Longitudinal monitoring of disease burden and response using ctDNA from dried blood spots in xenograft models

Abstract Whole‐genome sequencing (WGS) of circulating tumour DNA (ctDNA) is now a clinically important biomarker for predicting therapy response, disease burden and disease progression. However, the translation of ctDNA monitoring into vital preclinical PDX models has not been possible owing to low...

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Main Authors: Carolin M Sauer, Katrin Heider, Jelena Belic, Samantha E Boyle, James A Hall, Dominique‐Laurent Couturier, Angela An, Aadhitthya Vijayaraghavan, Marika AV Reinius, Karen Hosking, Maria Vias, Nitzan Rosenfeld, James D Brenton
Format: Article
Language:English
Published: Springer Nature 2022-06-01
Series:EMBO Molecular Medicine
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Online Access:https://doi.org/10.15252/emmm.202215729
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author Carolin M Sauer
Katrin Heider
Jelena Belic
Samantha E Boyle
James A Hall
Dominique‐Laurent Couturier
Angela An
Aadhitthya Vijayaraghavan
Marika AV Reinius
Karen Hosking
Maria Vias
Nitzan Rosenfeld
James D Brenton
author_facet Carolin M Sauer
Katrin Heider
Jelena Belic
Samantha E Boyle
James A Hall
Dominique‐Laurent Couturier
Angela An
Aadhitthya Vijayaraghavan
Marika AV Reinius
Karen Hosking
Maria Vias
Nitzan Rosenfeld
James D Brenton
author_sort Carolin M Sauer
collection DOAJ
description Abstract Whole‐genome sequencing (WGS) of circulating tumour DNA (ctDNA) is now a clinically important biomarker for predicting therapy response, disease burden and disease progression. However, the translation of ctDNA monitoring into vital preclinical PDX models has not been possible owing to low circulating blood volumes in small rodents. Here, we describe the longitudinal detection and monitoring of ctDNA from minute volumes of blood in PDX mice. We developed a xenograft Tumour Fraction (xTF) metric using shallow WGS of dried blood spots (DBS), and demonstrate its application to quantify disease burden, monitor treatment response and predict disease outcome in a preclinical study of PDX mice. Further, we show how our DBS‐based ctDNA assay can be used to detect gene‐specific copy number changes and examine the copy number landscape over time. Use of sequential DBS ctDNA assays could transform future trial designs in both mice and patients by enabling increased sampling and molecular monitoring.
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institution Kabale University
issn 1757-4676
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publishDate 2022-06-01
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series EMBO Molecular Medicine
spelling doaj-art-d7402f932e024ca29f08a4f9f317194b2025-08-20T03:43:01ZengSpringer NatureEMBO Molecular Medicine1757-46761757-46842022-06-0114811210.15252/emmm.202215729Longitudinal monitoring of disease burden and response using ctDNA from dried blood spots in xenograft modelsCarolin M Sauer0Katrin Heider1Jelena Belic2Samantha E Boyle3James A Hall4Dominique‐Laurent Couturier5Angela An6Aadhitthya Vijayaraghavan7Marika AV Reinius8Karen Hosking9Maria Vias10Nitzan Rosenfeld11James D Brenton12Cancer Research UK Cambridge Institute, University of CambridgeCancer Research UK Cambridge Institute, University of CambridgeCancer Research UK Cambridge Institute, University of CambridgeCancer Research UK Cambridge Institute, University of CambridgeCancer Research UK Cambridge Institute, University of CambridgeCancer Research UK Cambridge Institute, University of CambridgeCancer Research UK Cambridge Institute, University of CambridgeCancer Research UK Cambridge Institute, University of CambridgeCancer Research UK Cambridge Institute, University of CambridgeCancer Research UK Major Centre–Cambridge, University of CambridgeCancer Research UK Cambridge Institute, University of CambridgeCancer Research UK Cambridge Institute, University of CambridgeCancer Research UK Cambridge Institute, University of CambridgeAbstract Whole‐genome sequencing (WGS) of circulating tumour DNA (ctDNA) is now a clinically important biomarker for predicting therapy response, disease burden and disease progression. However, the translation of ctDNA monitoring into vital preclinical PDX models has not been possible owing to low circulating blood volumes in small rodents. Here, we describe the longitudinal detection and monitoring of ctDNA from minute volumes of blood in PDX mice. We developed a xenograft Tumour Fraction (xTF) metric using shallow WGS of dried blood spots (DBS), and demonstrate its application to quantify disease burden, monitor treatment response and predict disease outcome in a preclinical study of PDX mice. Further, we show how our DBS‐based ctDNA assay can be used to detect gene‐specific copy number changes and examine the copy number landscape over time. Use of sequential DBS ctDNA assays could transform future trial designs in both mice and patients by enabling increased sampling and molecular monitoring.https://doi.org/10.15252/emmm.202215729circulating tumour DNAcopy number aberrationsliquid biopsiesPDX modelspreclinical treatment study
spellingShingle Carolin M Sauer
Katrin Heider
Jelena Belic
Samantha E Boyle
James A Hall
Dominique‐Laurent Couturier
Angela An
Aadhitthya Vijayaraghavan
Marika AV Reinius
Karen Hosking
Maria Vias
Nitzan Rosenfeld
James D Brenton
Longitudinal monitoring of disease burden and response using ctDNA from dried blood spots in xenograft models
EMBO Molecular Medicine
circulating tumour DNA
copy number aberrations
liquid biopsies
PDX models
preclinical treatment study
title Longitudinal monitoring of disease burden and response using ctDNA from dried blood spots in xenograft models
title_full Longitudinal monitoring of disease burden and response using ctDNA from dried blood spots in xenograft models
title_fullStr Longitudinal monitoring of disease burden and response using ctDNA from dried blood spots in xenograft models
title_full_unstemmed Longitudinal monitoring of disease burden and response using ctDNA from dried blood spots in xenograft models
title_short Longitudinal monitoring of disease burden and response using ctDNA from dried blood spots in xenograft models
title_sort longitudinal monitoring of disease burden and response using ctdna from dried blood spots in xenograft models
topic circulating tumour DNA
copy number aberrations
liquid biopsies
PDX models
preclinical treatment study
url https://doi.org/10.15252/emmm.202215729
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