Review Article

Circulating Nucleic Acids in Colorectal Cancer: Diagnostic and Prognostic Value

Table 3

A cross-platform comparison of sensitive ccfDNA detection techniques for CRC analysis.

MethodsApplicationAdvantagesLimitations

SeqCap EZ HGSC VCRome®Differential presence of exons (DPE) detection and tumor mutation load of plasma cfDNA by WES [57, 58]High-throughput screening alternative of target regions up to 7 Mb, cost effective, limiting the risk for incidental findings, and increasing sensitivity and specificity rates [59]Require certain equipment such as the hybridization station [59]

QX200 Droplet Digital PCR System®Quantified detection of low-frequency alleles within a limited cfDNA pool [58]Absolute count of target nucleic acid copies per sample volume, most commonly copies per microliter. Superior accuracy and partitioning [60]Droplet variability in size and shape adversely affect robustness and reproducibility [61]

Guardant360® assayTumor profiling by liquid biopsy for monitoring and aftercare of a cancer therapy [62]Comprehensive genomic profiling in patients with advanced solid tumors [63]Detecting somatic cfDNA mutations that simultaneously exist in the blood lineage [64]

ProFlex PCR system®The method of KRAS mutations analysis using loading dPCR reaction admixture over a QuantStudio 3D Digital PCR 20K Chip v2 [65]Partitioning of a reaction into nanoliter reaction chambers by a microfluidic device, more sensitive for strain’s specific detection with less variability than qPCR [66]Not declared

Commercial KRAS Screening Multiplex®The sensitive and quantitative QX100 droplet digital PCR for multiplex ready-to-use KRAS somatic mutation detection [67]Good sensitivity and specificity and good concordance with conventional clinical mutation testing of archival specimens [68]High cost and high DNA input requirements [69]

Onco BEAM-TM-RAS-CRC™®Highly sensitive and quantitative digital PCR platform for screening somatic KRAS and NRAS mutations by flow cytometry [67]Reliable detection of mutations from cell-free DNA that occur at mutant allele frequencies (MAF) as low as 0.01% [70]Not declared

56GOncology Panel®The multiple targeted next-generation sequencing library preparation [73]Comprehensive and hotspot coverage of 56 clinically relevant, oncology related genes [71]Not declared

Quant Studio 3D Digital PCR 20K chip®The detection of the mutational spectrum of cfDNA [72]Less pipetting steps and to reduce PCR contamination accuracy and precision to quantification of cfDNA [73]Performing only one sample per chip, and two probes per chip in multiplex fluorescence [73]

Ion AmpliSeq Library and IonAmpliSeq ®LibraryIon 318 Chip®To detect cancer-specific mutations of ccfDNA using the Ion Chef System [72]Targeted gene sequencing with 4–5.5 million reads per run, easy handling and loading of templated products for sequencing, compatibility with current library preparation methods [74]Not declared

Illumina HiSeq 2500 ®The ultra-deep targeted sequencing [75]Low instrument costs and a small instrument footprint, all while maintaining the high data accuracy of SBS [76]No long lengths of DNA sequences can be obtained using these methods [77]

BD Accuri C6®The interrogation of harvested beads by fluorescent probes that specifically hybridize to either methylated or nonmethylated derived sequences within the queried sequence [78]Reliable instrument performance with automated QC, volumetric counting and continuous sampling [79]Not declared

Invader Plus assay®Invader Plus assay with peptide nucleic acid clamping for KRAS mutations status [80]Significantly more sensitive as more than 107 reporter molecules were generated per target molecule in a 4 hr reaction. No longer requires the synthesis of allele-specific labeled oligonucleotides [81]Less-abundant targets mostly require PCR-driven preamplification [82]

Biocartis Idylla™,
Roche COBAS z480®
Sysmex Inostics BEAMing®
Three commercially available PCR-based platforms for detection of hotspot mutations in KRAS [83]Fast and accurate detection of KRAS mutations by a sensitive and specific standardized cost-effective method, easy to implement in settings with limited expertise in molecular diagnostics [87]They are single-gene tests and therefore only a few genes can be analyzed [84]

QX1000 Droplet Generator DG8 Cartridge System®To analyze the hyper methylated genes in plasma cfDNA based on the droplet digital quantitative methylation-specific PCR (dd-QMSP) [85]Partitions each sample into 20,000 uniform nanoliter-sized droplets in which nucleic acid molecules are distributed in a random fashion [85]Not declared

ColoDefense assay®New blood-based methylation assay for disease screening [86]Excellent sensitivity and specificity for combined detection of multiple biomarkers in the same run and avoidance of repeated blood draws [87]Not declared