Dysregulation of pdgfra has been reported in many cancers. To identify mutations in plateletderived growth factor receptor alpha pdgfra gene seen in a subset of gastrointestinal stromal tumors gist which can help confirm the diagnosis of gist and are useful for therapeutic planning. Pdgfra mutation analysis test detail quest diagnostics. Expression, mutation and copy number analysis of platelet. Molecular diagnostics lab tests pdgfra mutation analysis. In decreasing frequency, these mutations are seen in exons 11, 9, and 17 for kit gene, and in exons 18, 12 and 14 for pdgfra gene 3,12. The fip1l1pdgfra fusion gene was subsequently detected in 9 of 16 patients with the syndrome and in 5 of the 9 patients with responses to imatinib that lasted more than three months. However, pdgfra mutations in melanomas have not been well studied. Here we report whole exome sequencing wes analysis of two gists harboring the iminsensitive pdgfra d842v mutation. They expressed pdgfr proteins at a level similar to wild type or slightly reduced in the case of ar k.
The changes in mutant program are kept extremely small, so it does not affect the overall objective of the. Pdgfra exon 18, mutation analysis asante lab test catalog. Use of ckit pdgfra mutational analysis to predict the clinical response to imatinib in patients with advanced gastrointestinal stromal tumors entered on phase i and ii studies of the eortc soft tissue and bone sarcoma group. The pdgfra gene provides instructions for making a protein called plateletderived growth factor receptor alpha pdgfra, which is part of a family of proteins called receptor tyrosine kinases rtks. Kit exons 9, 11, and 17 and pdgfra exons 12 and 18 were sequenced centrally during the study using conventional sequencing.
Germline kit or pdgfra mutations are rare and their clinical relevance has been described in more detail in clinical references 2 and 3. Pdgfra is the candidate driver mutation, the objective of the current study was to identify and characterize other genetic variants that may contribute to disease pathogenesis, phenotype, or clinical outcome by screening a set of myeloid disease. Pdgfra mutation analysis mutations in the pdgfra gene are found in 58% of gastrointestinal stromal tumors gists, especially in the 4050% of kit wild type gists. Bidirectional sequencing of exons 12 and 18 of the pdgfra plateletderived growth factor alpha gene. This test is performed by pcrbased sanger sequencing of dna to examine the mutation status of exon 18 of pdgfra. Testing of a peripheral blood specimen from this individual would be required to distinguish a germline from a somatic mutation. Jul 02, 2015 analysis of mutation of the ckit gene and pdgfra in gastrointestinal stromal tumors chunwei xu, 1, shan lin, 2, wulong wang, 3 wenbin gao, 2 jinyan lv, 2 jingshan gao, 4 liying zhang, 1 yang li, 5 lin wang, 6 yuping zhang, 7 and yuwang tian 1. Detection of tki resistance mutations such as t790m in patients being treated with a tki is useful for planning alternate treatment. Crenaive pdgfra flpflp ar flpflp, pdgfrb flpflp br flpflp, and pdgfra k. B and c thick section wat of the indicated genotypes with tomato labeling of adventitial fibroblasts and. The software should be easy to use good ui since im not a hardcore bioinformatic person and should offer crucial information hassle free snp or mutation in standard annotation, protein. May 23, 2011 the results of the mutational analysis performed on 37 tumor specimens showed a further correlation between certain mutations and their response to imatinib. Mutation analysis of kit and pdgfra was not required for study entry.
Genewizs mutation analysis service helps scientists ramp up mutation detection in coding exons, enabling scientists to quickly analyze and identify mutations that may affect the function of their gene of interest. Test code pdg18 pdgfra exon 18, mutation analysis advisory information. Somatic mutational spectrum analysis in a prospective series of 104. Jan 01, 2010 we also found that the sites of mutation in ckit and pdgfra correlated with specific anatomic sites, as previously described in the literature. Pdgfra exon 18, mutation analysis lima memorial health. Succinate dehydrogenase deficiency in a pdgfra mutated gist. Continuous data such as age and thickness were described using means sd for. In total, 93 patients with a gist were included in the study, in which polymerase chain reaction amplification and gene sequencing were used to detect the sequences of exons 9, 11, and 17 in kit and exons 12 and 18 in pdgfra. Kit and pdgfra mutations are deviations from the normal genetic blueprint that is defined in the genetic material dna of a cell. Pdgfra exon 14, mutation analysis asante lab test catalog.
The role of mutational analysis of kit and pdgfra in. The results of the mutational analysis performed on 37 tumor specimens showed a further correlation between certain mutations and their response to imatinib. Abstractgastrointestinal stromal tumors gist are the most common mesenchymal tumors of the. Exon 15 of pdgfra was amplified with primers pdgfra f14 and.
Pdgfra exon 12, mutation analysis specimen type varies advisory information. Kit and pdgfra mutations analysis by direct sequencing. The cancer genome atlas network recently cataloged recurrent genomic abnormalities in glioblastoma multiforme gbm. Mutations in the pdgfra gene may induce activation of constitutive. Mutational analysis of ckit or pdgfra has become an important laboratory assay for patients with gastrointestinal stromal tumors gists because the results are useful in predicting the responsiveness to imatinib. We describe a robust gene expressionbased molecular classification of gbm into proneural, neural, classical, and mesenchymal subtypes and integrate multidimensional genomic data to establish patterns of somatic mutations and dna copy.
In total, 93 patients with a gist were included in the study, in which polymerase chain reaction amplification and gene sequencing were used to detect the sequences of exons 9, 11, and 17 in kit and exons 12. Identification of key genes and associated pathways in kitpdgfra. The fip1l1 pdgfra fusion gene was subsequently detected in 9 of 16 patients with the syndrome and in 5 of the 9 patients with responses to imatinib that lasted more than three months. To identify mutations in plateletderived growth factor receptor alpha pdgfra gene seen in a subset of gastrointestinal. Mutant pdgfra has been implicated in the pathogenesis of a number of cancers.
What is the best mutation analysis software to analyse. Apr 29, 2020 mutation testing is a type of software testing where we mutate change certain statements in the source code and check if the test cases are able to find the errors. Mutations were numbered according to genbank sequences x06182 for kit and nm006206 for pdgfra sp33, sp34, and sp35 are from patients affected by neurofibromatosis type 1 syndrome. Pdgfra exon 12, mutation analysis northwell health. Correlation of kit and pdgfra mutational status with. Analysis of mutation of the ckit gene and pdgfra in. Each operator is a pattern for a small syntactic change. Genomic dna is extracted using either a phenolchloroform method or the qiaamp dna ffpe tissue kit qiagen. This mutational analysis can be used in concert with the existing mutational analysis test for kit exons 9 and 11. Mutation analysis 23 is a method for developing sets of test cases which are sensitive to small syntactic structural changes. For mutation analysis of the fip1l1 pdgfra fusion gene in patient 5, the gene was amplified with primers fip1l1f5 and pdgfra r12. These exons are mutation hotspots that account for the majority of pdgfra mutations detected in gastrointestinal stromal tumors gists including the common tkiresistance mutation d842v. Use of ckitpdgfra mutational analysis to predict the clinical response to imatinib in patients with advanced gastrointestinal stromal tumors entered on phase i and ii studies of the eortc soft tissue and bone sarcoma group.
This receptor binds to certain isoforms of plateletderived growth factors pdgfs and thereby becomes active in stimulating cell signaling. Because most gist mutations are deletionsinsertions, we used a microfluidic apparatus to detect these size variations in polymerase chain reactionamplified dna. Mutational analysis of ckit or pdgfra has become an important. Fip1l1 pdgfra is an abnormal gene sequence that causes excessive growth of eosinophils, a type of white blood cell. Receptor tyrosine kinases transmit signals from the cell surface into the cell through a process called signal transduction. The paraffinembedded tissue is macroscopically examined and the tumorrich portion is dissected, deparaffinized, lysed, and digested. We analyzed the genetic mutations of pdgfra in chinese patients with melanoma. The aim of the present study was to investigate mutation status of the ckit gene kit and pdgfra in patients with a gastrointestinal stromal tumor gist. Pdgfra mutations also have been described in synovial sarcomas sss and malignant peripheral nerve sheath tumors mpnst. Largescale analysis of pdgfra mutations in melanomas and. Mutation data were analyzed by massarray typer analyzer.
Certain mutations can cause a cell to become malignant and thus cause cancer, as is the case in gist. A positive control and negative control water were included in each assay. Pdgfra mutations are mutually exclusive with ckit mutations but active similar signal transduction pathways that support gist oncogenesis. Gastrointestinal stromal tumors gists, pdgfra mutation. The results are interpreted and reported by a working group pathologist. For mutation analysis of the fip1l1pdgfra fusion gene in patient 5, the gene was amplified with primers fip1l1f5 and pdgfrar12. This is not appropriate for evaluation of hypereosinophilic syndrome hes and systemic mast cell disease involving the fip1l1pdgfra fusion. Pdgfra exon 14, mutation analysis saint francis healthcare. Pdgfra exon 18, mutation analysis duke university hospital. In four cases, a mutation was detected in exon 18 of pdgfra, of which one was associated with.
Egfr mutation analysis is recommended in nonsmall cell lung carcinoma nsclc to detect mutations commonly l858r and exon 19 deletions associated with increased sensitivity to egfr tyrosine kinase inhibitors. Special stains performed outside mayo clinic laboratories and included with the case may. A total of 141 gists were subject to mutation analysis of kit exons 9, 11, and 17 and pdgfra exons 12 and 18 using pcr amplification and direct sequencing. For example, mutations are found in gastrointestinal stromal tumors gist. Some patients with gastrointestinal stromal tumors gist bearing pdgfra mutations have benefited from molecular therapeutic agents 21.
Of the 37 tumors, 24 had a kit exon 11 mutation, four had a kit exon 9 mutation, one had a kit exon mutation and two had a pdgfra exon 18 mutation. Pdgfra exon 12, mutation analysis mayo clinic laboratories. A tyrosine kinase created by fusion of the pdgfra and. Testing requested by referring physician may not be performed if deemed unnecessary by mayo clinic pathologist. Characterizing mutations is an important technique in the molecular biologists toolbox. Controls are run with each specimen to assess possible contamination issues and overall test performance. In four cases, a mutation was detected in exon 18 of pdgfra, of which one.
Prognostic relevance of kit and pdgfra mutations in. Pdgfra is a target for tyrosine kinase inhibitor tkibased targeted therapy. Cluster of differentiation 140a, is a receptor located on the surface of a wide range of cell types. Molecular diagnostics lab tests pdgfra mutation analysis md.
A tyrosine kinase created by fusion of the pdgfra and fip1l1. The sequencing chromatograms are analyzed by manual and software methods and the presence or absence of a pdgfra exon 18 mutation is determined. Pdgfra exon 12, mutation analysis essentia health laboratories. This receptor binds to certain isoforms of plateletderived growth factors pdgfs and thereby becomes active in stimulating cell signaling pathways. The gene view histogram is a graphical view of mutations across pdgfra. Eosinophils are part of the bodys immune response and can be elevated in the blood with different diseases and conditions.
Pcrsscp analysis for pdgfra gene mutations in exons 12, 18 and 23 produced optimal results in 86 cases, 30 of which were pdgfrapositive tumours. Nct01459757 was designed as a noninterventional, retrospective analysis of kitpdgfra mutation status data from an international openlabel nonrandomized, openlabel treatmentuse trial, study 1036 nct00094029, which provided access to sunitinib. Specification mutation for test generation and analysis. These exons are mutation hotspots that account for the majority of pdgfra mutations detected in gastrointestinal stromal tumors gists including the common.
These mutations are displayed at the amino acid level across the full length of the gene by default. Full text oncogene mutational analysis in chinese gastrointestinal. The patient and control samples are sent for direct dna sequencing. It also aids in the treatment of cancers by guiding selection of therapeutic drugs, including disqualifying certain drugs from use. Mutation testing is a type of software testing where we mutate change certain statements in the source code and check if the test cases are able to find the errors. Mutational analysis revealed the mutations to be more concentrated in the classic hot zone at the 5end, followed by the tandem repeat frame at the 3 end. Tumors with wildtype kit were further analyzed for pdgfra mutations in.
Effect of kit and pdgfra mutations on survival in patients. Microfluidic deletioninsertion analysis for rapid screening. It is a type of white box testing which is mainly used for unit testing. These tumors, resected at different times from the same patient, were found to harbor an inactivating mutation in the sdhb gene in addition. A nonmosaic pdgfra and pdgfrb genotypes and experimental scheme for labeling at 8 weeks old with 5. The pdgfra mutation analysis test is a genetic test that detects abnormalities in the pdgfra gene. Gastrointestinal stromal tumors gists frequently harbor mutations in the kit and pdgfra genes, the presence and type of which correlate with the response to the kinase inhibitor imatinib mesylate. Pdgfra exon 18, mutation analysis northwell health. Pdgfra exon 14, mutation analysis specimen type varies advisory information. Pdgfra exon 18, mutation analysis mayo clinic laboratories.
This mutational analysis can be used in concert with the existing mutational. Kit exon 9, mutation analysis duke university hospital. We focused on kit exon 11 deletion mutations because these are the most common kit aberrations in gists. Pdgfra mutation analysis md anderson cancer center. This test is used to detect the genetic mutation fip1l1 pdgfra. To assess the diagnostic usefulness of denaturing highpressure liquid chromatography dhplc in this setting, we performed dhplc. Next generation sequencing of myeloid neoplasms with.
The sequencing chromatograms are analyzed by manual and software methods and the presence or absence of a pdgfra exon 12 mutation is determined. Relapse in one patient correlated with the appearance of a t674i mutation in pdgfra that confers resistance to imatinib. A joint bioinformatics analysis was performed to identify the differentially expressed. Kit and pdgfra mutations in gists cause a ligand independent autoactivation of the receptor. The location of ckit and pdgfra mutations in gists is associated with the site of origin, histological phenotype, and treatment response to tyrosine kinase inhibitors tki, such as imatinib and sunitinib. This article is from journal of translational medicine, volume 9. What is the best mutation analysis software to analyse sample. The mutational analysis of pdgfra is relatively limited in melanoma despite that one intronic mutation of pdgfra has been reported in ocular melanoma. Pdgfra exon 14, mutation analysis essentia health laboratories.
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