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A Standardized Liquid Biopsy Preanalytical Protocol for Downstream Circulating-Free DNA Applications
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Cell-free DNA: Preanalytical variables.

Abel Jacobus Bronkhorst1, Janine Aucamp1, Piet J Pretorius1

  • 1Centre for Human Metabonomics, Biochemistry Division, North-West University, Potchefstroom 2520, South Africa.

Clinica Chimica Acta; International Journal of Clinical Chemistry
|September 6, 2015
PubMed
Summary
This summary is machine-generated.

Quantitative analysis of cell-free DNA (cfDNA) is crucial for clinical applications. Standardizing preanalytic steps is essential for accurate cfDNA kinetic assessments, moving beyond single measurements.

Keywords:
CancerCell-free DNAPreanalytical factorsPrenatal diagnosticsQuantitative analysis

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Area of Science:

  • Biochemistry
  • Molecular Biology
  • Clinical Diagnostics

Background:

  • Cell-free DNA (cfDNA) in human blood shows promise for solid tumor diagnostics and prognostics.
  • Despite potential, cfDNA analysis translation to routine clinical practice remains limited.
  • Key barriers include understanding cfDNA origin/function, molecular characterization, and analytical consensus.

Purpose of the Study:

  • This review focuses on the analytical challenges in quantitative cfDNA analysis.
  • It highlights the importance of cfDNA kinetic assessment over single quantitative measurements.
  • The aim is to identify preanalytic variables critical for optimizing cfDNA analysis.

Main Methods:

  • Review of existing literature on cfDNA quantitative analysis.
  • Focus on preanalytic steps influencing cfDNA stability and detection.
  • Identification of confounding variables in sample handling and processing.

Main Results:

  • Single quantitative cfDNA assessments have limited clinical value.
  • Kinetic assessment of cfDNA is essential for robust qualitative characterization.
  • Preanalytic variables significantly impact the accuracy of cfDNA kinetic assessments.

Conclusions:

  • Process optimization and standardization of preanalytic steps are vital for accurate cfDNA quantitative analysis.
  • Addressing preanalytic confounding variables is crucial for establishing reliable cfDNA kinetic assessments.
  • Standardized quantitative analysis will facilitate the clinical translation of cfDNA biomarkers.