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December 8, 2025BloodOpen Access

Detection of mutation in cell-free DNA predicts poor outcomes in adult patients with langerhans cell histiocytosis

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ZLZhengzheng Liu

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Overview

Study demonstrates cell-free DNA mutation detection correlates with poor outcomes in adult langerhans cell histiocytosis patients, suggesting its use as a prognostic tool.

Key Points

  • This research aims to investigate how mutations in cell-free DNA relate to clinical outcomes in adult patients with langerhans cell histiocytosis.
  • Included 127 adults diagnosed with LCH, using both biopsy and plasma samples.
  • Biopsy tissues analyzed through next-generation sequencing to detect mutations.
  • Cell-free DNA extracted from plasma evaluated using QX200TM Droplet Digital PCR System.
  • Statistical association between cfDNA positivity and clinical features assessed.
  • 41.7% sensitivity in detecting mutations in cfDNA matching biopsy results.
  • Higher cfDNA positivity in the multiple system involvement group (53.8%).
  • Baseline cfDNA positivity linked to poorer overall response rates (74.5% vs 96.8%).
  • Positive cfDNA at baseline associated with elevated inflammatory cytokines levels.

Cite This Study

Zhengzheng Liu (2025) studied this question.

synapsesocial.com/papers/69362f4b4fa91c937236d7a9https://doi.org/10.1182/blood-2025-2035
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