Germline and somatic mutation profile in Cancer patients revealed by a medium-sized pan-Cancer panel

Autor: Zhaopei Li, Yuanhua Tang, Dujuan Liu, Hailong Wang, Zhen Zhang, Xiangwen Meng
Rok vydání: 2021
Předmět:
Zdroj: Genomics. 113:1930-1939
ISSN: 0888-7543
DOI: 10.1016/j.ygeno.2021.04.029
Popis: Gene mutation detection and the resulted precision-medicine therapy is transforming clinical practice. Here, we report the use of a custom-developed, medium-sized, pan-cancer probe panel for the detection of somatic and germline mutations. We used a hybridization capture-based NGS assay for targeted deep sequencing of all exons and selected introns of 181 key cancer driver genes, covering both inherited risks and somatic mutations. We performed paired-variant calling on tumor samples and their matched normal samples. We processed clinical patient samples of formalin-fixed, paraffin embedded tumors (FFPE samples) and cell-free peripheral blood (cfDNA samples). We found germline mutations of inherited cancer risk at 9%; and discovered a novel germline mutation in BRCA1. Somatic mutation rate in driver genes is at 73.1%, much higher than previously reported. On recommending precision-medicine therapeutics, we achieved 91.6% for patients with FFPE samples.
Databáze: OpenAIRE