When it comes to cancer diagnosis, speed and accuracy make all the difference. Thanks to our cancer panels, the diagnoses may be faster and more effective than it was ever before. The DNA Research Center is a world-class research facility that will revolutionize the way we diagnose and treat cancer. The Centre as the first one in Poland offers three cancer panels targeting genes previously linked to a genetic predisposition towards cancer.
PANEL 170 PLUS
Targets over 1700 exons, spanning 94 genes of interests and additional 284 SNPs occurring in 78 different genes - associated with a predisposition towards cancer. Panel 170 PLUS includes genes associated with both common (e.g., breast cancer, prostate, hematologic malignancies, colorectal, lung, kidney) and rare cancers. In addition, the set includes 284 SNPs found to correlate with cancer through genome-wide association studies (GWAS). Content selection was based on expert interpretation of the scientific literature and other high-quality resources.
Panel 170 PLUS includes:
DISEASE | NUMBER OF GENES |
Prostate cancer | 58 |
Breast cancer | 36 |
Colorectal cancer | 31 |
Hematological malignancies | 31 |
Renal cell carcinomas | 13 |
Lung cancer | 15 |
Skin cancers | 14 |
Esophageal carcinomas | 12 |
Nasopharyngeal carcinoma | 9 |
Pancreatic cancer | 12 |
Bladder cancer | 9 |
Thyroid cancer | 8 |
Central nervous system tumors (including glioma, meningioma) |
14 |
Testicular germ cell tumor | 9 |
Gastric cancer | 9 |
Ovarian cancer | 9 |
Hepatocellular carcinoma | 4 |
Bone tumor (Ewing's sarcoma) | 3 |
Gammopatie monoklonalne | 3 |
Follicular lymphoma | 2 |
Systemic lupus erythemotosus | 1 |
Hematological malignancies include:
DISEASE | NUMBER OF GENES |
Chronic lymphocytic leukemia (CLL) | 12 |
Non-Hodgkin lymphoma (NHL) | 11 |
Acute lymphoblastic leukemia (ALL) | 6 |
Chronic myelogenous leukemia (CML) | 1 |
Myeloprolifetative neoplasms | 1 |
II - Panel "For Him"
Targets the whole exons, spanning 54 genes of interests and additional 45 SNPs occurring in 45 different genes - associated with a predisposition towards the most common male cancers. Panel "For Him" includes genes associatedcancers, like: prostate cancer, colorectal cancer, lung cancer, testicular germ cell tumor. In addition, the set includes 45 SNPs found to correlate with analyzed cancers through genome-wide association studies (GWAS). Content selection was based on expert interpretation of the scientific literature and other high-quality resources.
Panel "For Him" includes:
DISEASE | NUMBER OF GENES |
Prostate cancer | 58 |
Colorectal cancer | 31 |
Lung cancer | 15 |
Testicular germ cell tumor | 9 |
III - Panel "For Her"
Targets the whole exons, spanning 48 genes of interests and additional 22 SNPs occurring in 22 different genes - associated with a predisposition towards the most common female cancers. Panel "For Her" includes genes associated with the cancers, like: breast, colorectal, lung and ovarian cancer. In addition, the set includes 22 SNPs found to correlate with analyzed cancers through genome-wide association studies (GWAS). Content selection was based on expert interpretation of the scientific literature and other high-quality resources.
Panel "For Her" includes:
DISEASE | NUMBER OF GENES |
Breast cancer | 36 |
Colorectal cancer | 31 |
Lung cancer | 15 |
Testicular germ cell tumor | 9 |
For whom are cancer predisposition panels and why?
Cancer is the second-leading cause of death worldwide (cardiovascular disease is number one). The panel is designed for people who take care of their health and future. For people who consciously want to fight with the risk of cancer development. However it is also addressed for patients with diagnosed cancer of unknown etiology. Knowledge gained from the research will allow an early prevention and reduction of cancer risk development, as well as facilitate the fight with cancer on an early stage of its progression.
This will allow for fast, reliable, relatively inexpensive identification of the causative agent. Knowledge of person’s genetic make-up can be vital when treating cancer. Genetic tests can provide information about the cause of the cancer and can aid decisions about the best treatments and medication - Conventional cancer diagnostic, currently is very restricted to the diagnosis of only single mutations in a single genes. The aim of the DNA Research Center was to use new technologies to perform a single test that can analyze all genetic information relevant to cancer, much faster and cheaper, than current methods.
We use next generation sequencing (NGS) technology to target specific genes or mutations that have established relevancy to a particular cancer phenotype. NGS permits sequencing of large genomic regions, high numbers of genes and/or high numbers of samples in a single efficient and cost-effective assay. In addition, NGS provides significantly higher sensitivity than traditional techniques, which permits the discovery of rare somatic mutations, many of which have been identified as important cancer drivers.
Personalized cancer treatment
Genetic testing is a new powerful tool that will transform the diagnosis and treatment of cancer. We now know that patients with the same type of cancer may respond differently to the same treatment. This is due to differing genetic mutations in individual tumors and patient’s own individual genetic profile.
Molecular diagnosis uses this information to help identify who may benefit from which specific therapies. When using molecular diagnosis, treatment can be tailored to suit patients’ individual needs rather than using the traditional one-size-fits-all approach of conventional chemotherapy.
The DNA Research Center is already leading the way in providing patients with routine molecular diagnosis for selected tumor types in. New cancer panels expanded this ground-breaking work by including all tumor types by analyzing over one hundred of genes previously linked to a genetic predisposition towards cancer. That approach will revolutionize the diagnosis and treatment of cancer as we know it.
More access to genetic testing
At present, patient access to genetic tests is still very restricted due to their high costs and the long time needed to produce results. Though this is set to change dramatically , with new advances in DNA sequencing technology that the DNA Research Center offers. Cancer panels that the DNA Research Center presents , use the newest DNA sequencing techniques to detect a wide range of mutations in a wide range of genes.
The tests are able to cover more cancers and more treatments, all for a fraction of cost to conventional methods. It’s as if we are now able to fly whereas previously we could only walk. The data obtained from our cancer predisposition panels will help to supplement the right treatments straight away and reduce risk of cancer development!
Many cancers detected at an early stage are preventable!
References:
1. Stadler ZK, Schrader KA, Vijai J, Robson ME, Offit K. "Cancer genomics and inherited risk. " J Clin Oncol. 2014 Mar 1;32(7):687-98.
2. Dancey JE, Bedard PL, Onetto N, Hudson TJ. "The genetic basis for cancer treatment decisions." Cell. 2012 Feb 3;148(3):409-20. doi: 10.1016
3. Castera L, Krieger S, Rousselin A, Legros A i wsp.: "Next-generation sequencing for the diagnosis of hereditary breast and ovarian cancer using genomic capture targeting multiple candidate genes." Eur J Hum Genet. 2014; doi: 10.1038/ejhg.2014.16.
4. Wu K, Huang RS, House L, Cho WC. "Next-generation sequencing for lung cancer." Future Oncol. 2013 Sep;9(9):1323-36.
5. Brooks JD. "Translational genomics: the challenge of developing cancer biomarkers." Genome Res. 2012 Feb;22(2):183-7.
6. Antoniou AC, Wang X, Fredericksen ZS i wsp.: "A locus on 19p13 modifies risk of breast cancer in BRCA1 mutation carriers and is associated with hormone receptor-negative breast cancer in the general population." Nat Genet. 2010 Oct;42(10):885-92.
7. Marta Pineda, Sara González i wsp: Detection of genetic alterations in hereditary colorectal cancer screening. Mutat Res 693: 19-31
8. Stacey SN, Sulem P, Jonasdottir A, i wsp.: "A germline variant in the TP53 polyadenylation signal confers cancer susceptibility." Nat Genet. 2011 Sep 25;43(11):1098-103
9. Cliff Meldrum, Maria A Doyle, Richard W Tothill: "Next-Generation Sequencing for Cancer Diagnostics: a Practical Perspective" Clin Biochem Rev. 2011 Nov;32(4):177-95.
10. Wagle N., Berger M. F., Davis M. J., Blumenstiel B., Defelice M. i wsp.: "High-throughput detection of actionable genomic alterations in clinical tumor samples by targeted, massively parallel sequencing." Cancer Discov 2012; 2: 82-93
11. Blake PM, Decker DA, Glennon TM i wsp.: "Toward an integrated knowledge environment to support modern oncology." Cancer J. 2011 Jul-Aug;17(4):257-63.
12. Nazneen Rahman "Realizing the promise of cancer predisposition genes" Nature 2014 Jan; 505:302–308
13. ER. Mardis, RK. Wilson: "Cancer genome sequencing: a review" Hum. Mol. Genet. (2009) 18 (R2):R163-R168.
14. Godley LA. "Profiles in leukemia." N Engl J Med 2012; 366:1152-1153
15. Chang, C. Q. i wsp.: " A systemic review of cancer GWAS and candidate gene meta-analyses reveals limited overlap but similar effect sizes.” Eur. J. Hum. Genet. 2013 http://dx.doi.org/10.1038/ejhg.2013.161.
16. Arnedos M, André F, Farace F, Lacroix L i wsp.: "The challenge to bring personalized cancer medicine from clinical trials into routine clinical practice: the case of the Institut Gustave Roussy." Mol Oncol. 2012 Apr;6(2):204-10.
17. Palles C., Cazier J. B., Howarth K. M., Domingo E., Jones A. M. i wsp.: "Germline mutations affecting the proofreading domains of POLE and POLD1 predispose to colorectal adenomas and carcinomas." Nat Genet 2013; 45: 136-144
18. Schulz E., Valentin A., Ulz P., Beham-Schmid C., Lind K. i wsp.: "Germline mutations in the DNA damage response genes BRCA1, BRCA2, BARD1 and TP53 in patients with therapy related myeloid neoplasms." J Med Genet 2012; 49: 422-428
19. Williams ES, Hegde M. "Implementing genomic medicine in pathology." Adv Anat Pathol. 2013 Jul;20(4):238-44.
20. Cagnetta A, Garuti A, Marani C, Cea M, i wsp.: "Evaluating treatment response of chronic myeloid leukemia: emerging science and technology." Curr Cancer Drug Targets. 2013 Sep;13(7):779-90.
21. Kim TM, Lee SH, Chung YJ. "Clinical applications of next-generation sequencing in colorectal cancers." World J Gastroenterol. 2013 Oct 28;19(40):6784-93.
22. Jessri M, Farah CS. "Next generation sequencing and its application in deciphering head and neck cancer." Oral Oncol. 2014 Apr;50(4):247-53.
23. Villamor N, López-Guillermo A, López-Otín C, Campo E. "Next-generation sequencing in chronic lymphocytic leukemia." Semin Hematol. 2013 Oct;50(4):286-95.
24. Human gene mutation database (HGMD® Professional) (www.biobaseinternational.com/hgmd) from BIOBASE Corporation. The Human Gene Mutation Database: 2008 update. Stenson PD, Mort M, Ball EV, Howells K, Phillips AD, et al. (2009) Human gene mutation database (HGMD Professional) Genome Med. 1: 13. (www.hgmd.cf.ac.uk/ac/index.php)
25. http://cancergenome.nih.gov/
26. https://www.icgc.org/
27. Online Mendelian Inheritance in Man (omim.org)
28. GeneTests (www.genetests.org)