Pediatric endocrinology

Identification of GNAS Variants in Circulating Cell‐Free DNA from Patients with Fibrous Dysplasia/ McCune Albright Syndrome

J Bone Miner ResPublished Diagnostic accuracy study

Authors' conclusion

In summary, we have demonstrated that ccfDNA containing variant GNAS can be isolated from the plasma of patients with FD/MAS and that ddPCR and castPCR methods have similar variant detection rates.

Study context

Population
Patients with fibrous dysplasia/McCune-Albright syndrome (FD/MAS) with a wide range of disease severity
Participants
66 patients
Comparison
ddPCR vs competitive allele-specific TaqMan PCR (castPCR) for detection of GNAS p.R201 variants in plasma circulating cell free DNA (ccfDNA)
Outcome
Detection of GNAS R201 variants in ccfDNA

Performance

As reported in the abstract

R201 variants detected by either castPCR or ddPCR

41 of 66

62.1%

R201 variants detected with techniques combined

45 of 66

68.2%

Further findings

Disease severity and variant detection

Variant detection more likely with more severe disease
Skeletal disease burden score (SBS) significantly higher in patients with detectable variants; SBS predicted variant allele frequency

Age ≤30 years (ddPCR)

Patients aged ≤30 years had higher detection rates and higher variant allele frequencies, independent of disease burden

Monostotic FD

Variant DNA detected in monostotic FD, by ddPCR only
1 patient

Original publication

Identification of GNAS Variants in Circulating Cell‐Free DNA from Patients with Fibrous Dysplasia/ McCune Albright Syndrome. J Bone Miner Res. Published 24 January 2023. doi:10.1002/jbmr.4766

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