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Related Experiment Video

Updated: Oct 14, 2025

Wild-type Blocking PCR Combined with Direct Sequencing as a Highly Sensitive Method for Detection of Low-Frequency Somatic Mutations
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A Sensitive PCR-Based Method for Somatic Mutations Enrichment and Screening.

Yaming Xiong1, Hailing Tang1

  • 1Department of Thoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510120, People's Republic of China.

Cancer Management and Research
|November 5, 2021
PubMed
Summary

A novel nuclease-based assay enriches mutant DNA from plasma, achieving 0.001% sensitivity for EGFR and KRAS mutations in lung cancer screening. This cost-effective method improves noninvasive cancer monitoring.

Keywords:
Surveyorenrichmentliquid biopsylung cancer

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Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Epidermal Growth Factor Receptor (EGFR) and KRAS are the most frequently mutated genes in lung cancers, present in approximately 60% of cases.
  • Mutation gene assays are promising noninvasive biomarkers for monitoring cancer dynamics.
  • Detecting low levels of tumor-derived DNA fragments in plasma presents a significant challenge.

Purpose of the Study:

  • To develop a sensitive and efficient method for enriching mutant DNA from plasma for cancer screening.
  • To validate a nuclease-based assay for detecting EGFR and KRAS mutations.

Main Methods:

  • A nuclease-based enrichment assay utilizing Surveyor endonuclease to cleave mismatched DNA molecules was developed.
  • The assay was used to screen lung cancer specimens for mutations in EGFR exons 18 and 21, and KRAS exon 2 (codons 12 and 13).
  • A single set of primers and three TaqMan probes were employed for screening all target mutant genes.

Main Results:

  • The method effectively removes wild-type sequences and enriches mutation DNA.
  • A minimum detectable mutant allele frequency (MAF) of 0.001% was achieved, demonstrating high sensitivity.
  • The assay demonstrated increased sensitivity and efficiency for mutation DNA detection in cancer screening.

Conclusions:

  • A simple, sensitive, and cost-effective methodology for mutation gene screening was developed.
  • The nuclease-based enrichment assay is suitable for detecting complex DNA variations like EGFR and KRAS mutations.
  • This method enhances the potential for noninvasive cancer monitoring through blood-based biomarkers.