ctDNA ‘Liquid Biopsy’ could revolutionize cancer care

Source: www.medscape.com Author: Janis C. Kelly Bits of tumor cell somatic DNA shed into the circulation or released when cells die can now be detected and counted, thanks to advances in gene sequencing. This circulating tumor DNA (ctDNA) is derived from somatic mutations that occur in the tumor during an individual's life, unlike hereditary mutations that are present in every cell in the body, so ctDNA is a specific cancer biomarker that can be detected, measured, and tracked. Monitoring ctDNA is expected to provide clinicians with faster, cheaper, less invasive ways to assess cancer patients' clinical status and response to therapy. ctDNA assay for multiple genes via next-generation sequencing (NGS) might become a "liquid biopsy" alternative to invasive tissue biopsy, experts told Medscape Medical News. However, they also cautioned that rigorous testing of this concept is needed before the test can be used in practice, saying: "for now, we would counsel clinicians not to jump the gun on this. Faster, Cheaper, More Accurate Tumor Tests Paul B. Chapman, MD, a medical oncologist with the Melanoma and Sarcoma Service at Memorial Sloan Kettering Cancer Center in New York City and Chair of the Medical Advisory Panel at the Melanoma Research Alliance in Washington, DC, said that ctDNA assay is less invasive than biopsy, requires no radiation exposure, is relatively inexpensive, uses fresh DNA not exposed to preservatives, and allows near real-time monitoring of response to treatment. "The beauty of ctDNA monitoring is the speed," Dr Chapman said. "If you are looking [...]

2014-11-19T09:42:11-07:00November, 2014|Oral Cancer News|

Genetic Changes Outside Nuclear DNA suspected to trigger more than half of all cancers

Source: www.newswise.com Author: staff A buildup of chemical bonds on certain cancer-promoting genes, a process known as hypermethylation, is widely known to render cells cancerous by disrupting biological brakes on runaway growth. Now, Johns Hopkins scientists say the reverse process — demethylation — which wipes off those chemical bonds may also trigger more than half of all cancers. One potential consequence of the new research is that demethylating drugs now used to treat some cancers may actually cause new cancers as a side effect. “It’s much too early to say for certain, but some patients could be at risk for additional primary tumors, and we may find that they need a molecular profile of their cancer before starting demethylating therapy,” says Joseph Califano, M.D., professor of otolaryngology–head and neck surgery and oncology at Johns Hopkins. The findings, based on studies of normal and cancer cells from human mouth, nose and throat tissue, provide more evidence that important regulators of gene activity occur outside as well as inside DNA in a cell’s nucleus. “While cancer-causing and other mutations alter vital protein-making pathways by rewriting the gene’s DNA code, epigenetic changes affect genes without changing the code itself. The new studies tell us that such changes occur not only when methyl groups bond to a gene’s on-off switch, but also when they come unglued,” says Califano. Califano says sporadic reports of demethylation as a tool in activating cancer-promoting genes led his team to develop a systematic way to discover these epigenetic changes [...]

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