An 8q24 Gain in Pancreatic Juice Is a Candidate Biomarker for the Detection of Pancreatic Cancer

Secretin-stimulated pancreatic juice (PJ), collected from the duodenum, presents a valuable biomarker source for the (earlier) detection of pancreatic cancer (PC). Here, we evaluate the feasibility and performance of shallow sequencing to detect copy number variations (CNVs) in cell-free DNA (cfDNA)...

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Main Authors: Iris J. M. Levink, Malgorzata I. Srebniak, Walter G. De Valk, Monique M. van Veghel-Plandsoen, Anja Wagner, Djuna L. Cahen, Gwenny M. Fuhler, Marco J. Bruno
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:International Journal of Molecular Sciences
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Online Access:https://www.mdpi.com/1422-0067/24/6/5097
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author Iris J. M. Levink
Malgorzata I. Srebniak
Walter G. De Valk
Monique M. van Veghel-Plandsoen
Anja Wagner
Djuna L. Cahen
Gwenny M. Fuhler
Marco J. Bruno
author_facet Iris J. M. Levink
Malgorzata I. Srebniak
Walter G. De Valk
Monique M. van Veghel-Plandsoen
Anja Wagner
Djuna L. Cahen
Gwenny M. Fuhler
Marco J. Bruno
author_sort Iris J. M. Levink
collection DOAJ
description Secretin-stimulated pancreatic juice (PJ), collected from the duodenum, presents a valuable biomarker source for the (earlier) detection of pancreatic cancer (PC). Here, we evaluate the feasibility and performance of shallow sequencing to detect copy number variations (CNVs) in cell-free DNA (cfDNA) from PJ for PC detection. First, we confirmed the feasibility of shallow sequencing in PJ (n = 4), matched plasma (n = 3) and tissue samples (n = 4, microarray). Subsequently, shallow sequencing was performed on cfDNA from PJ of 26 cases (25 sporadic PC, 1 high-grade dysplasia) and 19 controls with a hereditary or familial increased risk of PC. 40 of the 45 PJ samples met the quality criteria for cfDNA analysis. Nine individuals had an 8q24 gain (oncogene MYC; 23%; eight cases (33%) and one control (6%), <i>p</i> = 0.04); six had both a 2q gain (STAT1) and 5p loss (CDH10; 15%; four cases (7%) and two controls (13%), <i>p</i> = 0.72). The presence of an 8q24 gain differentiated the cases and controls, with a sensitivity of 33% (95% CI 16–55%) and specificity of 94% (95% CI 70–100%). The presence of either an 8q24 or 2q gain with a 5p loss was related to a sensitivity of 50% (95% CI 29–71%) and specificity of 81% (95% CI 54–96%). Shallow sequencing of PJ is feasible. The presence of an 8q24 gain in PJ shows promise as a biomarker for the detection of PC. Further research is required with a larger sample size and consecutively collected samples in high-risk individuals prior to implementation in a surveillance cohort.
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spelling doaj.art-357257056d53474c97692775cb0fa6412023-11-17T11:29:02ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-03-01246509710.3390/ijms24065097An 8q24 Gain in Pancreatic Juice Is a Candidate Biomarker for the Detection of Pancreatic CancerIris J. M. Levink0Malgorzata I. Srebniak1Walter G. De Valk2Monique M. van Veghel-Plandsoen3Anja Wagner4Djuna L. Cahen5Gwenny M. Fuhler6Marco J. Bruno7Department of Gastroenterology & Hepatology, Erasmus MC, University Medical Center, 3015 GD Rotterdam, The NetherlandsDepartment of Clinical Genetics, Erasmus MC, University Medical Center, 3015 CN Rotterdam, The NetherlandsDepartment of Clinical Genetics, Erasmus MC, University Medical Center, 3015 CN Rotterdam, The NetherlandsDepartment of Clinical Genetics, Erasmus MC, University Medical Center, 3015 CN Rotterdam, The NetherlandsDepartment of Clinical Genetics, Erasmus MC, University Medical Center, 3015 CN Rotterdam, The NetherlandsDepartment of Gastroenterology & Hepatology, Erasmus MC, University Medical Center, 3015 GD Rotterdam, The NetherlandsDepartment of Gastroenterology & Hepatology, Erasmus MC, University Medical Center, 3015 GD Rotterdam, The NetherlandsDepartment of Gastroenterology & Hepatology, Erasmus MC, University Medical Center, 3015 GD Rotterdam, The NetherlandsSecretin-stimulated pancreatic juice (PJ), collected from the duodenum, presents a valuable biomarker source for the (earlier) detection of pancreatic cancer (PC). Here, we evaluate the feasibility and performance of shallow sequencing to detect copy number variations (CNVs) in cell-free DNA (cfDNA) from PJ for PC detection. First, we confirmed the feasibility of shallow sequencing in PJ (n = 4), matched plasma (n = 3) and tissue samples (n = 4, microarray). Subsequently, shallow sequencing was performed on cfDNA from PJ of 26 cases (25 sporadic PC, 1 high-grade dysplasia) and 19 controls with a hereditary or familial increased risk of PC. 40 of the 45 PJ samples met the quality criteria for cfDNA analysis. Nine individuals had an 8q24 gain (oncogene MYC; 23%; eight cases (33%) and one control (6%), <i>p</i> = 0.04); six had both a 2q gain (STAT1) and 5p loss (CDH10; 15%; four cases (7%) and two controls (13%), <i>p</i> = 0.72). The presence of an 8q24 gain differentiated the cases and controls, with a sensitivity of 33% (95% CI 16–55%) and specificity of 94% (95% CI 70–100%). The presence of either an 8q24 or 2q gain with a 5p loss was related to a sensitivity of 50% (95% CI 29–71%) and specificity of 81% (95% CI 54–96%). Shallow sequencing of PJ is feasible. The presence of an 8q24 gain in PJ shows promise as a biomarker for the detection of PC. Further research is required with a larger sample size and consecutively collected samples in high-risk individuals prior to implementation in a surveillance cohort.https://www.mdpi.com/1422-0067/24/6/5097cfDNAcopy number variantCNVliquid biopsyNIPT
spellingShingle Iris J. M. Levink
Malgorzata I. Srebniak
Walter G. De Valk
Monique M. van Veghel-Plandsoen
Anja Wagner
Djuna L. Cahen
Gwenny M. Fuhler
Marco J. Bruno
An 8q24 Gain in Pancreatic Juice Is a Candidate Biomarker for the Detection of Pancreatic Cancer
International Journal of Molecular Sciences
cfDNA
copy number variant
CNV
liquid biopsy
NIPT
title An 8q24 Gain in Pancreatic Juice Is a Candidate Biomarker for the Detection of Pancreatic Cancer
title_full An 8q24 Gain in Pancreatic Juice Is a Candidate Biomarker for the Detection of Pancreatic Cancer
title_fullStr An 8q24 Gain in Pancreatic Juice Is a Candidate Biomarker for the Detection of Pancreatic Cancer
title_full_unstemmed An 8q24 Gain in Pancreatic Juice Is a Candidate Biomarker for the Detection of Pancreatic Cancer
title_short An 8q24 Gain in Pancreatic Juice Is a Candidate Biomarker for the Detection of Pancreatic Cancer
title_sort 8q24 gain in pancreatic juice is a candidate biomarker for the detection of pancreatic cancer
topic cfDNA
copy number variant
CNV
liquid biopsy
NIPT
url https://www.mdpi.com/1422-0067/24/6/5097
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