Related Experiment Video
Updated: Mar 17, 2026

Detecting Somatic Genetic Alterations in Tumor Specimens by Exon Capture and Massively Parallel Sequencing
Published on: October 18, 2013
Sequencing Structural Variants in Cancer for Precision Therapeutics
Geoff Macintyre1, Bauke Ylstra2, James D Brenton1
1Cancer Research UK Cambridge Institute, University of Cambridge, UK.
Abstract:
The identification of mutations that guide therapy selection for patients with cancer is now routine in many clinical centres. The majority of assays used for solid tumour profiling use DNA sequencing to interrogate somatic point mutations because they are relatively easy to identify and interpret. Many cancers, however, including high-grade serous ovarian, oesophageal, and small-cell lung cancer, are driven by somatic structural variants that are not measured by these assays. Therefore, there is currently an unmet need for clinical assays that can cheaply and rapidly profile structural variants in solid tumours. In this review we survey the landscape of 'actionable' structural variants in cancer and identify promising detection strategies based on massively-parallel sequencing.
Insights
Identifying cancer-driving structural variants is crucial for targeted therapies. This review explores methods for detecting these variants, addressing an unmet clinical need for rapid and affordable profiling.
Area of Science:
- Oncology
- Genomics
- Molecular Diagnostics
Background:
- Cancer therapy selection increasingly relies on identifying specific mutations.
- Current solid tumor profiling primarily uses DNA sequencing for point mutations.
- Many aggressive cancers are driven by structural variants missed by standard assays.
Purpose of the Study:
- To address the unmet need for clinical assays that can rapidly and affordably profile structural variants in solid tumors.
- To review the landscape of actionable structural variants in cancer.
- To identify promising detection strategies for structural variants using massively-parallel sequencing.
Main Methods:
- Literature review of current cancer profiling techniques.
- Survey of 'actionable' structural variants in various cancers.
- Evaluation of massively-parallel sequencing strategies for variant detection.
Main Results:
- Standard DNA sequencing assays often fail to detect critical structural variants.
- Specific cancers like ovarian, oesophageal, and small-cell lung cancer are driven by these variants.
- Massively-parallel sequencing offers promising avenues for structural variant detection.
Conclusions:
- There is a significant clinical need for improved methods to detect structural variants in solid tumors.
- Actionable structural variants represent a key area for therapeutic targeting.
- Advancements in massively-parallel sequencing are vital for developing effective clinical assays.
Related Concept Videos
Next-generation Sequencing
Next-Generation Sequencing Methods
Although all next-generation methods use different technologies, they all share a set of standard features....
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Sanger Sequencing
RNA-seq
Before the discovery of RNA-seq, microarray-based methods and Sanger sequencing were used for transcriptome analysis. However, while...

