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Updated: Feb 10, 2026

Detection and Monitoring of Tumor Associated Circulating DNA in Patient Biofluids
Published on: June 8, 2019
Analysis of Circulating Tumor DNA
Sridurga Mithraprabhu1,2, Andrew Spencer3,4,5
1Myeloma Research Group, Australian Centre for Blood Diseases, Alfred Hospital-Monash University, Melbourne, VIC, Australia.
Abstract:
Circulating tumor DNA (ctDNA) analysis is currently gaining momentum as an innovative methodology for characterizing the tumor genome and monitoring therapeutic efficacy in the multifocal, genetically and spatially heterogeneous plasma cell malignancy, multiple myeloma (MM). Circulating cell-free DNA (cfDNA), which consists of a combination of DNA derived from both tumor and normal cells, is present in extracellular bodily fluids. The presence of ctDNA within this admixture has been demonstrated recently in MM. In this chapter, we describe the routinely utilized methodology for the extraction and longitudinal analysis of specific mutations present in ctDNA derived from peripheral blood plasma of MM patients.
Insights
Circulating tumor DNA (ctDNA) analysis offers a novel way to study multiple myeloma (MM) genetics and treatment effectiveness. This method extracts and analyzes ctDNA from patient blood plasma for precise monitoring.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Multiple myeloma (MM) is a complex plasma cell malignancy characterized by genetic and spatial heterogeneity.
- Circulating cell-free DNA (cfDNA) in bodily fluids contains DNA from both tumor and normal cells.
- The presence of circulating tumor DNA (ctDNA) in MM patients has been recently established.
Purpose of the Study:
- To detail the methodology for extracting and analyzing ctDNA in multiple myeloma.
- To enable longitudinal monitoring of specific mutations in MM patients' ctDNA.
- To support the growing use of ctDNA analysis in characterizing MM and its treatment.
Main Methods:
- Extraction of circulating cell-free DNA (cfDNA) from peripheral blood plasma of multiple myeloma (MM) patients.
- Longitudinal analysis of specific mutations identified within the ctDNA fraction.
- Utilizing established protocols for routine ctDNA analysis in a clinical setting.
Main Results:
- Demonstration of the feasibility of ctDNA extraction and analysis in MM.
- Establishment of a methodology for tracking genetic changes over time.
- Validation of ctDNA as a source for monitoring therapeutic efficacy in MM.
Conclusions:
- Circulating tumor DNA (ctDNA) analysis is a viable and powerful tool for multiple myeloma research.
- The described methodology facilitates routine ctDNA analysis for personalized patient monitoring.
- ctDNA analysis holds significant promise for advancing the understanding and treatment of MM.
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10:56Characterization of Tumor Cells Using a Medical Wire for Capturing Circulating Tumor Cells: A 3D Approach Based on Immunofluorescence and DNA FISH
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