Abstract
An accurate T cell quantification is prognostically and therapeutically relevant in various clinical applications, including oncology care and research. In this chapter, we describe how T cell quantifications can be obtained from bulk DNA samples with a multiplex digital PCR experiment. The experimental setup includes the concurrent quantification of three different DNA targets within one reaction: a unique T cell DNA marker, a regional corrector, and a reference DNA marker. The T cell marker is biallelically absent in T cells due to VDJ rearrangements, while the reference is diploid in all cells. The so-called regional corrector allows to correct for possible copy number alterations at the T cell marker locus in cancer cells. By mathematically integrating the measurements of all three markers, T cells can be accurately quantified in both copy number stable and unstable DNA samples.
Full text of this article can be found in Bookshelf.
References
- Davis MM, Bjorkman PJ (1988) T-cell antigen receptor genes and T-cell recognition. Nature 334(6181):395–402 doi: 10.1038/334395a0. [DOI] [PubMed]
- van Dongen JJ, Langerak AW, Bruggemann M, Evans PA, Hummel M, Lavender FL et al (2003) Design and standardization of PCR primers and protocols for detection of clonal immunoglobulin and T-cell receptor gene recombinations in suspect lymphoproliferations: report of the BIOMED-2 Concerted Action BMH4-CT98-3936. Leukemia 17(12):2257–2317 doi: 10.1038/sj.leu.2403202. [DOI] [PubMed]
- Talmadge JE (2011) Immune cell infiltration of primary and metastatic lesions: mechanisms and clinical impact. Semin Cancer Biol 21(2):131–138 doi: 10.1016/j.semcancer.2010.12.002. [DOI] [PubMed]
- Fridman WH, Galon J, Pages F, Tartour E, Sautes-Fridman C, Kroemer G (2011) Prognostic and predictive impact of intra- and peritumoral immune infiltrates. Cancer Res 71(17):5601–5605 doi: 10.1158/0008-5472.CAN-11-1316. [DOI] [PubMed]
- Wood B, Jevremovic D, Bene MC, Yan M, Jacobs P, Litwin V (2013) Validation of cell-based fluorescence assays: practice guidelines from the ICSH and ICCS—part V—assay performance criteria. Cytometry B Clin Cytom 84(5):315–323 doi: 10.1002/cyto.b.21108. [DOI] [PubMed]
- Walker RA (2006) Quantification of immunohistochemistry—issues concerning methods, utility and semiquantitative assessment I. Histopathology 49(4):406–410 doi: 10.1111/j.1365-2559.2006.02514.x. [DOI] [PubMed]
- de Hoog J, Dik WA, Lu L, Heezen KC, Ten Berge JC, Swagemakers SMA et al (2019) Combined cellular and soluble mediator analysis for improved diagnosis of vitreoretinal lymphoma. Acta Ophthalmol 97(6):626–632 doi: 10.1111/aos.14036. [DOI] [PMC free article] [PubMed]
- Newman AM, Liu CL, Green MR, Gentles AJ, Feng W, Xu Y et al (2015) Robust enumeration of cell subsets from tissue expression profiles. Nat Methods 12(5):453–457 doi: 10.1038/nmeth.3337. [DOI] [PMC free article] [PubMed]
- Chakravarthy A, Furness A, Joshi K, Ghorani E, Ford K, Ward MJ et al (2018) Pan-cancer deconvolution of tumour composition using DNA methylation. Nat Commun 9(1):3220 doi: 10.1038/s41467-018-05570-1. [DOI] [PMC free article] [PubMed]
- Pruessmann W, Rytlewski J, Wilmott J, Mihm MC Jr, Attrill GH, Dyring-Andersen B et al (2020) Molecular analysis of primary melanoma T cells identifies patients at risk for metastatic recurrence. Nat Cancer 1(2):197–209 doi: 10.1038/s43018-019-0019-5. [DOI] [PMC free article] [PubMed]
- Van Abel KM, Routman DM, Moore EJ, Ma DJ, Yin LX, Fields PA et al (2020) T cell fraction impacts oncologic outcomes in human papillomavirus associated oropharyngeal squamous cell carcinoma. Oral Oncol 111:104894 doi: 10.1016/j.oraloncology.2020.104894. [DOI] [PubMed]
- Zoutman WH, Nell RJ, Versluis M, van Steenderen D, Lalai RN, Out-Luiting JJ et al (2017) Accurate quantification of T cells by measuring loss of germline T-cell receptor loci with generic single duplex droplet digital PCR assays. J Mol Diagn 19(2):236–243 doi: 10.1016/j.jmoldx.2016.10.006. [DOI] [PubMed]
- de Lange MJ, Nell RJ, Lalai RN, Versluis M, Jordanova ES, Luyten GPM et al (2018) Digital PCR-based t-cell quantification-assisted deconvolution of the microenvironment reveals that activated macrophages drive tumor inflammation in uveal melanoma. Mol Cancer Res 16(12):1902–1911 doi: 10.1158/1541-7786.MCR-18-0114. [DOI] [PubMed]
- Yurick D, Khoury G, Clemens B, Loh L, Pham H, Kedzierska K et al (2019) Multiplex droplet digital PCR assay for quantification of human T-cell leukemia virus type 1 subtype c DNA proviral load and T cells from blood and respiratory exudates sampled in a remote setting. J Clin Microbiol 57(2):e01063-18 doi: 10.1128/JCM.01063-18. [DOI] [PMC free article] [PubMed]
- Levy CN, Hughes SM, Roychoudhury P, Reeves DB, Amstuz C, Zhu H et al (2021) A highly multiplexed droplet digital PCR assay to measure the intact HIV-1 proviral reservoir. Cell Rep Med 2(4):100243 doi: 10.1016/j.xcrm.2021.100243. [DOI] [PMC free article] [PubMed]
- Taylor AM, Shih J, Ha G, Gao GF, Zhang X, Berger AC et al (2018) Genomic and functional approaches to understanding cancer aneuploidy. Cancer Cell 33(4):676–689 e3 doi: 10.1016/j.ccell.2018.03.007. [DOI] [PMC free article] [PubMed]
- Zoutman WH, Nell RJ, van der Velden PA (2019) Usage of droplet digital PCR (ddPCR) assays for T cell quantification in cancer. Methods Mol Biol 1884:1–14 doi: 10.1007/978-1-4939-8885-3_1. [DOI] [PubMed]
- Cancer Genome Atlas Research N, Weinstein JN, Collisson EA, Mills GB, Shaw KR, Ozenberger BA et al (2013) The cancer genome atlas pan-cancer analysis project. Nat Genet 45(10):1113–1120 doi: 10.1038/ng.2764. [DOI] [PMC free article] [PubMed]
- Nell RJ, Zoutman WH, Calbet-Llopart N, Garcia AP, Menger NV, Versluis M et al (2021) Accurate quantification of T cells in copy number unstable DNA samples using multiplex digital PCR (submitted). J Mol Diagn 24(1):88–100. https://doi.org/10.1016/j.jmoldx.2021.10.007 doi: 10.1016/j.jmoldx.2021.10.007. [DOI] [PubMed]
- Dube S, Qin J, Ramakrishnan R (2008) Mathematical analysis of copy number variation in a DNA sample using digital PCR on a nanofluidic device. PLoS One 3(8):e2876 doi: 10.1371/journal.pone.0002876. [DOI] [PMC free article] [PubMed]
- Hindson BJ, Ness KD, Masquelier DA, Belgrader P, Heredia NJ, Makarewicz AJ et al (2011) High-throughput droplet digital PCR system for absolute quantitation of DNA copy number. Anal Chem 83(22):8604–8610 doi: 10.1021/ac202028g. [DOI] [PMC free article] [PubMed]
- Dik WA, Pike-Overzet K, Weerkamp F, de Ridder D, de Haas EF, Baert MR et al (2005) New insights on human T cell development by quantitative T cell receptor gene rearrangement studies and gene expression profiling. J Exp Med 201(11):1715–1723 doi: 10.1084/jem.20042524. [DOI] [PMC free article] [PubMed]
- Zhong Q, Bhattacharya S, Kotsopoulos S, Olson J, Taly V, Griffiths AD et al (2011) Multiplex digital PCR: breaking the one target per color barrier of quantitative PCR. Lab Chip 11(13):2167–2174 doi: 10.1039/c1lc20126c. [DOI] [PubMed]
- Whale AS, Huggett JF, Tzonev S (2016) Fundamentals of multiplexing with digital PCR. Biomol Detect Quantif 10:15–23 doi: 10.1016/j.bdq.2016.05.002. [DOI] [PMC free article] [PubMed]
- Brink BG, Meskas J, Brinkman RR, Wren J (2018) ddPCRclust: an R package and Shiny app for automated analysis of multiplexed ddPCR data. Bioinformatics 34(15):2687–2689 doi: 10.1093/bioinformatics/bty136. [DOI] [PMC free article] [PubMed]
- Huggett JF, Foy CA, Benes V, Emslie K, Garson JA, Haynes R et al (2013) The digital MIQE guidelines: minimum information for publication of quantitative digital PCR experiments. Clin Chem 59(6):892–902 doi: 10.1373/clinchem.2013.206375. [DOI] [PubMed]
- Szczepanski T, Beishuizen A, Pongers-Willemse MJ, Hahlen K, Van Wering ER, Wijkhuijs AJM et al (1999) Cross-lineage T cell receptor gene rearrangements occur in more than ninety percent of childhood precursor-B acute lymphoblastic leukemias: alternative PCR targets for detection of minimal residual disease. Leukemia 13(2):196–205 doi: 10.1038/sj.leu.2401277. [DOI] [PubMed]
- Przybylski G, Oettle H, Ludwig W, Siegert W, Schmidt C (1994) Molecular characterization of illegitimate TCRδ gene rearrangements in acute myeloid leukaemia. Br J Haematol 87(2):301–307 doi: 10.1111/j.1365-2141.1994.tb04913.x. [DOI] [PubMed]
- Rowlands V, Rutkowski AJ, Meuser E, Carr TH, Harrington EA, Barrett JC (2019) Optimisation of robust singleplex and multiplex droplet digital PCR assays for high confidence mutation detection in circulating tumour DNA. Sci Rep 9(1):12620 doi: 10.1038/s41598-019-49043-x. [DOI] [PMC free article] [PubMed]
