An optimized targeted Next-Generation Sequencing approach for sensitive detection of single nucleotide variants

Monitoring of minimal residual disease (MRD) has become an important clinical aspect for early relapse detection during follow-up care after cancer treatment. Still, the sensitive detection of single base pair point mutations via Next-Generation Sequencing (NGS) is hampered mainly due to high substitution error rates. We evaluated the use of NGS for the detection of low-level variants on an Ion Torrent PGM system. As a model case we used the c.1849G > T (p.Val617Phe) mutation of the JAK2-gene. Several reaction parameters (e.g. choice of DNA-polymerase) were evaluated and a comprehensive analysis of substitution errors was performed. Using optimized conditions, we reliably detected JAK2 c.1849G > T VAFs in the range of 0.01-0.0015% which, in combination with results obtained from clinical data, validated the feasibility of NGS-based MRD detection. Particularly, PCR-induced transitions (mainly G > A and C > T) were the major source of error, which could be significantly reduced by the application of proofreading enzymes. The integration of NGS results for several common point mutations in various oncogenes (i.e. IDH1 and 2, c-KIT, DNMT3A, NRAS, KRAS, BRAF) revealed that the prevalent transition vs. transversion bias (3.57:1) has an impact on site-specific detection limits of low-level mutations. These results may help to select suitable markers for MRD detection and to identify individual cut-offs for detection and quantification.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Biomolecular detection and quantification - 15(2018) vom: 15. Mai, Seite 6-12

Sprache:

Englisch

Beteiligte Personen:

Stasik, S [VerfasserIn]
Schuster, C [VerfasserIn]
Ortlepp, C [VerfasserIn]
Platzbecker, U [VerfasserIn]
Bornhäuser, M [VerfasserIn]
Schetelig, J [VerfasserIn]
Ehninger, G [VerfasserIn]
Folprecht, G [VerfasserIn]
Thiede, C [VerfasserIn]

Links:

Volltext

Themen:

Cancer
Detection
Journal Article
Low-level single nucleotide variants
Minimal residual disease
Next-Generation sequencing
Quantification

Anmerkungen:

Date Revised 30.09.2020

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.bdq.2017.12.001

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM280108788