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2017 ; 36
(1
): 121
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gab.com Text
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High performance of targeted next generation sequencing on variance detection in
clinical tumor specimens in comparison with current conventional methods
#MMPMID28882180
Su D
; Zhang D
; Chen K
; Lu J
; Wu J
; Cao X
; Ying L
; Jin Q
; Ye Y
; Xie Z
; Xiong L
; Mao W
; Li F
J Exp Clin Cancer Res
2017[Sep]; 36
(1
): 121
PMID28882180
show ga
BACKGROUND: Next generation sequencing (NGS) is being increasingly applied for
assisting cancer molecular diagnosis. However, it is still needed to validate NGS
accuracy on detection of DNA alternations based on a large number of clinical
samples, especially for DNA rearrangements and copy number variations (CNVs).
This study is to set up basic parameters of targeted NGS for clinical diagnosis
and to understand advantage of targeted NGS in comparison with the conventional
methods of molecular diagnosis. METHODS: Genomic DNA from 1000 Genomes Project
and DNA from cancer cell lines have been used to establish the basic parameters
for targeted NGS. The following confirmation was conducted by clinical samples.
The multiple variants tested by amplification-refractory mutation system (ARMS),
fluorescence in situ hybridization (FISH) and immunohistochemistry (IHC) were
evaluated by targeted NGS to determine the sensitivity. Furthermore, the multiple
variants detected by targeted NGS were confirmed by current conventional methods
to elucidate the specificity. RESULTS: At sequencing depth of 500×, the maximal
sensitivities on detecting single nucletic variances (SNVs) and small
insertions/deletions (Indels) can reach 99% and 98.7% respectively, and in 20% of
cancer cells, CNV detection can reach to the maximal level. The following
confirmation of the sensitivity and specificity was conducted by a large cohort
of clinical samples. For SNV and indel detection in clinical samples, targeted
NGS can identify all hotspot mutations with 100% sensitivity and specificity. On
ALK fusion detection, about 86% IHC-identified cases could be identified by
targeted NGS and all ALK fusion detected by targeted NGS were confirmed by IHC.
For HER2-amplification, 14 HER2-amplification cases identified by target NGS were
all confirmed by FISH and about 93.3% of Her-2 IHC (3+) cases were identified by
targeted NGS. Finally, the targeted NGS platform developed here has accurately
detected EGFR hotspot mutations in 215 NSCLC patients. CONCLUSIONS: DNA from
cancer cell lines is better than standard DNA as a reference to establish basic
parameters for targeted NGS. Comparison of the conventional methods using a large
cohort of patient samples confirmed the high preformance of targeted NGS on
detecting DNA alterations.