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Table 1 Clinical application of cfDNA/ctDNA in T cell lymphoma

From: Liquid biopsy in T-cell lymphoma: biomarker detection techniques and clinical application

Lymphoma subtypes

Author

PMID/doi

Biomarker

Liquid Biopsy

Method

No. of patients

Results

Clinical applications

nTFHL-AI, PTCL, NOS

Sakata-Yanagimoto M et al. [26]

28634614

ctDNA

PB

NGS, 4 genes targeted sequencing

14

TET2, RHOA G17V, DNMT3A, and IDH2 mutation of ctDNAs is a good candidate for diagnosis

diagnostic

nTFHL-AI

Hayashida, Masahiko et al. [27]

32476550

cfDNA

PB

AS-PCR

20

combination of multicolor FCM and RHOAG17V and IDH2R172 hot-spot mutations in plasma cfDNA diagnosis of nTFHL-AI

diagnostic

nTFHL-AI, PTCL, NOS, ALCL

Ottolini, Barbara et al. [28]

32484856

cfDNA

PB

WES, NGS 81(CAPP-seq) and 12 genes targeted sequencing, ddPCR, Sanger sequencing

25

sequencing of RHOA from cfDNA has revealed new mutations and haplotypes RHOA c.73A > G (p.Phe25Leu) and c.48A > T (p.Cys16*)

diagnostic

ENKTL

Li, Qiong et al. [29]

32695399

ctDNA

PB

NGS, 41 genes targeted sequencing

65

mutated KMT2D and ATM predicted poor OS, P = 0.001, P = 0.001

prognosis

nTFHL-AI, ALCL, PTCL, NOS

Herrera, Alex F et al. [30]

27711974

ctDNA

PB

NGS, IGH VDJ, IGH DJ, IGK, TCR-β, TCR-δ, TCR-γ

68

84% patients had detectable ctDNA prior to progression at a median of 3.7 months. Patients with detectable ctDNA 3 months, 2-year PFS 58% vs. 84% P = 0.033)

longitudinal monitoring, MRD

PTCL, NOS, ALCL, nTFHL-AI, SS, SPTCL

Zhang, Wei et al. [31]

33734593

ctDNA

PB

mPCR, NGS, CDR3 of TCRβ chains

23

high level of ctDNA predicted treatment failure (P = 0.0003), ctDNA changed in concordance with clinical outcome and was more sensitive than PET/CT

longitudinal monitoring

PTCL, NOS, ALCL, nTFHL-AI

Miljkovic, Milos D et al. [32]

34432874

ctDNA(TCRβ, TCRγ)

PB

NGS, CDR3 of the TCRβ/TCRγ genes

45

patients with detectable ctDNA after therapy showed a trend toward worse survival. EFS, P = 0.083

longitudinal monitoring, MRD

T-LBL

Chen, Feili et al. [33]

32431543

ctDNA

PB

NGS, 102 genes targeted sequencing

43

92.6% agreement between ctDNA response and tumor volume measurements at post treatment when compared with baseline

longitudinal monitoring

ENKTL

Qi, Fei et al. [34]

34047776

cfDNA

PB

NGS, 112 genes targeted sequencing

24

cfDNA clearance vs no clearance, complete remission rates (80.0% vs 0%; P = 0.004), 1-year PFS, 79.0% vs 20.0%; P = 0.002). low cfDNA concentration before treatment (1-year PFS, 90.0% vs 36.4%; P = 0.012)

longitudinal monitoring, prognosis

PTCL, NOS, ALCL, nTFHL-AI

Kim, S.J. et al. [35]

35240014

ctDNA

PB

NGS, 66 genes targeted sequencing

94

 ≥ 1.5-log decrease in GE showed better PFS and OS, P = 0.027, P = 0.003

longitudinal monitoring

  1. cfDNA circulating cell-free DNA, ctDNA circulating tumor DNA, MRD Minimal residual disease, ALCL Anaplastic large cell lymphoma.ENKTL, extranodal NK/T-cell lymphoma, nTFHL-AI Nodal T-follicular helper cell lymphoma, angioimmunoblastic-type, PTCL, NOS peripheral T-cell lymphoma, not otherwise specified, T-LBL T-cell lymphoblastic lymphoma, SPTCL subcutaneous panniculitis T cell lymphoma, SS Sézary syndrome, NGS Next-generation sequencing, GE genome equivalent, WES Whole-exome sequencing, HTS high-throughput sequencing, AS-PCR Allele-specific polymerase chain reaction, RQ-PCR Real-time quantitative PCR, ddPCR digital polymerase chain reaction, CS-PCR clonal specific PCR, TCR T-cell receptor, PB peripheral blood, MDD Minimal disseminated disease, OS overall survival, DFS disease-free survival, PFS progression-free survival