A novel approach to improve detection of somatic DNA variants in solid tumors by next-generation sequencing from FFPE samples

Autor: Qingxiu Zhang, Erich Jaeger, Robert Haigis, Maryam Zenali, Nitin Udar, Thomas Gros, Mark T. Ross, Agda Karina Lucio-Eterovic
Rok vydání: 2013
Předmět:
Zdroj: Journal of Clinical Oncology. 31:e22177-e22177
ISSN: 1527-7755
0732-183X
DOI: 10.1200/jco.2013.31.15_suppl.e22177
Popis: e22177 Background: Low frequency variant detection by sequencing is a highly desired goal for therapy selection in cancer especially the detection of actionable targets. The lower limit of detection using Sanger sequening is ~20% minor allele frequency (MAF). Deep sequencing of target genes using next generation sequencing (NGS) is gaining popularity. Formalin Fixed Paraffin Embedded (FFPE) tissue is the most common sample type in solid tumor histopathology. However, because the fixation process fragments DNA and damages it at varying frequencies, downstream processes can potentially misclassify modified bases and generate artifacts. We have developed a protocol that addresses both of these issues in a multiplex assay that involves deep sequencing using NGS of targets implicated in lung, gastric, colon, melanoma and ovarian cancers. Methods: The sample set includes 168 FFPE samples and 82 non FFPE samples. TruSeq Custom Amplicon technology was used to generate libraries for targets across 26 genes. Deep sequencing was done on a NGS platform (Illumina-MiSeq). Results: The DNA quality test, which surveys multiple genomic targets by qPCR, was an accurate determinant of DNA amplifiability and yielded a 99% sample success rate. A sensitivity of
Databáze: OpenAIRE