Review Article
Plasma Circulating Tumor DNA Levels for the Monitoring of Melanoma Patients: Landscape of Available Technologies and Clinical Applications
Table 1
Overview of techniques used for detection and quantification of plasma ctDNA for melanoma patients. PCR: polymerase chain reaction; AS-PCR: allele-specific PCR; ARMS: amplification refractory mutation system allele-specific PCR; MS-PCR: mutant-specific PCR with fluorescent detection; CastPCR: competitive allele-specific PCR; CTCs: circulating tumor cells; Bi-PAP: mutation-specific bidirectional pyrophosphorolysis-activated polymerization; ddPCR: droplet digital PCR; BEAMing: beads, emulsification, amplification, and magnetics; NGS: next generation sequencing; WES: whole exome sequencing.
| Method | Gene (mutation) | Analytical sensitivity (% of mutated copies) | References |
| Quantitative real-time clamp reverse transcription PCR | BRAF (p.V600E) | 0.001% | [17] |
| AS-PCR or ARMS | BRAF (p.V600E/K/D) | 0.1% | [3] |
| AS-PCR or ARMS | BRAF (p.V600E) | 0.3% | [18] |
| AS-PCR or ARMS | BRAF (p.V600E) | 0.25% | [9] |
| AS-PCR or ARMS | BRAF (p.V600E) | 2.0% | [19] |
| ARMS | BRAF (p.V600E) BRAF (p.V600D) BRAF (p.V600K) BRAF (p.V600R) | 1.82% 3.19% 4.34% 4.85% | [20] |
| MS-PCR | BRAF (p.V600E) | 0.01% | [21] |
| RT-PCR + restriction enzyme digestion | BRAF (p.V600E) | 0.1% | [22, 23] |
| ddPCR on DNA from CTC | BRAF (p.V600E) BRAF (p.V600K) | 0.0005% after WGA enrichment | [24] |
| CastPCR on DNA from CTC | BRAF (p.V600E) BRAF (p.V600K) | 0.1% after WGA enrichment | [24] |
| CastPCR | BRAF (p.V600E) | 0.5% | [25] |
| Bi-PAP | GNAQ (c.626A>T) GNAQ (c.626A>C) GNA11 (c.626A>T) | ~0.05% | [26, 27] |
| ddPCR | BRAF (p.V600E) | 0.005% | [28] |
| ddPCR | BRAF (p.V600E) BRAF (p.V600K) NRAS (p.Q61H) | 0.01% | [29] |
| ddPCR | BRAF (p.V600E) BRAF (p.V600K) NRAS (p.Q61K) NRAS (p.Q61R) | 0.01% | [30] |
| AS-PCR or ARMS | BRAF (p.V600E) | 0.005% | [18] |
| AS-PCR | BRAF (p.V600E/E2/D/K/R/M) | 0.01% | [31] |
| BEAMing technology | BRAF (p.V600E) BRAF (p.V600K) | | [32] |
| BEAMing technology | BRAF (p.V600E) NRAS (p.Q61K) NRAS (p.Q61R) | <0.01% | [33] |
| BEAMing technology | BRAF (p.V600E) BRAF (p.V600K) | 0.01% | [34] |
| PCR+NGS | TERT promoter | <0.1% | [33] |
| NGS (WES) | Exome | | [35] |
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