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- Title
Comprehensive routine diagnostic screening to identify predictive mutations, gene amplifications, and microsatellite instability in FFPE tumor material.
- Authors
Steeghs, Elisabeth M. P.; Kroeze, Leonie I.; Tops, Bastiaan B. J.; van Kempen, Leon C.; ter Elst, Arja; Kastner-van Raaij, Annemiek W. M.; Hendriks-Cornelissen, Sandra J. B.; Hermsen, Mandy J. W.; Jansen, Erik A. M.; Nederlof, Petra M.; Schuuring, Ed; Ligtenberg, Marjolijn J. L.; Eijkelenboom, Astrid
- Abstract
<bold>Background: </bold>Sensitive and reliable molecular diagnostics is needed to guide therapeutic decisions for cancer patients. Although less material becomes available for testing, genetic markers are rapidly expanding. Simultaneous detection of predictive markers, including mutations, gene amplifications and MSI, will save valuable material, time and costs.<bold>Methods: </bold>Using a single-molecule molecular inversion probe (smMIP)-based targeted next-generation sequencing (NGS) approach, we developed an NGS panel allowing detection of predictive mutations in 33 genes, gene amplifications of 13 genes and microsatellite instability (MSI) by the evaluation of 55 microsatellite markers. The panel was designed to target all clinically relevant single and multiple nucleotide mutations in routinely available lung cancer, colorectal cancer, melanoma, and gastro-intestinal stromal tumor samples, but is useful for a broader set of tumor types.<bold>Results: </bold>The smMIP-based NGS panel was successfully validated and cut-off values were established for reliable gene amplification analysis (i.e. relative coverage ≥3) and MSI detection (≥30% unstable loci). After validation, 728 routine diagnostic tumor samples including a broad range of tumor types were sequenced with sufficient sensitivity (2.4% drop-out), including samples with low DNA input (< 10 ng; 88% successful), low tumor purity (5-10%; 77% successful), and cytological material (90% successful). 75% of these tumor samples showed ≥1 (likely) pathogenic mutation, including targetable mutations (e.g. EGFR, BRAF, MET, ERBB2, KIT, PDGFRA). Amplifications were observed in 5.5% of the samples, comprising clinically relevant amplifications (e.g. MET, ERBB2, FGFR1). 1.5% of the tumor samples were classified as MSI-high, including both MSI-prone and non-MSI-prone tumors.<bold>Conclusions: </bold>We developed a comprehensive workflow for predictive analysis of diagnostic tumor samples. The smMIP-based NGS analysis was shown suitable for limited amounts of histological and cytological material. As smMIP technology allows easy adaptation of panels, this approach can comply with the rapidly expanding molecular markers.
- Subjects
GENE amplification; MICROSATELLITE repeats; MOLECULAR probes; LUNG cancer; GENETIC mutation; INTESTINAL tumors; BRAF genes; MELANOMA diagnosis; TUMOR diagnosis; COLON tumors; DEGENERATION (Pathology); LUNG tumors; MELANOMA; PROTEINS; RECTUM tumors; TUMORS; GASTROINTESTINAL tumors; SEQUENCE analysis; EARLY detection of cancer
- Publication
BMC Cancer, 2020, Vol 20, Issue 1, p1
- ISSN
1471-2407
- Publication type
journal article
- DOI
10.1186/s12885-020-06785-6