The analysis of cell-free nucleic acids (cfNAs), which are present at significant levels in the blood of cancer patients, can reveal the mutational spectrum of a tumour without the need for invasive sampling of the tissue. However, this requires differentiation between the nucleic acids that originate from healthy cells and the mutated sequences shed by tumour cells. Here we report an electrochemical clamp assay that directly detects mutated sequences in patient serum. This is the first successful detection of cfNAs without the need for enzymatic amplification, a step that normally requires extensive sample processing and is prone to interference. The new chip-based assay reads out the presence of mutations within 15 minutes using a collection of oligonucleotides that sequester closely related sequences in solution, and thus allow only the mutated sequence to bind to a chip-based sensor. We demonstrate excellent levels of sensitivity and specificity and show that the clamp assay accurately detects mutated sequences in a collection of samples taken from lung cancer and melanoma patients.
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This research was sponsored by the Ontario Research Fund (Research Excellence Award to S.O.K.), the Canadian Institutes for Health Research (Emerging Team Grant to S.O.K. and E.H.S.), the Canadian Cancer Society Research Institute (Innovation Grant No. 702414 to S.O.K. and J.R.) and the Natural Science and Engineering Research Council (Discovery Grant to S.O.K.).
The authors declare no competing financial interests.
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Das, J., Ivanov, I., Montermini, L. et al. An electrochemical clamp assay for direct, rapid analysis of circulating nucleic acids in serum. Nature Chem 7, 569–575 (2015). https://doi.org/10.1038/nchem.2270
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