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Related Experiment Video

Updated: Apr 22, 2026

Wild-type Blocking PCR Combined with Direct Sequencing as a Highly Sensitive Method for Detection of Low-Frequency Somatic Mutations
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Detecting ultralow-frequency mutations by Duplex Sequencing.

Scott R Kennedy1, Michael W Schmitt2, Edward J Fox1

  • 1Department of Pathology, University of Washington, Seattle, USA.

Nature Protocols
|October 10, 2014
PubMed
Summary
This summary is machine-generated.

Duplex Sequencing (DS) detects rare DNA mutations with high accuracy. This method analyzes both strands of DNA to identify single nucleotide changes in large populations, ideal for studying genetic alterations.

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Area of Science:

  • Genomics
  • Molecular Biology
  • Biotechnology

Background:

  • Next-generation sequencing enables detection of genetic alterations.
  • Studying heterogeneous populations requires sensitive mutation detection methods.
  • Existing methods may lack the sensitivity to detect very-low-frequency genetic alterations.

Purpose of the Study:

  • To provide a detailed protocol for Duplex Sequencing (DS).
  • To enable the study of heterogeneous populations and very-low-frequency genetic alterations.
  • To optimize DS for small genomic regions (<1 Mb).

Main Methods:

  • Duplex Sequencing (DS) utilizes adapter ligation to sample DNA.
  • Sequencing adapters contain complementary double-stranded nucleotide sequences.
  • PCR amplification creates sequence families from original DNA strands.
  • Mutations are confirmed if present on PCR families from both DNA strands.

Main Results:

  • DS achieves high sensitivity, detecting single mutations among >1 × 10(7) wild-type nucleotides.
  • The protocol covers adapter synthesis, library preparation, and target enrichment.
  • The data analysis workflow is outlined.
  • The protocol can be completed in 1-3 days.

Conclusions:

  • Duplex Sequencing is a powerful tool for detecting low-frequency DNA mutations.
  • The provided protocol facilitates the application of DS in research.
  • DS is suitable for analyzing heterogeneous DNA samples and small genomic regions.