Mutation screening using formalin-fixed paraffin-embedded tissues: a stratified approach according to DNA quality
Autor: | Ming Wang, Moniek van Hoppe, Joe Sneath Thompson, Eguzkine Ochoa Ruiz, Josh Caddy, Debbie Hamid, Ming-Qing Du, Andrew Davies, Peter Johnson, Cathy Burton, S. Barrans, Francesco Cucco, Hannah Kennedy, Thomas Cummin, Alexandra Clipson |
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Přispěvatelé: | Du, Ming-Qing [0000-0002-1017-5045], Apollo - University of Cambridge Repository |
Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
0301 basic medicine
Tissue Fixation DNA Mutational Analysis Computational biology Biology Polymerase Chain Reaction Pathology and Forensic Medicine 03 medical and health sciences chemistry.chemical_compound symbols.namesake 0302 clinical medicine Formaldehyde False positive paradox Humans Allele Molecular Biology Gene Sanger sequencing Paraffin Embedding High-Throughput Nucleotide Sequencing Reproducibility of Results Cell Biology Replicate DNA 030104 developmental biology chemistry 030220 oncology & carcinogenesis Mutation Mutation testing symbols Cytosine |
Popis: | DNA samples from formalin-fixed paraffin-embedded tissues are highly degraded with variable quality, and this imposes a big challenge for targeted sequencing due to false positives, largely caused by PCR errors and cytosine deamination. To eliminate false positives, a common practice is to validate the detected variants by Sanger sequencing or perform targeted sequencing in duplicate. Technically, PCR errors could be removed by molecular barcoding of template DNA prior to amplification as in the HaloPlexHS design. Nonetheless, it is uncertain to what extent variants detected using this approach should be further validated. Here, we addressed this question by correlating variant reproducibility with DNA quality using HaloPlexHS target enrichment and Illumina HiSeq4000, together with an in-house validated variant calling algorithm. The overall sequencing coverage, as shown by analyses of 70 genes in 266 cases of large B-cell lymphoma, was excellent (98%) in DNA samples amenable for PCR of ≥400 bp, but suboptimal (92%) and poor (80%) in those amenable for PCR of 300 bp and 200 bp respectively. By mutation analysis in duplicate in 93 cases, we demonstrated that 20 alternative allele depth (AAD) was an optimal cut-off value for separating reproducible from non-reproducible variants in DNA samples amenable for PCR of ≥300 bp, with 97% sensitivity and 100% specificity. By cross validation with a previously established targeted sequencing protocol by Fluidigm-PCR and Illumina MiSeq, the HaloPlexHS protocol was shown to be highly sensitive and specific in mutation screening. To conclude, we proposed a stratified approach for mutation screening by HaloplexHS and Illumina HiSeq4000 according to DNA quality. DNA samples with good quality (≥400 bp) are amenable for mutation analysis with a single replicate, with only variants at 15–20 AAD requiring for further validation, while those with suboptimal quality (300 bp) are better analysed in duplicate with reproducible variants at >15 AAD regarded as true genetic changes. HaloPlexHS target enrichment incorporates molecular barcodes in hybridization probes in order to detect data resulting from PCR errors. The authors combined HaloPlexHS technology with Illumina HiSeq sequencing and developed a new validated variant-calling algorithm. Thus, they were able to establish a targeted sequencing protocol that allows reliable mutation detection with a single replicate using DNA samples from formalin-fixed paraffin-embedded tissues. |
Databáze: | OpenAIRE |
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