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Related Concept Videos

Next-generation Sequencing03:00

Next-generation Sequencing

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The first human genome sequencing project cost $2.7 billion and was declared complete in 2003, after 15 years of international cooperation and collaboration between several research teams and funding agencies. Today, with the advent of next-generation sequencing technologies, the cost and time of sequencing a human genome have dropped over 100 fold.
Next-Generation Sequencing Methods
Although all next-generation methods use different technologies, they all share a set of standard features....
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Related Experiment Video

Updated: Jan 2, 2026

gDNA Enrichment by a Transposase-based Technology for NGS Analysis of the Whole Sequence of BRCA1, BRCA2, and 9 Genes Involved in DNA Damage Repair
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An optimized BRCA1/2 next-generation sequencing for different clinical sample types.

Yoonjung Kim1, Chi Heum Cho2, Jung Sook Ha3

  • 1Department of Laboratory Medicine, Yonsei University College of Medicine, Seoul, Korea.

Journal of Gynecologic Oncology
|December 3, 2019
PubMed
Summary
This summary is machine-generated.

For ovarian cancer patients, blood (buffy coat) is the superior sample type for germline BRCA1/2 mutation testing via next-generation sequencing (NGS). Tumor samples are better suited for detecting somatic mutations.

Keywords:
BRCA1BRCA2Blood Buffy CoatHigh-Throughput Nucleotide SequencingTissue Preservation

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Area of Science:

  • Oncology
  • Genetics
  • Molecular Biology

Background:

  • Simultaneous germline and somatic mutation detection in ovarian cancer (OC) using tumor tissue is cost-effective for BRCA1/2 testing.
  • Limited studies exist on the analytical performance of BRCA1/2 next-generation sequencing (NGS) across various sample types.

Purpose of the Study:

  • To propose a routine BRCA1/2 NGS screening strategy based on analytical performance across different sample types.
  • To evaluate the performance of BRCA1/2 NGS assays using buffy coat, fresh-frozen (FF), and formalin-fixed paraffin-embedded (FFPE) samples.

Main Methods:

  • Comparison of BRCA1/2 NGS screening assays.
  • Utilized 130 samples including buffy coat, FF, and FFPE.
  • Assessed analytical performances: accuracy, sensitivity, specificity, and positive predictive value (PPV).

Main Results:

  • Buffy coat showed 0% repeat tests, 100% accuracy, sensitivity, and specificity for BRCA1/2 NGS.
  • FFPE samples had a 34% repeat rate and 99.9% accuracy, but lower sensitivity (95.5%-99.0%) due to VAF shifts.
  • FFPE showed a 51.4% PPV, improved by ~20% post-filtration; FF had an 8% repeat rate.

Conclusions:

  • Buffy coat is unaffected by sequencing artifacts and VAF shifts, making it ideal for germline BRCA1/2 mutation detection.
  • Tumor materials (FFPE, FF) are suitable for detecting somatic mutations in OC patients when germline mutations are not the primary focus.