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Updated: Dec 15, 2025

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Detecting Somatic Genetic Alterations in Tumor Specimens by Exon Capture and Massively Parallel Sequencing
Published on: October 18, 2013
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Somatic copy number profiling from hepatocellular carcinoma circulating tumor cells
Colin M Court1,2,3, Shuang Hou1, Lian Liu4
1Department of Surgery, University of California, Los Angeles, Los Angeles, CA USA.
NPJ Precision Oncology
|July 9, 2020
Summary
Somatic copy number alterations (SCNAs) in circulating tumor cells (CTCs) offer a promising liquid biopsy for liver cancer. SCNA profiling of CTCs showed high concordance with primary tumors and aided in identifying cancer origins.
Area of Science:
- Genomics
- Oncology
- Molecular Diagnostics
Background:
- Somatic copy number alterations (SCNAs) are key drivers in cancer development.
- Liquid biopsies using circulating tumor cells (CTCs) offer a minimally invasive approach for cancer molecular profiling.
Purpose of the Study:
- To assess the feasibility of SCNA profiling from CTCs for hepatocellular carcinoma (HCC) liquid biopsies.
- To develop and evaluate a model for cancer origin classification based on SCNA profiles.
Main Methods:
- Whole-genome sequencing of CTCs from HCC patients to detect SCNAs.
- Development of a cancer origin classification model using TCGA SCNA data.
- Evaluation of SCNA concordance between CTCs and primary tumors.
Main Results:
- Frequent SCNAs, including 8q amplifications and 17p deletions, were identified in HCC-derived CTCs.
- CTCs exhibited an 80% median concordance in SCNA profiles with their primary tumors.
- The SCNA classification model correctly identified the tissue of origin in 73% of CTC samples across various cancer types.
Conclusions:
- SCNA profiling of CTCs is a feasible molecular liquid biopsy for HCC.
- CTCs can reveal SCNAs not present in the primary tumor, some with prognostic significance.
- SCNA-based models show potential for identifying cancer origins from liquid biopsies.
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