Table 1. Detection of circulating nucleic acids and its alterations in plasma and serum of patients with breast cancer Number of Nucleic acids Methods Clinical relevance Reference DNA quantification qPCR Diagnosis [1] DNA quantification qPCR DTC status [2] patients cfDNA 61 M0, 33 benign 64 M0 DNA integrity qPCR Lymph node [3] 83 M0 metastases 73 M0 DNA integrity qPCR Therapy [4] 61 M0 Microsatellite alterations fPCR Diagnosis [5] 81 M0 Microsatellite alterations fPCR Diagnosis, prognosis [6] 388 M0 Microsatellite alterations fPCR Diagnosis, prognosis [7] 147 M0 Microsatellite alterations fPCR Prognosis [8] 40 M0, Microsatellite alterations fPCR Diagnosis, lymph [9] 48 M1 102 M0, node metastases Microsatellite alterations PCR 32 benign 30 M0, Prognosis, lymphatic [10] tumor cell spread PIK3CA mutation ARMS Diagnosis [11] P53 mutation PCR-SSCP Prognosis [12] 46 M1 126 M0 30 M1 Mutations Sequencing Metastases [13] 88 M0, Her2 amplification qPCR Diagnosis [14] Her2 amplification qPCR Therapy [15] 65 M0 SNP/CNV Array Diagnosis, dormancy [16] 61 M0 Methylation MSP Diagnosis [17] 38 M0 Methylation MSP Diagnosis [18] 20 M0, Methylation MSP Diagnosis [19] Methylation MSP Diagnosis [20] Methylation MSP Diagnosis [21] Methylation MethyLight Diagnosis [22] Diagnosis [23] 30 M1 50 M0, 15 M1 15 benign 250 M0, 59 benign 150 M0, 46 M1 39 M0 PCR Methylation MALDI-TOF 22 M0 MS 101 M0, Methylation OS-MSP Diagnosis [24] 100 M0 Methylation MSP Diagnosis, prognosis [25] 26 M0, Methylation MethyLight Prognosis [26] 58 M1 10 M1 PCR Methylation MethyLight Prognosis [27] 428 M0 PCR 336 M0 Methylation OS-MSP Prognosis [28] 20 M0 Methylation MethDet-56 Surgery, therapy [29] 52 M0 Methylation MSP Therapy [30] Methylation MethyLight Therapy [31] 148 M0 PCR 80 Methylation MSP CTC status [3 M1 79 M0 2] Methylation MSP CTC status [33] Methylation MethyLight CTC status [34] qPCR Diagnosis [35] Cancer progression [36] 85 M0 PCR 52 M0, Mitochondrial 26 benign Cell-free nucleosomes 31 M0, DNA, nucleosomes, protease PicoGreen, 32 M1, activities ELISA Nucleosomes ELISA Diagnosis, therapy [37] Histone modifications ChIP Diagnosis [38] 20 benign 125 M0, 11 benign 15 M0 cfRNA 24 M0, Mammaglobin RT-PCR 16 M1, Diagnosis, [39] metastases 25 benign 129 M0 Cyclin D1 RT-PCR Prognosis, predictive [40] microRNAs 100 M0 miR-92a, miR-21 qPCR Diagnosis [41] 103 M0 miR-155 qPCR Diagnosis [42] 20 M0 miR-155, miR-205 qPCR Diagnosis [43] 20 M0 miR-708*, miR-92b*, miR-568 qPCR Diagnosis [44] miR-10b, miR-21, miR-125b, qPCR Diagnosis [45] miR-145, miR-451 qPCR Diagnosis [46] miR-148b, miR-376c, miR-409- qPCR Diagnosis [47] 61 M0 miR-145, miR-155 miR-191, miR-382 170 M0 127 M0 3p, miR-801 48 M0 miR-202, miR-718 qPCR Diagnosis [48] 102 M0 miR-21 qPCR Diagnosis, prognosis [49] 102 M0, miR-214 qPCR Diagnosis, lymph [50] 32 benign node metastases miR-10b, miR-373 qPCR Diagnosis, lymph 60 M0 node metastases [51] 59 M0, miR10b, miR34a, miR141, 30 M1 miR155 59 M0, miR-215, miR-299-5p, miR-411, 16 M1 and miR-452 100 M0, qPCR Diagnosis, [52] metastases qPCR Diagnosis, [53] metastases miR-10b qPCR Metastases [54] miR-141, miR-200a, miR-200b, qPCR Prognosis, CTC [55] 22 M1 193 M1 miR-200c, miR-203, miR-210, status miR-375, miR-768-3p 56 M0 miR-125b qPCR Therapy [56] miR-210 qPCR Therapy, lymph node [57] 43 M0 metastases This table represents different forms of cell-free nucleic acids that have been detected in plasma or serum of patients with breast cancer. This table is not meant to be comprehensive and is based on my own view of studies that offer substantial clinical insight. ARMS, amplification refractory mutation system allele-specific polymerase chain reaction; cfDNA, cell-free DNA; ChIP, chromatin-immunoprecipitation; CNV, copy number variation; CTC, circulating tumor cell; DTC, disseminated tumor cell; ELISA, enzyme-linked immunosorbent assay; fPCR, fluorescence-based microsatellite polymerase chain reaction; M0, patients with primary breast cancer; M1, patients with metastatic breast cancer; MALDI-TOF MS, matrix-assisted laser desorption/ionization time-of-flight mass spectrometry; MSP, methylation-specific polymerase chain reaction; OS-MSP, one-step methylation-specific polymerase chain reaction; PCR, polymerase chain reaction; PCR-SSCP, polymerase chain reaction-single strand conformation polymorphism; PIK3CA, class I phosphatidylinositol-3 kinase (PI3K) catalytic subunit; qPCR, quantitative real-time polymerase chain reaction; RT-PCR, reverse transcription-polymerase chain reaction; SNP, single-nucleotide polymorphism. 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