Cell Reports (Apr 2017)

The Mutational Landscape of Circulating Tumor Cells in Multiple Myeloma

  • Yuji Mishima,
  • Bruno Paiva,
  • Jiantao Shi,
  • Jihye Park,
  • Salomon Manier,
  • Satoshi Takagi,
  • Mira Massoud,
  • Adriana Perilla-Glen,
  • Yosra Aljawai,
  • Daisy Huynh,
  • Aldo M. Roccaro,
  • Antonio Sacco,
  • Marzia Capelletti,
  • Alexandre Detappe,
  • Diego Alignani,
  • Kenneth C. Anderson,
  • Nikhil C. Munshi,
  • Felipe Prosper,
  • Jens G. Lohr,
  • Gavin Ha,
  • Samuel S. Freeman,
  • Eliezer M. Van Allen,
  • Viktor A. Adalsteinsson,
  • Franziska Michor,
  • Jesus F. San Miguel,
  • Irene M. Ghobrial

DOI
https://doi.org/10.1016/j.celrep.2017.03.025
Journal volume & issue
Vol. 19, no. 1
pp. 218 – 224

Abstract

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The development of sensitive and non-invasive “liquid biopsies” presents new opportunities for longitudinal monitoring of tumor dissemination and clonal evolution. The number of circulating tumor cells (CTCs) is prognostic in multiple myeloma (MM), but there is little information on their genetic features. Here, we have analyzed the genomic landscape of CTCs from 29 MM patients, including eight cases with matched/paired bone marrow (BM) tumor cells. Our results show that 100% of clonal mutations in patient BM were detected in CTCs and that 99% of clonal mutations in CTCs were present in BM MM. These include typical driver mutations in MM such as in KRAS, NRAS, or BRAF. These data suggest that BM and CTC samples have similar clonal structures, as discordances between the two were restricted to subclonal mutations. Accordingly, our results pave the way for potentially less invasive mutation screening of MM patients through characterization of CTCs.