Clinical Research (RUO) Products GALEAS uPCR: ESR1 (RUO)
uPCR Product

ESR1 mutation detection in liquid biopsy samples

GALEAS™ uPCR: ESR1 (RUO)

A qPCR assay with the sensitivity of a digital PCR assay designed for detecting eleven key mutations in the estrogen receptor gene, ESR1.

GALEAS™ uPCR: ESR1 (RUO) is for research use only and not for use in diagnostic procedures outside of the UK. For diagnostic applications, please see our GALEAS™ uPCR: ESR1 (UKCA) product. GALEAS™ uPCR: ESR1 (UKCA) | Nonacus

Sensitivity of digital PCR in a qPCR assay

GALEAS uPCR: ESR1 enables detection of eleven of the most prevalent mutations in the estrogen receptor gene, ESR1, known in the literature to be associated with endocrine therapy resistance. The assay uses ultrasensitive PCR (uPCR), a Nonacus proprietary technology, to deliver improved sensitivity and specificity over standard qPCR that ensures no wild-type bleed through and data comparable to digital PCR.

Simple to use, and requiring no specialist equipment, it offers laboratories a fast and cost-effective method for the accurate and sensitive detection of ESR1 mutations.

Mutations in the ESR1 gene are widely studied as potential contributors to resistance mechanisms and are present in up to 40% of ER+, HER2- metastatic breast cancers1. Liquid biopsy studies have contributed to a greater understanding of the role of these mutations in disease biology. ESR1 is an active area of ongoing research.

 

ESR1 variants covered by GALEAS uPCR: ESR1:
High prevalence: E380Q, D538G, Y537S, Y537N
Low prevalence: S463P, Y537C, L536H, L536R, P535H, L536Q, Y537D

Key features

  • Detects eleven of the most prevalent mutations in the estrogen receptor gene, ESR1.
  • Developed for use with cell-free DNA.
  • Delivers improved sensitivity and specificity compared with standard qPCR.
  • Simple to use, requires no specialist equipment.

Looking for broader endocrine therapy resistance profiling?

We are exploring a targeted NGS panel for endocrine resistance markers.

Performance

Assay sensitivity and specificity were evaluated using commercially available reference standards and synthetic controls containing multiple, known ESR1 variants.

The assay was evaluated using the ESR1 reference set from SensID, GmbH at 1%, 0.3% and 0.1% MAF in a background of SensID wild-type cfDNA. Detection at 0.1% MAF was observed, with 100% specificity achieved.

Analytical sensitivity and specificity were further evaluated using synthetic controls. ESR1 mutations were detected with a specificity of ≥98% and a sensitivity of ≥90% at mutant allele frequencies (MAF) between 0.04% and 0.33%.

Table 1: Validation using SensID ESR1 reference set

GALEAS uPCR: ESR1 was validated using the ESR1 reference set from SensID, GmbH at 1%, 0.3% and 0.1% MAF in a background of SensID wild-type cfDNA. 0.1% MAF was detected, and 100% specificity was achieved.

Table 2: Analytical Specificity

Determined using 25 ng of commercial cfDNA wild type reference standard per reaction (75 technical replicates per multiplex). Genomic DNA (gDNA) contamination was shown to have no impact on specificity. Overall ≥98% specificity was obtained for all multiplexes across both cfDNA and gDNA

Table 3: Analytical Sensitivity

Determined using synthetic controls (60 replicates; 3 independent qPCR runs). The Limit of Detection (LoD) ranged between 0.04% and 0.33% Mutant Alle Frequency (MAF) at an analytical sensitivity of ≥90% for all targets.

Figure 1: Amplification plot of D538G target showing no wt bleed through.

No wild type bleed through was observed at 1%, 0.3% and 0.1% MAF for any of the ESR1 variants targeted using SensID reference standards. Figure 1 shows an example plot. A) Positive control PC1, B) Positive Control PC1, C) SensID Tube 3 (D538G), 0.3% duplicate repeats, D) wild-type control.

Streamlined workflows; quick and easy protocols

Nonacus uPCR

Sample to data in under 3 hours:

sample
Sample Preparation
pcr-amplification
PCR Amplification and fluorescence read out
analysis
Analysis

Why choose GALEAS uPCR: ESR1?

Accurate and sensitive

Detect ESR1 mutations with a specificity of ≥98% and a sensitivity of ≥90% at MAFs between 0.04% and 0.33%.

Key variants covered

Detection of 11 commonly reported ESR1 variants from cell-free DNA isolated from plasma samples.

Results in under 3 hours

A fast, simple qPCR protocol that requires no specialist equipment and can be implemented in most molecular research laboratories.

GALEAS uPCR: ESR1 is UKCA marked in accordance with the UK Medical Devices Regulations 2002 (as amended). Nonacus Ltd. is the legal manufacturer and is responsible for the development and ascertainment of the performance characteristics of GALEAS uPCR: ESR1.

Looking for broader endocrine therapy resistance profiling?

We are exploring a targeted NGS panel for endocrine resistance markers.

Got a question? Get in touch