Mutation analysis in individual circulating tumor cells depicts intratumor heterogeneity in melanoma.
Circulating Tumor Cells
Heterogeneity
Melanoma
Tumor
Journal
EMBO molecular medicine
ISSN: 1757-4684
Titre abrégé: EMBO Mol Med
Pays: Germany
ID NLM: 101487380
Informations de publication
Date de publication:
19 Jun 2024
19 Jun 2024
Historique:
received:
12
09
2023
accepted:
14
05
2024
revised:
03
05
2024
medline:
20
6
2024
pubmed:
20
6
2024
entrez:
19
6
2024
Statut:
aheadofprint
Résumé
Circulating tumor DNA (ctDNA) is the cornerstone of liquid biopsy diagnostics, revealing clinically relevant genomic aberrations from blood of cancer patients. Genomic analysis of single circulating tumor cells (CTCs) could provide additional insights into intra-patient heterogeneity, but it requires whole-genome amplification (WGA) of DNA, which might introduce bias. Here, we describe a novel approach based on mass spectrometry for mutation detection from individual CTCs not requiring WGA and complex bioinformatics pipelines. After establishment of our protocol on tumor cell line-derived single cells, it was validated on CTCs of 33 metastatic melanoma patients and the mutations were compared to those obtained from tumor tissue and ctDNA. Although concordance with tumor tissue was superior for ctDNA over CTC analysis, a larger number of mutations were found within CTCs compared to ctDNA (p = 0.039), including mutations in melanoma driver genes, or those associated with resistance to therapy or metastasis. Thus, our results demonstrate proof-of-principle data that CTC analysis can provide clinically relevant genomic information that is not redundant to tumor tissue or ctDNA analysis.
Identifiants
pubmed: 38898234
doi: 10.1038/s44321-024-00082-6
pii: 10.1038/s44321-024-00082-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Deutsche Krebshilfe (German Cancer Aid)
ID : 70114705
Organisme : EC | ERC | HORIZON EUROPE European Research Council (ERC)
ID : 834974
Organisme : Bundesministerium für Bildung und Forschung (BMBF)
ID : 031B0843D
Organisme : Institut National de la Santé et de la Recherche Médicale (Inserm)
ID : Plan Cancer 2014-2019
Informations de copyright
© 2024. The Author(s).
Références
Abbosh C, Birkbak NJ, Wilson GA, Jamal-Hanjani M, Constantin T, Salari R, Le Quesne J, Moore DA, Veeriah S, Rosenthal R et al (2017) Phylogenetic ctDNA analysis depicts early-stage lung cancer evolution. Nature 545:446–451
pubmed: 28445469
pmcid: 5812436
doi: 10.1038/nature22364
Abbosh C, Frankell AM, Harrison T, Kisistok J, Garnett A, Johnson L, Veeriah S, Moreau M, Chesh A, Chaunzwa TL et al (2023) Tracking early lung cancer metastatic dissemination in TRACERx using ctDNA. Nature 616:553–562
pubmed: 37055640
pmcid: 7614605
doi: 10.1038/s41586-023-05776-4
Alix-Panabières C, Pantel K (2021) Liquid biopsy: from discovery to clinical application. Cancer Discov 11:858–873
pubmed: 33811121
doi: 10.1158/2159-8290.CD-20-1311
Asante D-B, Mohan GRKA, Acheampong E, Ziman M, Calapre L, Meniawy TM, Gray ES, Beasley AB (2023) Genetic analysis of heterogeneous subsets of circulating tumour cells from high grade serous ovarian carcinoma patients. Sci Rep 13:2552
pubmed: 36781954
pmcid: 9925814
doi: 10.1038/s41598-023-29416-z
Babayan A, Alawi M, Gormley M, Müller V, Wikman H, McMullin RP, Smirnov DA, Li W, Geffken M, Pantel K et al (2016) Comparative study of whole genome amplification and next generation sequencing performance of single cancer cells. Oncotarget 8:56066–56080
pubmed: 28915574
pmcid: 5593545
doi: 10.18632/oncotarget.10701
Belloum Y, Janning M, Mohme M, Simon R, Kropidlowski J, Sartori A, Irwin D, Westphal M, Lamszus K, Loges S et al (2020) Discovery of targetable genetic alterations in NSCLC patients with different metastatic patterns using a MassARRAY-based circulating tumor DNA assay. Cells 9:2337
pubmed: 33105541
pmcid: 7690267
doi: 10.3390/cells9112337
Braune J, Keller L, Schiller F, Graf E, Rafei-Shamsabadi D, Wehrle J, Follo M, Philipp U, Hussung S, Pfeifer D et al (2020) Circulating tumor DNA allows early treatment monitoring in BRAF- and NRAS-mutant malignant melanoma. JCO Precis Oncol 4:20–31
pubmed: 35050727
doi: 10.1200/PO.19.00174
Calapre L, Giardina T, Robinson C, Reid AL, Al‐Ogaili Z, Pereira MR, McEvoy AC, Warburton L, Hayward NK, Khattak MA et al (2019) Locus‐specific concordance of genomic alterations between tissue and plasma circulating tumor DNA in metastatic melanoma. Mol Oncol 13:171–184
pubmed: 30312528
doi: 10.1002/1878-0261.12391
Cani AK, Dolce EM, Darga EP, Hu K, Liu C-J, Pierce J, Bradbury K, Kilgour E, Aung K, Schiavon G et al (2022) Serial monitoring of genomic alterations in circulating tumor cells of ER-positive/HER2-negative advanced breast cancer: feasibility of precision oncology biomarker detection. Mol Oncol 16:1969–1985
pubmed: 34866317
doi: 10.1002/1878-0261.13150
Carter L, Rothwell DG, Mesquita B, Smowton C, Leong HS, Fernandez-Gutierrez F, Li Y, Burt DJ, Antonello J, Morrow CJ et al (2017) Molecular analysis of circulating tumor cells identifies distinct copy-number profiles in patients with chemosensitive and chemorefractory small-cell lung cancer. Nat Med 23:114–119
pubmed: 27869802
doi: 10.1038/nm.4239
Chang GA, Wiggins JM, Corless BC, Syeda MM, Tadepalli JS, Blake S, Fleming N, Darvishian F, Pavlick A, Berman R et al (2020) TERT, BRAF, and NRAS mutational heterogeneity between paired primary and metastatic melanoma tumors. J Invest Dermatol 140:1609–1618.e7
pubmed: 32087194
pmcid: 7387168
doi: 10.1016/j.jid.2020.01.027
Damsky WE, Curley DP, Santhanakrishnan M, Rosenbaum LE, Platt JT, Gould Rothberg BE, Taketo MM, Dankort D, Rimm DL, McMahon M et al (2011) β-catenin signaling controls metastasis in Braf-activated Pten-deficient melanomas. Cancer Cell 20:741–754
pubmed: 22172720
pmcid: 3241928
doi: 10.1016/j.ccr.2011.10.030
Diefenbach RJ, Lee JH, Menzies AM, Carlino MS, Long GV, Saw RPM, Howle JR, Spillane AJ, Scolyer RA, Kefford RF et al (2020) Design and testing of a custom melanoma next generation sequencing panel for analysis of circulating tumor DNA. Cancers 12:2228
pubmed: 32785074
pmcid: 7465941
doi: 10.3390/cancers12082228
Fernandez-Garcia D, Nteliopoulos G, Hastings RK, Rushton A, Page K, Allsopp RC, Ambasager B, Gleason K, Guttery DS, Ali S et al (2022) Shallow WGS of individual CTCs identifies actionable targets for informing treatment decisions in metastatic breast cancer. Br J Cancer 127:1858–1864
pubmed: 36088510
pmcid: 9643413
doi: 10.1038/s41416-022-01962-9
Gao Y, Maria A, Na N, da Cruz Paula A, Gorelick AN, Hechtman JF, Carson J, Lefkowitz RA, Weigelt B, Taylor BS et al (2019) V211D mutation in MEK1 causes resistance to MEK inhibitors in colon cancer. Cancer Discov 9:1182–1191
pubmed: 31227518
pmcid: 6726556
doi: 10.1158/2159-8290.CD-19-0356
Gorges K, Wiltfang L, Gorges TM, Sartori A, Hildebrandt L, Keller L, Volkmer B, Peine S, Babayan A, Moll I et al (2019) Intra-patient heterogeneity of circulating tumor cells and circulating tumor DNA in blood of melanoma patients. Cancers 11:E1685
doi: 10.3390/cancers11111685
Gray ES, Reid AL, Bowyer S, Calapre L, Siew K, Pearce R, Cowell L, Frank MH, Millward M, Ziman M (2015) Circulating melanoma cell subpopulations: their heterogeneity and differential responses to treatment. J Invest Dermatol 135:2040–2048
pubmed: 25830652
pmcid: 4504811
doi: 10.1038/jid.2015.127
Gray ES, Witkowski T, Pereira M, Calapre L, Herron K, Irwin D, Chapman B, Khattak MA, Raleigh J, Hatzimihalis A et al (2019) Genomic analysis of circulating tumor DNA using a melanoma-specific UltraSEEK oncogene panel. J Mol Diagn 21:418–426
pubmed: 30731208
doi: 10.1016/j.jmoldx.2018.12.001
Heidrich I, Deitert B, Werner S, Pantel K (2023) Liquid biopsy for monitoring of tumor dormancy and early detection of disease recurrence in solid tumors. Cancer Metastasis Rev 42:161–182
pubmed: 36607507
pmcid: 10014694
doi: 10.1007/s10555-022-10075-x
Heitzer E, Haque IS, Roberts CES, Speicher MR (2019) Current and future perspectives of liquid biopsies in genomics-driven oncology. Nat Rev Genet 20:71–88
pubmed: 30410101
doi: 10.1038/s41576-018-0071-5
Hvichia GE, Parveen Z, Wagner C, Janning M, Quidde J, Stein A, Müller V, Loges S, Neves RPL, Stoecklein NH et al (2016) A novel microfluidic platform for size and deformability based separation and the subsequent molecular characterization of viable circulating tumor cells. Int J Cancer 138:2894–2904
pubmed: 26789903
pmcid: 5069649
doi: 10.1002/ijc.30007
Hykin SM, Bi K, McGuire JA (2015) Fixing formalin: a method to recover genomic-scale DNA sequence data from formalin-fixed museum specimens using high-throughput sequencing. PLoS ONE 10:e0141579
pubmed: 26505622
pmcid: 4623518
doi: 10.1371/journal.pone.0141579
Karachaliou GS, Alkallas R, Carroll SB, Caressi C, Zakria D, Patel NM, Trembath DG, Ezzell JA, Pegna GJ, Googe PB et al (2022) The clinical significance of adenomatous polyposis coli (APC) and catenin Beta 1 (CTNNB1) genetic aberrations in patients with melanoma. BMC Cancer 22:38
pubmed: 34986841
pmcid: 8734243
doi: 10.1186/s12885-021-08908-z
Keller L, Belloum Y, Wikman H, Pantel K (2021) Clinical relevance of blood-based ctDNA analysis: mutation detection and beyond. Br J Cancer 124:345–358
pubmed: 32968207
doi: 10.1038/s41416-020-01047-5
Keller L, Pantel K (2019) Unravelling tumour heterogeneity by single-cell profiling of circulating tumour cells. Nat Rev Cancer 19:553–567
pubmed: 31455893
doi: 10.1038/s41568-019-0180-2
Khoja L, Lorigan P, Zhou C, Lancashire M, Booth J, Cummings J, Califano R, Clack G, Hughes A, Dive C (2012) Biomarker utility of circulating tumor cells in metastatic cutaneous melanoma. J Invest Dermatol 133:1582–1590
pubmed: 23223143
doi: 10.1038/jid.2012.468
Koch C, Joosse SA, Schneegans S, Wilken OJW, Janning M, Loreth D, Müller V, Prieske K, Banys-Paluchowski M, Horst LJ et al (2020) Pre-analytical and analytical variables of label-independent enrichment and automated detection of circulating tumor cells in cancer patients. Cancers 12:442
pubmed: 32069934
pmcid: 7072175
doi: 10.3390/cancers12020442
Lamy P-J, van der Leest P, Lozano N, Becht C, Duboeuf F, Groen HJM, Hilgers W, Pourel N, Rifaela N, Schuuring E et al (2020) Mass spectrometry as a highly sensitive method for specific circulating tumor DNA analysis in NSCLC: a comparison study. Cancers 12:3002
pubmed: 33081150
pmcid: 7602843
doi: 10.3390/cancers12103002
Liebs S, Eder T, Klauschen F, Schütte M, Yaspo M-L, Keilholz U, Tinhofer I, Kidess-Sigal E, Braunholz D (2021) Applicability of liquid biopsies to represent the mutational profile of tumor tissue from different cancer entities. Oncogene 40:5204–5212
pubmed: 34230613
pmcid: 8376638
doi: 10.1038/s41388-021-01928-w
Lin SY, Chang S-C, Lam S, Irene Ramos R, Tran K, Ohe S, Salomon MP, Bhagat AAS, Teck Lim C, Fischer TD et al (2020) Prospective molecular profiling of circulating tumor cells from patients with melanoma receiving combinatorial immunotherapy. Clin Chem 66:169–177
pubmed: 31672856
pmcid: 7193771
doi: 10.1373/clinchem.2019.307140
Lohr JG, Adalsteinsson VA, Cibulskis K, Choudhury AD, Rosenberg M, Cruz-Gordillo P, Francis JM, Zhang C-Z, Shalek AK, Satija R et al (2014) Whole-exome sequencing of circulating tumor cells provides a window into metastatic prostate cancer. Nat Biotechnol 32:479–484
pubmed: 24752078
pmcid: 4034575
doi: 10.1038/nbt.2892
Lucci A, Hall CS, Patel SP, Narendran B, Bauldry JB, Royal RE, Karhade M, Upshaw JR, Wargo JA, Glitza IC et al (2020) Circulating tumor cells and early relapse in node-positive melanoma. Clin Cancer Res 26:1886–1895
pubmed: 32015020
doi: 10.1158/1078-0432.CCR-19-2670
Massi D, Romano E, Rulli E, Merelli B, Nassini R, De Logu F, Bieche I, Baroni G, Cattaneo L, Xue G et al (2017) Baseline β-catenin, programmed death-ligand 1 expression and tumour-infiltrating lymphocytes predict response and poor prognosis in BRAF inhibitor-treated melanoma patients. Eur J Cancer 78:70–81
pubmed: 28412591
doi: 10.1016/j.ejca.2017.03.012
Morita K, Wang F, Jahn K, Hu T, Tanaka T, Sasaki Y, Kuipers J, Loghavi S, Wang SA, Yan Y et al (2020) Clonal evolution of acute myeloid leukemia revealed by high-throughput single-cell genomics. Nat Commun 11:5327
pubmed: 33087716
pmcid: 7577981
doi: 10.1038/s41467-020-19119-8
Mosko MJ, Nakorchevsky AA, Flores E, Metzler H, Ehrich M, van den Boom DJ, Sherwood JL, Nygren AOH (2016) Ultrasensitive detection of multiplexed somatic mutations using MALDI-TOF mass spectrometry. J Mol Diagn 18:23–31
pubmed: 26596526
doi: 10.1016/j.jmoldx.2015.08.001
Murtaza M, Dawson S-J, Pogrebniak K, Rueda OM, Provenzano E, Grant J, Chin S-F, Tsui DWY, Marass F, Gale D et al (2015) Multifocal clonal evolution characterized using circulating tumour DNA in a case of metastatic breast cancer. Nat Commun 6:8760
pubmed: 26530965
doi: 10.1038/ncomms9760
Odegaard JI, Vincent JJ, Mortimer S, Vowles JV, Ulrich BC, Banks KC, Fairclough SR, Zill OA, Sikora M, Mokhtari R et al (2018) Validation of a plasma-based comprehensive cancer genotyping assay utilizing orthogonal tissue- and plasma-based methodologies. Clin Cancer Res 24:3539–3549
pubmed: 29691297
doi: 10.1158/1078-0432.CCR-17-3831
Oulhen M, Pawlikowska P, Tayoun T, Garonzi M, Buson G, Forcato C, Manaresi N, Aberlenc A, Mezquita L, Lecluse Y et al (2021) Circulating tumor cell copy-number heterogeneity in ALK-rearranged non-small-cell lung cancer resistant to ALK inhibitors. NPJ Precis Oncol 5:67
pubmed: 34272470
pmcid: 8285416
doi: 10.1038/s41698-021-00203-1
Pailler E, Faugeroux V, Oulhen M, Mezquita L, Laporte M, Honoré A, Lecluse Y, Queffelec P, NgoCamus M, Nicotra C et al (2019) Acquired resistance mutations to ALK inhibitors identified by single circulating tumor cell sequencing in ALK-rearranged non-small-cell lung cancer. Clin Cancer Res 25:6671–6682
pubmed: 31439588
doi: 10.1158/1078-0432.CCR-19-1176
Paoletti C, Cani AK, Larios JM, Hovelson DH, Aung K, Darga EP, Cannell EM, Baratta PJ, Liu C-J, Chu D et al (2018) Comprehensive mutation and copy number profiling in archived circulating breast cancer tumor cells documents heterogeneous resistance mechanisms. Cancer Res 78:1110–1122
pubmed: 29233927
doi: 10.1158/0008-5472.CAN-17-2686
Parikh AR, Leshchiner I, Elagina L, Goyal L, Levovitz C, Siravegna G, Livitz D, Rhrissorrakrai K, Martin EE, Van Seventer EE et al (2019) Liquid versus tissue biopsy for detecting acquired resistance and tumor heterogeneity in gastrointestinal cancers. Nat Med 25:1415–1421
pubmed: 31501609
pmcid: 6741444
doi: 10.1038/s41591-019-0561-9
Pereira B, Chen CT, Goyal L, Walmsley C, Pinto CJ, Baiev I, Allen R, Henderson L, Saha S, Reyes S et al (2021) Cell-free DNA captures tumor heterogeneity and driver alterations in rapid autopsies with pre-treated metastatic cancer. Nat Commun 12:3199
pubmed: 34045463
pmcid: 8160338
doi: 10.1038/s41467-021-23394-4
Quach N, Goodman MF, Shibata D (2004) In vitro mutation artifacts after formalin fixation and error prone translesion synthesis during PCR. BMC Clin Pathol 4:1
pubmed: 15028125
pmcid: 368439
doi: 10.1186/1472-6890-4-1
Riethdorf S, Fritsche H, Müller V, Rau T, Schindlbeck C, Rack B, Janni W, Coith C, Beck K, Jänicke F et al (2007) Detection of circulating tumor cells in peripheral blood of patients with metastatic breast cancer: a validation study of the CellSearch system. Clin Cancer Res 13:920–928
pubmed: 17289886
doi: 10.1158/1078-0432.CCR-06-1695
Rossi T, Angeli D, Tebaldi M, Fici P, Rossi E, Rocca A, Palleschi M, Maltoni R, Martinelli G, Fabbri F et al (2022) Dissecting molecular heterogeneity of circulating tumor cells (CTCs) from metastatic breast cancer patients through copy number aberration (CNA) and single nucleotide variant (SNV) single cell analysis. Cancers 14:3925
pubmed: 36010918
pmcid: 9405921
doi: 10.3390/cancers14163925
Rothé F, Venet D, Peeters D, Rouas G, Rediti M, Smeets D, Dupont F, Campbell P, Lambrechts D, Dirix L et al (2022) Interrogating breast cancer heterogeneity using single and pooled circulating tumor cell analysis. NPJ Breast Cancer 8:79
pubmed: 35790747
pmcid: 9256697
doi: 10.1038/s41523-022-00445-7
Sakaizawa K, Goto Y, Kiniwa Y, Uchiyama A, Harada K, Shimada S, Saida T, Ferrone S, Takata M, Uhara H et al (2012) Mutation analysis of BRAF and KIT in circulating melanoma cells at the single cell level. Br J Cancer 106:939–946
pubmed: 22281663
pmcid: 3305957
doi: 10.1038/bjc.2012.12
Santiago-Walker A, Gagnon R, Mazumdar J, Casey M, Long GV, Schadendorf D, Flaherty K, Kefford R, Hauschild A, Hwu P et al (2016) Correlation of BRAF mutation status in circulating-free DNA and tumor and association with clinical outcome across four BRAFi and MEKi clinical trials. Clin Cancer Res 22:567–574
pubmed: 26446943
doi: 10.1158/1078-0432.CCR-15-0321
Spranger S, Bao R, Gajewski TF (2015) Melanoma-intrinsic β-catenin signalling prevents anti-tumour immunity. Nature 523:231–235
pubmed: 25970248
doi: 10.1038/nature14404
Weber S, Spiegl B, Perakis SO, Ulz CM, Abuja PM, Kashofer K, van der Leest P, Azpurua MA, Tamminga M, Brudzewsky D et al (2020) Technical evaluation of commercial mutation analysis platforms and reference materials for liquid biopsy profiling. Cancers 12:1588
pubmed: 32560092
pmcid: 7352370
doi: 10.3390/cancers12061588
Wong SQ, Raleigh JM, Callahan J, Vergara IA, Ftouni S, Hatzimihalis A, Colebatch AJ, Li J, Semple T, Doig K et al (2017) Circulating tumor DNA analysis and functional imaging provide complementary approaches for comprehensive disease monitoring in metastatic melanoma. JCO Precis Oncol 1:1–14
pubmed: 35172485
doi: 10.1200/PO.16.00009
Yu J, Gemenetzis G, Kinny-Köster B, Habib JR, Groot VP, Teinor J, Yin L, Pu N, Hasanain A, van Oosten F et al (2020) Pancreatic circulating tumor cell detection by targeted single-cell next-generation sequencing. Cancer Lett 493:245–253
pubmed: 32896616
doi: 10.1016/j.canlet.2020.08.043
Zeng H, Jorapur A, Shain AH, Lang UE, Torres R, Zhang Y, McNeal AS, Botton T, Lin J, Donne M et al (2018) Bi-allelic loss of CDKN2A initiates melanoma invasion via BRN2 activation. Cancer Cell 34:56–68.e9
pubmed: 29990501
pmcid: 6084788
doi: 10.1016/j.ccell.2018.05.014