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Related Experiment Video

Updated: Sep 14, 2025

Oncogenic Gene Fusion Detection Using Anchored Multiplex Polymerase Chain Reaction Followed by Next Generation Sequencing
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Combining panel-based and whole-transcriptome-based gene fusion detection by long-read sequencing.

Karleena Rybacki1, Feng Xu2, Hannah M Deutsch3

  • 1Department of Bioengineering, University of Pennsylvania, Philadelphia, PA 19104, USA; Raymond G. Perelman Center for Cellular and Molecular Therapeutics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Cell Reports Methods
|July 22, 2025
PubMed
Summary

This study introduces a new workflow for detecting gene fusions (GFs) in cancer using long-read sequencing. The method combines targeted panels and whole-transcriptome analysis for faster and more comprehensive GF identification.

Keywords:
CP: cancer biologyCP: geneticsOxford Nanopore Technologiescomputational pipelinegene fusionslong-read sequencingtranscriptome analysis

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Area of Science:

  • Genomics
  • Cancer Research
  • Bioinformatics

Background:

  • Gene fusions (GFs) are critical drivers in various cancers.
  • Accurate detection of GFs is essential for targeted therapy.
  • Current methods may have limitations in sensitivity and scope.

Purpose of the Study:

  • To develop and validate a comprehensive gene fusion detection and analysis workflow.
  • To combine targeted panel-based and whole-transcriptome long-read sequencing for enhanced GF discovery.
  • To improve turnaround times and identify novel GFs in challenging cancer cases.

Main Methods:

  • Adaptation of a short-read cancer fusion panel for long-read sequencing (Oxford Nanopore Technologies).
  • Application of panel-based long-read sequencing for known GF detection.
  • Whole-transcriptome long-read sequencing analysis of panel-negative glioma samples.
  • Development of tailored computational pipelines for GF analysis.

Main Results:

  • Successful detection of known GFs using the adapted panel and long-read sequencing, with reduced turnaround times.
  • Identification of 20 novel candidate GFs in 24 panel-negative glioma samples.
  • Experimental validation of all identified candidate GFs.
  • Demonstrated compatibility of long-read sequencing for GF detection.

Conclusions:

  • The presented workflow integrates panel-based and whole-transcriptome long-read sequencing for comprehensive GF detection.
  • This approach enables fast and accurate identification of both known and novel gene fusions in cancer.
  • The workflow is effective for clinically challenging cases, including panel-negative samples.