Priming agents transiently reduce the clearance of cell-free DNA to improve liquid biopsies

Science. 2024 Jan 19;383(6680):eadf2341. doi: 10.1126/science.adf2341. Epub 2024 Jan 19.

Abstract

Liquid biopsies enable early detection and monitoring of diseases such as cancer, but their sensitivity remains limited by the scarcity of analytes such as cell-free DNA (cfDNA) in blood. Improvements to sensitivity have primarily relied on enhancing sequencing technology ex vivo. We sought to transiently augment the level of circulating tumor DNA (ctDNA) in a blood draw by attenuating its clearance in vivo. We report two intravenous priming agents given 1 to 2 hours before a blood draw to recover more ctDNA. Our priming agents consist of nanoparticles that act on the cells responsible for cfDNA clearance and DNA-binding antibodies that protect cfDNA. In tumor-bearing mice, they greatly increase the recovery of ctDNA and improve the sensitivity for detecting small tumors.

MeSH terms

  • Animals
  • Biomarkers, Tumor / blood
  • Cell-Free Nucleic Acids* / blood
  • Circulating Tumor DNA / blood
  • Female
  • Humans
  • Liquid Biopsy
  • Mice
  • Mice, Inbred BALB C
  • Mutation
  • Neoplasms* / blood
  • Neoplasms* / diagnosis
  • Sensitivity and Specificity

Substances

  • Biomarkers, Tumor
  • Cell-Free Nucleic Acids
  • Circulating Tumor DNA