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Mol Oncol. 2021 Dec 06; doi: 10.1002/1878-0261.13150. Epub 2021 Dec 06.

Serial monitoring of genomic alterations in circulating tumor cells of ER-positive/HER2-negative advanced breast cancer: feasibility of precision oncology biomarker detection.

Molecular oncology

Andi K Cani, Emily M Dolce, Elizabeth P Darga, Kevin Hu, Chia-Jen Liu, Jackie Pierce, Kieran Bradbury, Elaine Kilgour, Kimberly Aung, Gaia Schiavon, Danielle Carroll, T Hedley Carr, Teresa Klinowska, Justin Lindemann, Gayle Marshall, Vicky Rowlands, Elizabeth A Harrington, J Carl Barrett, Nitharsan Sathiyayogan, Christopher Morrow, Valeria Sero, Anne C Armstrong, Richard Baird, Erika Hamilton, Seock-Ah Im, Komal Jhaveri, Manish R Patel, Caroline Dive, Scott A Tomlins, Aaron M Udager, Daniel F Hayes, Costanza Paoletti

Affiliations

  1. Division of Hematology and Oncology, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.
  2. Rogel Cancer Center, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
  3. Department of Pathology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
  4. Michigan Center for Translational Pathology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
  5. Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA.
  6. Cancer Research UK, Manchester Institute Cancer Biomarker Centre, University of Manchester, UK.
  7. Research and Early Development, Oncology R&D, AstraZeneca, Cambridge, UK.
  8. Late Development, Oncology R&D, AstraZeneca, Cambridge, UK.
  9. Research and Early Development, Oncology R&D, AstraZeneca, Waltham, MA, USA.
  10. Menarini Silicon Biosystems, Inc., San Diego, CA, USA.
  11. Department of Medical Oncology, The Christie NHS Foundation Trust and the Faculty of Biology, Medicine and Health, The University of Manchester, UK.
  12. Breast Cancer and Early Phase Clinical Trials Teams, Cancer Research UK, Cambridge Centre, UK.
  13. Sarah Cannon Research Institute/Tennessee Oncology, PLLC, Nashville, TN, USA.
  14. Department of Internal Medicine, Seoul National University Hospital, Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
  15. Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  16. Sarah Cannon Research Institute/Florida Cancer Specialists, Sarasota, FL, USA.

PMID: 34866317 DOI: 10.1002/1878-0261.13150

Abstract

Nearly all estrogen receptor (ER)-positive (POS) metastatic breast cancers become refractory to endocrine (ET) and other therapies, leading to lethal disease presumably due to evolving genomic alterations. Timely monitoring of the molecular events associated with response/progression by serial tissue biopsies is logistically difficult. Use of liquid biopsies, including circulating tumor cells (CTC) and circulating tumor DNA (ctDNA), might provide highly informative, yet easily obtainable, evidence for better precision oncology care. Although ctDNA profiling has been well investigated, the CTC precision oncology genomic landscape and the advantages it may offer over ctDNA in ER-POS breast cancer remain largely unexplored. Whole-blood (WB) specimens were collected at serial time points from patients with advanced ER-POS/HER2-negative (NEG) advanced breast cancer in a phase I trial of AZD9496, an oral selective ER degrader (SERD) ET. Individual CTC were isolated from WB using tandem CellSearch

© 2021 The Authors. Molecular Oncology published by John Wiley & Sons Ltd on behalf of Federation of European Biochemical Societies.

Keywords: circulating tumor DNA; circulating tumor cells; liquid biopsy; precision medicine; tumor evolution; tumor heterogeneity

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