Abstract:Using Streck's Cell-free DNA BCT tubes, it is possible to preserve the original proportion of fetal cell-free DNA for extended times as well as minimize the post-sampling maternal cell-free DNA background. Preserved in this way, fetal cell-free DNA can be amplified by WGA technology to be used in prenatal diagnostic tests.
“…The use high centrifugal force may destroy blood cells and release maternal DNA, subjecting it to the effects of DNases (Fernando et al, 2010). Thus, a two-step centrifugation process was used.…”
“…The use high centrifugal force may destroy blood cells and release maternal DNA, subjecting it to the effects of DNases (Fernando et al, 2010). Thus, a two-step centrifugation process was used.…”
“…However, Fernando et al [34] demonstrated that cfDNA levels in blood samples drawn in cell-free DNA TM blood collection tubes were stable for up to 14 days at RT, while they decreased when blood was drawn in K3EDTA collection tubes. Barrett et al [28] showed that there was no significant difference for up to 3 days in the total cfDNA concentration when blood was drawn in cell-free DNA TM blood collection tubes, while it increased after 24 h when blood was drawn in K3EDTA collection tubes.…”
Circulating nucleic acids have received an increasing scrutiny over the past decade with some applications, such as in prenatal diagnosis and oncology, being on the verge of use in clinical practice. It is crucial to implement optimal standardization of pre-analytical procedures. Currently, this domain has been poorly studied and there is no well-established procedure. This chapter examines the literature on the pre-analytical factors affecting nucleic acids from blood drawing to the storage of circulating cell-free DNA extracts ready for analysis and provides some elements as guidelines for a set procedure. In particular, this chapter reports on the choice between serum and plasma as the biological source but does not concern the actual nucleic acid extraction procedures (these will be dealt with in chapter "Circulating DNA and miRNA Isolation"). Currently, the lack of a standard operating procedure for the application of blood handling in a clinical setting is due to the lack of dispensing and sharing data among researchers as well as head-to-head comparative studies between techniques. This has led to in-house specific procedures that are, undoubtedly, prejudicial to the smooth translation of nucleic acid analysis into clinical practice. Hence, the proposed procedure should overcome this gap in technique.
“…Recently cell-free DNA blood collection tubes (BCT) were introduced containing a stabilizing substance that prevents the extracellular DNA from being diluted by cellular DNA [267]. The use of these tubes might be a good choice when samples have to be shipped for processing to another laboratory but when the blood samples are processed in a reasonable time (several hours to 1 day) EDTA collection tubes are not inferior [268].…”
Since the clear proof of the presence of tumor-associated genetic alterations in extracellular nucleic acids almost 20 years ago this field gained has attracted much interest. According to our current knowledge it seems as if all tumor-associated alterations found in tumor cells are also found in the extracellular environment. The isolation of extracellular nucleic acids from tumor patients and its genetic characterization with very sensitive and highly specific methods led to the concept of "liquid biopsy". This means that for follow-up analysis of tumor patients, the physicians no longer depend exclusively on a single examination of tissue biopsies (usually at the time of diagnosis) but are able by longitudinally analyzing the extracellular nucleic acids to follow the reaction of a tumor to e.g. a given therapy, the development of resistance mechanisms. In this chapter we will discuss the detection and characterization of different genetic (e.g. mutation analysis and structural variations as seen in microsatellites), epigenetic (e.g. hypermethylation of selected sequences) and regulatory alterations (as in different miRNA expression patterns found in tumor patients). We will also touch on some confounding factors that have to be taken into consideration as well as the functional and biological aspects of extracellular nucleic acids.
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