancer, 200 patients suffering from fragmentation produces directory feature cfDNA ( figure 1 with figure 2 A). Compared with healthy individuals, cancer patients cfDNA fragment size distribution of 90 to 150bp, 180 to 220bp and 320bp within the size range of 250 to different ( figure 2 B and image 3 ). Plasma of healthy individuals and patients with advanced glioma, the size of the patient's plasma fragment cfDNA kidney, pancreas and bladder cancer is significantly higher than other types of advanced cancers, including breast cancer, ovarian cancer, lung cancer, melanoma, cholangiocarcinoma, colorectal cancer, and longer (p figure 2 C). According to the classification cfDNA 150bp fragment ratio in the size range of 20 to 18 types of cancers and Bettegowda et al. CtDNA sorting performed by measuring the concent...

Embodiment 2

[0179] Example 2: mutant measure ctDNA

[0180] Two highly specific method for determining the size spectrum of plasma mutant ctDNA. First, we inferred ctDNA and non-tumor cfDNA sWGS from mouse plasma by carrying human ovarian carcinoma xenografts particular dimensions of the spectrum ( Figure 4 A). ctDNA fragment size shift (Shift) to less than 167 bp ( Figure 4 B). Second, patients having deep sequencing analysis of specific hybridization capture group selected from the group exon whole outer matched tumor samples developed to determine the size of mutant spectra in plasma ctDNA 19 cancer patients ( Figure 4 C). > 300 × cfDNA depth of hundreds of mutations by sequencing, allele-specific reads obtained from the mutant and normal DNA. Observed tumor-bearing mutant alleles of the enriched DNA fragment (fragment in size than the nucleosomal DNA (167bp multiples) is short of about 20 to 40bp Figure 4 D). Mutant ctDNA usually more than the non-mutant fragment of cfDNA, which has a max...

Embodiment 3

[0181] Select tumor-derived DNA fragments: Example 3

[0182] These data indicate ctDNA shorter than non-tumor cfDNA, and show differences in biological fragment length may be utilized to improve the detection ctDNA. In 48 plasma samples from 35 patients with high-grade serous ovarian cancer (HGSOC) is using in vitro selection using a bench size microfluidic device is followed to determine the feasibility of shorter fragments sWGS selective sequencing ( Image 6 A, Figure 7 with Figure 8 ). Use accuracy and quality assessment of the size of selected plasma from 20 healthy individuals ( Image 6 B and Figure 9 ). SWGS also uses data from untreated positioning reads explore the utility of the DNA fragment of the size of the selected machine ( Image 6 A). By selecting the 90 to 150bp fragment length within a size range corresponding to the paired-end reads, reads once the reference genome than the size selection of the machine proceeds. Image 6 C, Image 6 D and Image 6 E illustrates th...

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Abstract

The present invention provides a computer-implemented method for detecting variant nucleic acid from a cell-free nucleic acid- containing sample. The method comprises (a) providing data representing fragment sizes of nucleic acid fragments obtained from said sample and / or representing a measure of deviation from copy number neutrality of the nucleic acid fragments obtained from said sample; b) processing the data from step a) according to a classification algorithm, wherein said classification algorithm operates to classify sample data into one of at least a first class containing the variant nucleic acid and a second class not containing the variant nucleic acid, based on a plurality of cell- free nucleic acid fragment size features and / or a deviation from copy number neutrality feature; and c) outputting the classification of the sample from step b, thereby determining whether the sample contains the variant nucleic acid or not, or a probability that the sample contains the variant nucleic acid. Related methods are also provided.

Description

Technical field [0001] The present invention relates to a method for detecting the presence of target DNA, such as cyclic tumor DNA (Circulating Tumour DNA, CTDNA) from, for example, cytoplasmic DNA (Cell-free DNA, CFDNA). In particular, the methods of the invention can be used for the diagnosis, treatment and monitoring of cancer. Background technique [0002] Plasma of cancer patients contain circulating tumor DNA (CTDNA), but this valuable source of information is mostly mostly non-cancer source DNA francised: therefore, CTDNA only accounts for a small portion of total cell DNA (cfDNA) (1 ,2). High depth selected genomic region targeted sequencing can be used to detect low levels of ctDNA, but using methods such as whole genome sequencing exon (whole exome sequencing, WES) and shallow genome sequencing (shallow whole genomesequencing, sWGS) carried A broader analysis is usually in information (3-5) when the CTDNA level is about 10% or more. The CTDNA concentration in patients ...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G16B30/10G16B15/30G16B40/20G16H50/70C12Q1/6869
CPCG16B30/00G16B40/00G16H50/70C12Q1/6886G16H70/60G16H10/40G16H50/20G16B40/20C12N15/1093
Inventor 弗洛伦特·穆利埃迪尼卡·钱德拉南达安娜·皮斯科日詹姆士·布伦顿尼灿·罗森菲尔德
Owner CANCER RES TECH LTD