Prognostic and predictive role of liquid biopsy in lung cancer patients

dc.authorid0000-0002-0675-1839
dc.contributor.authorGöksel, Tuncay
dc.contributor.authorÖzgür, Su
dc.contributor.authorTetik Vardarlı, Aslı
dc.contributor.authorKoç, Altuğ
dc.contributor.authorSoydaner Karakuş, Haydar
dc.contributor.authorÖzdemir, Taha Reşid
dc.contributor.authorErdoğan, Kadri Murat
dc.contributor.authorAldağ, Ceyda
dc.contributor.authorVeral, Ali
dc.contributor.authorBaşbınar, Yasemin
dc.date.accessioned2024-02-21T11:05:09Z
dc.date.available2024-02-21T11:05:09Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Tıbbi Biyokimya Ana Bilim Dalı
dc.description.abstractIntroduction Lung cancer (LC) is a leading cause of cancer-related mortality worldwide. Approximately 80% of LC cases are of the non-small cell lung cancer (NSCLC) type, and approximately two-thirds of these cases are diagnosed in advanced stages. Only systemic treatment methods can be applied to patients in the advanced stages when there is no chance of surgical treatment. Identification of mutations that cause LC is of vital importance in determining appropriate treatment methods. New noninvasive methods are needed to repeat and monitor these molecular analyses. In this regard, liquid biopsy (LB) is the most promising method. This study aimed to determine the effectiveness of LB in detecting EGFR executive gene mutations that cause LC.Methods One hundred forty-six patients in stages IIIB and IV diagnosed with non-squamous cell non-small cell LC were included. Liquid biopsy was performed as a routine procedure in cases where no mutation was detected in solid tissue or in cases with progression after targeted therapy. Liquid biopsy samples were also obtained for the second time from 10 patients who showed progression under the applied treatment. Mutation analyses were performed using the Cobas (R) EGFR Test, a real-time PCR test designed to detect mutations in exons 18, 20, and 21 and changes in exon 19 of the EGFR gene.Results Mutation positivity in paraffin blocks was 21.9%, whereas it was 32.2% in LB. Solids and LB were compatible in 16 patients. Additionally, while no mutation was found in solid tissue in the evaluation of 27 cases, it was detected in LB. It has been observed that new mutations can be detected not only at the time of diagnosis, but also in LB samples taken during the follow-up period, leading to the determination of targeted therapy.Discussion The results showed that "liquid biopsy" is a successful and alternative non-invasive method for detecting cancer-causing executive mutations, given the limitations of conventional biopsies.
dc.identifier.citationGöksel, T., Özgür, S., Tetik Vardarlı, A., Koç, A., Soydaner Karakuş, H., Özdemir, T. R. ... Başbınar, Y. (2024). Prognostic and predictive role of liquid biopsy in lung cancer patients. Frontiers in Oncology, 13. https://dx.doi.org/10.3389/fonc.2023.1275525
dc.identifier.doi10.3389/fonc.2023.1275525
dc.identifier.issn2234-943X
dc.identifier.pmid38304031
dc.identifier.scopus2-s2.0-85183907999
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://dx.doi.org/10.3389/fonc.2023.1275525
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12297
dc.identifier.volume13
dc.identifier.wos001153657700001en_US
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorYiğitbaşı, Türkan
dc.language.isoen
dc.publisherFrontiers Media SA
dc.relation.ispartofFrontiers in Oncologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectLung Cancer
dc.subjectLiquid Biopsy
dc.subjectMutation
dc.subjectEGFR
dc.subjectReal Time PCR
dc.titlePrognostic and predictive role of liquid biopsy in lung cancer patients
dc.typeArticle

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