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Related Experiment Video

Updated: Dec 27, 2025

A Blood-based Test for the Detection of ROS1 and RET Fusion Transcripts from Circulating Ribonucleic Acid Using Digital Polymerase Chain Reaction
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A CRISPR Test for Rapidly and Sensitively Detecting Circulating EGFR Mutations.

Jen-Hui Tsou1, Qixin Leng1, Feng Jiang1

  • 1Department of Pathology, University of Maryland School of Medicine, 10 S. Pine St. Baltimore, MD 21201, USA.

Diagnostics (Basel, Switzerland)
|February 26, 2020
PubMed
Summary

A new CRISPR-Cas12a test rapidly and sensitively detects EGFR mutations in cell-free DNA. This method offers a simpler, faster alternative to current techniques for personalized cancer therapy.

Keywords:
CRISPREGFRcancerliquid biopsymutationsplasma

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Area of Science:

  • Molecular Biology
  • Genetics
  • Biotechnology

Background:

  • EGFR mutations in cell-free DNA guide personalized cancer therapy.
  • Current detection methods are costly, slow, and moderately sensitive.
  • CRISPR technology offers a promising avenue for nucleic acid detection.

Purpose of the Study:

  • To develop a simple and sensitive CRISPR-Cas12a test for detecting circulating EGFR mutations in plasma.
  • To compare the performance of CRISPR-Cas12a with droplet digital PCR (ddPCR).

Main Methods:

  • CRISPR-Cas12a system and ddPCR were used to test serially diluted DNA samples with EGFR mutations (L858R, T790M).
  • Both methods were applied to plasma samples from lung cancer patients and cancer-free individuals.

Main Results:

  • CRISPR-Cas12a detected L858R and T790M mutations with a 0.005% limit of detection in under three hours.
  • ddPCR had a 0.05% limit of detection and took over five hours.
  • CRISPR-Cas12a identified EGFR mutations in patient plasma, correlating with tissue biopsy results, while ddPCR showed limitations.

Conclusions:

  • The CRISPR-Cas12a system demonstrates rapid and sensitive detection of circulating EGFR mutations.
  • This technology holds potential for prognostic and therapeutic implications in cancer care.