Limits...
Non-invasive Analysis of Genomic Copy Number Variation in Patients with Hepatocellular Carcinoma by Next Generation DNA Sequencing.

Xu H, Zhu X, Xu Z, Hu Y, Bo S, Xing T, Zhu K - J Cancer (2015)

Bottom Line: Plasma samples from 31 patients with HCC and 8 patients with chronic hepatitis or cirrhosis were analyzed.CNV Z score analysis showed significant CNVs in samples with HCC and chronic liver diseases although more significant changes were found in HCC group, some are differentially valuable (such as gain in 1q, 7q, and 19q in HCC), while others are less differentially valuable (such as loss in 4q, 13q, gain in 17q, 22q).Although CNV analysis itself cannot establish the diagnosis, it can help identify patients at high risk for HCC among patients with chronic liver diseases, which would prompt closer and more frequent surveillance for early tumor detection and intervention.

View Article: PubMed Central - PubMed

Affiliation: 1. Department of Infectious Diseases, Taizhou People's Hospital, Taizhou, Jiangsu, China.

ABSTRACT
To explore new molecular diagnosis approaches for early detection and differential diagnosis of hepatocellular carcinoma (HCC), we analyzed genomic copy number variations (CNV) using plasma cell-free DNA from patients with HCC by next generation DNA sequencing. Plasma samples from 31 patients with HCC and 8 patients with chronic hepatitis or cirrhosis were analyzed. In HCC group, most samples with large tumor size (tumor dimension greater than 50 mm) showed CNVs that are visually recognizable at chromosome CNV plots, few samples with small tumor and none samples with chronic liver diseases showed CNVs recognizable at CNV plots. CNV Z score analysis showed significant CNVs in samples with HCC and chronic liver diseases although more significant changes were found in HCC group, some are differentially valuable (such as gain in 1q, 7q, and 19q in HCC), while others are less differentially valuable (such as loss in 4q, 13q, gain in 17q, 22q). We proposed a CNV scoring method that generated positive result in 26 of the 31 HCC patients (83.9%) or 11 of the 16 HCC with tumor dimension 50 mm or less (68.8%) or 4 of the 7 HCC with tumor dimension 30 mm or less (57.1%), while all the 8 samples with chronic hepatitis or cirrhosis scored negative. Ten HCC patients had normal or low serum AFP levels, among them, 7 were scored positive by CNV analysis, including 4 with tumor dimension 50 mm or less. Our study suggested that non-invasive genomic CNV analysis using plasma samples could be a valuable tool for early detection and differential diagnosis of HCC. Although CNV analysis itself cannot establish the diagnosis, it can help identify patients at high risk for HCC among patients with chronic liver diseases, which would prompt closer and more frequent surveillance for early tumor detection and intervention.

No MeSH data available.


Related in: MedlinePlus

Correlation of CNV scores with tumor size. A. Scatter dot plot showing distribution of CNV scores and tumor size (length in mm). B. Average tumor size and CNV score in three different groups based on tumor size (<=30 mm, 31-60 mm, >60 mm), showing general trend of increase in CNV score with tumor size. Dots and error bars represent Means and SD of each group.
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4317760&req=5

Figure 3: Correlation of CNV scores with tumor size. A. Scatter dot plot showing distribution of CNV scores and tumor size (length in mm). B. Average tumor size and CNV score in three different groups based on tumor size (<=30 mm, 31-60 mm, >60 mm), showing general trend of increase in CNV score with tumor size. Dots and error bars represent Means and SD of each group.

Mentions: Gain in 1q, 7q, 19q, and loss in 1p, 9q, 14q meeting the criteria above seemingly carry some value in differential diagnosis. We then tried to score these sub-cytoband CNV changes: 2 points for each gain in 1q, or 7q, or 19q, 0.5 point for each loss in 1p, 9q, or 14q. After comparing scores in each sample in HCC and CH, CR groups, a threshold of 1.5 points was set for high risk for HCC (positive). In addition, a sample with any CNV that could be observed in the 150k per bin CNV plot was automatically considered as high risk for HCC, scored 4.0 points. With these scoring method, positive result (high risk for HCC) was found in 26 of the 31 HCC patients (83.9%) or 11 of the 16 HCC with tumor dimension 50 mm or less (68.8%) or 4 of the 7 HCC with tumor dimension 30 mm or less (57.1%), while all the 8 samples with CH or CR scored negative (Table 2, Table 3). Ten HCC patients had normal or low serum AFP levels, among them, 7 were scored positive by CNV analysis, including 4 with tumor dimension 50 mm or less (Table 2). The CNV scores showed poor correlation with tumor size in general (Fig. 3A). If patients were divided into three groups, with tumor size 30 mm or less, 31 - 60 mm, greater than 60 mm, it was found that CNV scores steadily increased with the increase of tumor size (Fig. 3B).


Non-invasive Analysis of Genomic Copy Number Variation in Patients with Hepatocellular Carcinoma by Next Generation DNA Sequencing.

Xu H, Zhu X, Xu Z, Hu Y, Bo S, Xing T, Zhu K - J Cancer (2015)

Correlation of CNV scores with tumor size. A. Scatter dot plot showing distribution of CNV scores and tumor size (length in mm). B. Average tumor size and CNV score in three different groups based on tumor size (<=30 mm, 31-60 mm, >60 mm), showing general trend of increase in CNV score with tumor size. Dots and error bars represent Means and SD of each group.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4317760&req=5

Figure 3: Correlation of CNV scores with tumor size. A. Scatter dot plot showing distribution of CNV scores and tumor size (length in mm). B. Average tumor size and CNV score in three different groups based on tumor size (<=30 mm, 31-60 mm, >60 mm), showing general trend of increase in CNV score with tumor size. Dots and error bars represent Means and SD of each group.
Mentions: Gain in 1q, 7q, 19q, and loss in 1p, 9q, 14q meeting the criteria above seemingly carry some value in differential diagnosis. We then tried to score these sub-cytoband CNV changes: 2 points for each gain in 1q, or 7q, or 19q, 0.5 point for each loss in 1p, 9q, or 14q. After comparing scores in each sample in HCC and CH, CR groups, a threshold of 1.5 points was set for high risk for HCC (positive). In addition, a sample with any CNV that could be observed in the 150k per bin CNV plot was automatically considered as high risk for HCC, scored 4.0 points. With these scoring method, positive result (high risk for HCC) was found in 26 of the 31 HCC patients (83.9%) or 11 of the 16 HCC with tumor dimension 50 mm or less (68.8%) or 4 of the 7 HCC with tumor dimension 30 mm or less (57.1%), while all the 8 samples with CH or CR scored negative (Table 2, Table 3). Ten HCC patients had normal or low serum AFP levels, among them, 7 were scored positive by CNV analysis, including 4 with tumor dimension 50 mm or less (Table 2). The CNV scores showed poor correlation with tumor size in general (Fig. 3A). If patients were divided into three groups, with tumor size 30 mm or less, 31 - 60 mm, greater than 60 mm, it was found that CNV scores steadily increased with the increase of tumor size (Fig. 3B).

Bottom Line: Plasma samples from 31 patients with HCC and 8 patients with chronic hepatitis or cirrhosis were analyzed.CNV Z score analysis showed significant CNVs in samples with HCC and chronic liver diseases although more significant changes were found in HCC group, some are differentially valuable (such as gain in 1q, 7q, and 19q in HCC), while others are less differentially valuable (such as loss in 4q, 13q, gain in 17q, 22q).Although CNV analysis itself cannot establish the diagnosis, it can help identify patients at high risk for HCC among patients with chronic liver diseases, which would prompt closer and more frequent surveillance for early tumor detection and intervention.

View Article: PubMed Central - PubMed

Affiliation: 1. Department of Infectious Diseases, Taizhou People's Hospital, Taizhou, Jiangsu, China.

ABSTRACT
To explore new molecular diagnosis approaches for early detection and differential diagnosis of hepatocellular carcinoma (HCC), we analyzed genomic copy number variations (CNV) using plasma cell-free DNA from patients with HCC by next generation DNA sequencing. Plasma samples from 31 patients with HCC and 8 patients with chronic hepatitis or cirrhosis were analyzed. In HCC group, most samples with large tumor size (tumor dimension greater than 50 mm) showed CNVs that are visually recognizable at chromosome CNV plots, few samples with small tumor and none samples with chronic liver diseases showed CNVs recognizable at CNV plots. CNV Z score analysis showed significant CNVs in samples with HCC and chronic liver diseases although more significant changes were found in HCC group, some are differentially valuable (such as gain in 1q, 7q, and 19q in HCC), while others are less differentially valuable (such as loss in 4q, 13q, gain in 17q, 22q). We proposed a CNV scoring method that generated positive result in 26 of the 31 HCC patients (83.9%) or 11 of the 16 HCC with tumor dimension 50 mm or less (68.8%) or 4 of the 7 HCC with tumor dimension 30 mm or less (57.1%), while all the 8 samples with chronic hepatitis or cirrhosis scored negative. Ten HCC patients had normal or low serum AFP levels, among them, 7 were scored positive by CNV analysis, including 4 with tumor dimension 50 mm or less. Our study suggested that non-invasive genomic CNV analysis using plasma samples could be a valuable tool for early detection and differential diagnosis of HCC. Although CNV analysis itself cannot establish the diagnosis, it can help identify patients at high risk for HCC among patients with chronic liver diseases, which would prompt closer and more frequent surveillance for early tumor detection and intervention.

No MeSH data available.


Related in: MedlinePlus