Stringent Base Specific and Optimization-Free Multiplex Mediator Probe ddPCR for the Quantification of Point Mutations in Circulating Tumor DNA

There is an increasing demand for optimization-free multiplex assays to rapidly establish comprehensive target panels for cancer monitoring by liquid biopsy. We present the mediator probe (MP) PCR for the quantification of the seven most frequent point mutations and corresponding wild types (<i&g...

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Main Authors: Franziska Schlenker, Elena Kipf, Max Deuter, Inga Höffkes, Michael Lehnert, Roland Zengerle, Felix von Stetten, Florian Scherer, Julius Wehrle, Nikolas von Bubnoff, Peter Juelg, Tobias Hutzenlaub, Nadine Borst
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Cancers
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Online Access:https://www.mdpi.com/2072-6694/13/22/5742
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author Franziska Schlenker
Elena Kipf
Max Deuter
Inga Höffkes
Michael Lehnert
Roland Zengerle
Felix von Stetten
Florian Scherer
Julius Wehrle
Nikolas von Bubnoff
Peter Juelg
Tobias Hutzenlaub
Nadine Borst
author_facet Franziska Schlenker
Elena Kipf
Max Deuter
Inga Höffkes
Michael Lehnert
Roland Zengerle
Felix von Stetten
Florian Scherer
Julius Wehrle
Nikolas von Bubnoff
Peter Juelg
Tobias Hutzenlaub
Nadine Borst
author_sort Franziska Schlenker
collection DOAJ
description There is an increasing demand for optimization-free multiplex assays to rapidly establish comprehensive target panels for cancer monitoring by liquid biopsy. We present the mediator probe (MP) PCR for the quantification of the seven most frequent point mutations and corresponding wild types (<i>KRAS</i> and <i>BRAF</i>) in colorectal carcinoma. Standardized parameters for the digital assay were derived using design of experiments. Without further optimization, the limit of detection (LoD) was determined through spiking experiments with synthetic mutant DNA in human genomic DNA. The limit of blank (LoB) was measured in cfDNA plasma eluates from healthy volunteers. The 2-plex and 4-plex MP ddPCR assays showed a LoB of 0 copies/mL except for 4-plex <i>KRAS</i> G13D (9.82 copies/mL) and 4-plex <i>BRAF</i> V600E (16.29 copies/mL) and allele frequencies of 0.004% ≤ LoD ≤ 0.38% with R<sup>2</sup> ≥ 0.98. The quantification of point mutations in patient plasma eluates (18 patients) during follow-up using the 4-plex MP ddPCR showed a comparable performance to the reference assays. The presented multiplex assays need no laborious optimization, as they use the same concentrations and cycling conditions for all targets. This facilitates assay certification, allows a fast and flexible design process, and is thus easily adaptable for individual patient monitoring.
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spelling doaj.art-facbddc1b3114a928e035a7c1228b7302023-11-22T22:42:39ZengMDPI AGCancers2072-66942021-11-011322574210.3390/cancers13225742Stringent Base Specific and Optimization-Free Multiplex Mediator Probe ddPCR for the Quantification of Point Mutations in Circulating Tumor DNAFranziska Schlenker0Elena Kipf1Max Deuter2Inga Höffkes3Michael Lehnert4Roland Zengerle5Felix von Stetten6Florian Scherer7Julius Wehrle8Nikolas von Bubnoff9Peter Juelg10Tobias Hutzenlaub11Nadine Borst12Hahn-Schickard, Georges-Koehler-Allee 103, 79110 Freiburg, GermanyHahn-Schickard, Georges-Koehler-Allee 103, 79110 Freiburg, GermanyDepartment of Medicine I, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, 79106 Freiburg, GermanyHahn-Schickard, Georges-Koehler-Allee 103, 79110 Freiburg, GermanyHahn-Schickard, Georges-Koehler-Allee 103, 79110 Freiburg, GermanyHahn-Schickard, Georges-Koehler-Allee 103, 79110 Freiburg, GermanyHahn-Schickard, Georges-Koehler-Allee 103, 79110 Freiburg, GermanyDepartment of Medicine I, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, 79106 Freiburg, GermanyDepartment of Medicine I, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, 79106 Freiburg, GermanyDepartment of Medicine I, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, 79106 Freiburg, GermanyHahn-Schickard, Georges-Koehler-Allee 103, 79110 Freiburg, GermanyHahn-Schickard, Georges-Koehler-Allee 103, 79110 Freiburg, GermanyHahn-Schickard, Georges-Koehler-Allee 103, 79110 Freiburg, GermanyThere is an increasing demand for optimization-free multiplex assays to rapidly establish comprehensive target panels for cancer monitoring by liquid biopsy. We present the mediator probe (MP) PCR for the quantification of the seven most frequent point mutations and corresponding wild types (<i>KRAS</i> and <i>BRAF</i>) in colorectal carcinoma. Standardized parameters for the digital assay were derived using design of experiments. Without further optimization, the limit of detection (LoD) was determined through spiking experiments with synthetic mutant DNA in human genomic DNA. The limit of blank (LoB) was measured in cfDNA plasma eluates from healthy volunteers. The 2-plex and 4-plex MP ddPCR assays showed a LoB of 0 copies/mL except for 4-plex <i>KRAS</i> G13D (9.82 copies/mL) and 4-plex <i>BRAF</i> V600E (16.29 copies/mL) and allele frequencies of 0.004% ≤ LoD ≤ 0.38% with R<sup>2</sup> ≥ 0.98. The quantification of point mutations in patient plasma eluates (18 patients) during follow-up using the 4-plex MP ddPCR showed a comparable performance to the reference assays. The presented multiplex assays need no laborious optimization, as they use the same concentrations and cycling conditions for all targets. This facilitates assay certification, allows a fast and flexible design process, and is thus easily adaptable for individual patient monitoring.https://www.mdpi.com/2072-6694/13/22/5742mediator probe PCRdigital PCRmultiplex PCRoptimization-freecolorectal carcinomastandardized universal reporter
spellingShingle Franziska Schlenker
Elena Kipf
Max Deuter
Inga Höffkes
Michael Lehnert
Roland Zengerle
Felix von Stetten
Florian Scherer
Julius Wehrle
Nikolas von Bubnoff
Peter Juelg
Tobias Hutzenlaub
Nadine Borst
Stringent Base Specific and Optimization-Free Multiplex Mediator Probe ddPCR for the Quantification of Point Mutations in Circulating Tumor DNA
Cancers
mediator probe PCR
digital PCR
multiplex PCR
optimization-free
colorectal carcinoma
standardized universal reporter
title Stringent Base Specific and Optimization-Free Multiplex Mediator Probe ddPCR for the Quantification of Point Mutations in Circulating Tumor DNA
title_full Stringent Base Specific and Optimization-Free Multiplex Mediator Probe ddPCR for the Quantification of Point Mutations in Circulating Tumor DNA
title_fullStr Stringent Base Specific and Optimization-Free Multiplex Mediator Probe ddPCR for the Quantification of Point Mutations in Circulating Tumor DNA
title_full_unstemmed Stringent Base Specific and Optimization-Free Multiplex Mediator Probe ddPCR for the Quantification of Point Mutations in Circulating Tumor DNA
title_short Stringent Base Specific and Optimization-Free Multiplex Mediator Probe ddPCR for the Quantification of Point Mutations in Circulating Tumor DNA
title_sort stringent base specific and optimization free multiplex mediator probe ddpcr for the quantification of point mutations in circulating tumor dna
topic mediator probe PCR
digital PCR
multiplex PCR
optimization-free
colorectal carcinoma
standardized universal reporter
url https://www.mdpi.com/2072-6694/13/22/5742
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