Table 2 Detectable somatic mutations in circulating cell-free DNA (ccfDNA) from blood plasma compared to genomic DNA (gDNA) derived from the surgical tumour specimens utilising next-generation sequencing with a panel of 12 genes including BRAF, DDR2, ERBB2, HRAS, KEAP1, KRAS, NFE2L2, NRAS, PIK3CA, PTEN, RHOA and TP53 as well as digital droplet PCR. Measured allele frequencies are shown in %.

From: Somatic alterations in circulating cell-free DNA of oesophageal carcinoma patients during primary staging are indicative for post-surgical tumour recurrence

Case

estimated tumour cell content

mutational analysis gDNA

mutational analysis ccfDNA

NGS

ddPCR

NGS

ddPCR

1

40%

wildtype

not analysed

wildtype

not analysed

2

80%

TP53: c.818G > A p.R273H 37%

TP53: c.818G > A p.R273H 39%

wildtype

wildtype

3

10%

TP53: c.742C > T p.R248W 9%

TP53: c.742C > T p.R248W 10%

wildtype

wildtype

4

90%

TP53: c.401T > C p.F134S 58%

TP53: c.401T > C p.F134S 55%

wildtype

wildtype

5

70%

TP53: c.434delT p.L145Rfs*25 29%

TP53: c.434delT p.L145Rfs*25 48%

TP53: c.434delT p.L145Rfs*25 1%

TP53: c.434delT p.L145Rfs*25 1.1%

6

90%

RHOA: c.205C > G p.L69V 33%;

RHOA: not analysed;

wildtype

wildtype

PIK3CA: c.1633G > A p.E545K 42%

PIK3CA: c.1633G> Ap.E545K 42%

7

10%

wildtype

not analysed

wildtype

not analysed

8

10%

wildtype

not analysed

wildtype

not analysed

9

10%

TP53: c.733G > A p.G245S 17%

TP53: c.733G > A p.G245S 17%

wildtype

wildtype

10

2%

not analysed (low tumour content)

wildtype

not analysed

11

90%

TP53: c.734G > C p.G245A 72%

TP53: c.734G > C p.G245A 73%

TP53: c.734G > C p.G245A 1%

TP53: c.734G > C p.G245A 0.22%

12

80%

TP53: c.376–3C > G 71%

TP53: c.376–3C > G 72%

wildtype

TP53: c.376–3C > G 1.4%

13

80%

TP53: c.559 + 1G > A 49%

TP53: c.559 + 1G > A 75%

wildtype

wildtype

14

60%

TP53: c.818G > A p.R273H 14%

TP53: c.818G > A p.R273H 14%

wildtype

TP53: c.818G > A p.R273H 1.4%

15

2%

not analysed (low tumour content)

wildtype

not analysed

16

20%

TP53: c.818G > A p.R273H 16%; TP53: c.733G > A p.G245S 9%

TP53: c.818G > A p.R273H 16%; TP53: c.733G > A p.G245S 10%

wildtype

wildtype

17

90%

TP53: c.844C > T p.R282W 45%

TP53: c.844C > T p.R282W 47%

wildtype

TP53: c.844C > T p.R282W 0.25%

18

70%

wildtype

not analysed

wildtype

not analysed

19

30%

TP53: c.833C > T p.P278L 30%

TP53: c.833C > T p.P278L 31%

wildtype

wildtype

20

80%

TP53: c.844C > T p.R282W 63%

TP53: c.844C > T p.R282W 41%

wildtype

wildtype

21

90%

PIK3CA: c.1637A > C p.Q546P 30%

PIK3CA: c.1637A > C p.Q546P 31%

wildtype

PIK3CA: c.1637A > C p.Q546P 0.5%

22

40%

BRAF: c.1781A > G p.D594G 31%; TP53: c.614 A > T p.Y205F 35%

BRAF: c.1781A > G p.D594G 31%; TP53: not analysed

wildtype

wildtype

23

50%

KRAS: c.35G > C p.G12A 25%; KRAS: c.347A > G p.N116S 25%; PTEN: c.79 T > A p.Y27N 36%

KRAS: c.35G > C p.G12A 25%; KRAS: c.347A > G not analysed; PTEN: not analysed

wildtype

wildtype

24

70%

TP53: c.614A > C p.Y205S 36%; TP53: c.880G > T p.E294* 25%

TP53: c.614A > C p.Y205S 35%; TP53: c.880G > T not analysed

wildtype

wildtype

25

80%

ERBB2: c.2327G > T p.G776V 30%

ERBB2: c.2327G > T p.G776V 34%

wildtype

ERBB2: c.2327G > T p.G776V 0.2%

26

60%

TP53: c.743G > A p.R248Q 9%

TP53: c.743G > A p.R248Q 7%

wildtype

wildtype

27

80%

TP53: c.844C > T p.R282W 53%

TP53: c.844C > T p.R282W 52%

TP53: c.844C > T p.R282W 2.4%

TP53: c.844C > T p.R282W 3.5%

Positive Control:

M1

10% (in 2014)

PIK3CA: c.1624G > A p.E542K 5%

PIK3CA: c.1624G > A p.E542K 20%

PIK3CA: c.1624G > A p.E542K 14%

PIK3CA: c.1624G > A p.E542K 6%

  1. gDNA: genomic DNA, ccfDNA: circulating cell-free DNA, NGS: next-generation sequencing, ddPCR: digital droplet PCR.