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Detection of Rare Mutations in CtDNA Using Next Generation Sequencing
Published on: August 24, 2017
Direct resequencing of the complete ERBB2 coding sequence reveals an absence of activating mutations in ERBB2
Christina I Zito1, David Riches, Julia Kolmakova
1Department of Pathology, Yale University School of Medicine, New Haven, CT 06520, USA. christina.zito@yale.edu
Abstract:
Gene amplification is among the most common genetic abnormalities that cause cancer. One of the most clinically important gene amplifications in human cancer causes extensive reduplication of ERBB2. A variety of cancers also occasionally harbor somatic mutations in ERBB2. Gene amplification and activating mutations both have predictive value for clinical response to targeted inhibitors. Since the number of gene copies in an amplicon may exceed 100, and since amplicons may encompass multiple genes, high-resolution analysis of gene amplifications poses considerable technical challenges. We have overcome this obstacle by using emulsion-based resequencing to determine the sequence of many independently-amplified individual DNA molecules in parallel. We used this high throughput sequencing technology to analyze ERBB2 mutational status in five ERBB2 amplified cell lines (four breast, one ovarian) and two breast tumors. Genomic DNA was isolated and the 28 exons of ERBB2 were independently amplified. Amplicons were then pooled at equimolar ratios, subjected to emulsion PCR (emPCR) and finally to picotiter plate pyrosequencing. High-quality sequence data were obtained for all amplicons analyzed and no activating mutations within ERBB2 were identified. Although we did not find activating mutations within the multiple copies of ERBB2 in these samples, the results establish the utility of this technology as a feasible and cost-effective approach for high resolution analysis of amplified genes.
Insights
This study introduces a novel high-throughput sequencing method for analyzing gene amplifications, specifically focusing on ERBB2. The technology proved effective for high-resolution analysis of amplified genes, despite not finding activating mutations in the tested samples.
Area of Science:
- Genomics
- Cancer Biology
- Molecular Diagnostics
Background:
- Gene amplification is a common driver of cancer, with ERBB2 amplification being particularly significant in various human cancers.
- Both gene amplification and mutations in ERBB2 can predict patient response to targeted therapies.
- Analyzing high-copy number gene amplifications presents significant technical challenges due to amplicon size and gene density.
Purpose of the Study:
- To develop and validate a high-throughput sequencing method for high-resolution analysis of gene amplifications.
- To investigate the mutational status of ERBB2 in cancer cell lines and tumors with known ERBB2 amplification.
Main Methods:
- Utilized emulsion-based resequencing to analyze individual DNA molecules in parallel.
- Applied high-throughput sequencing to ERBB2 amplicons from five cell lines and two tumors.
- Performed emulsion PCR (emPCR) and picotiter plate pyrosequencing on pooled amplicons.
Main Results:
- Successfully obtained high-quality sequence data for all analyzed ERBB2 amplicons.
- No activating mutations were identified within the amplified ERBB2 copies in the studied samples.
- Demonstrated the feasibility and cost-effectiveness of the developed technology for analyzing amplified genes.
Conclusions:
- Emulsion-based resequencing is a powerful and cost-effective tool for high-resolution analysis of gene amplifications.
- While no activating mutations were found in this ERBB2-amplified cohort, the technology is applicable to broader genomic studies.
- This method overcomes technical challenges in analyzing complex amplicon structures in cancer genomics.
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