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Ultra-rapid somatic variant detection via real-time targeted amplicon sequencing.


ABSTRACT: Molecular markers are essential for cancer diagnosis, clinical trial enrollment, and some surgical decision making, motivating ultra-rapid, intraoperative variant detection. Sequencing-based detection is considered the gold standard approach, but typically takes hours to perform due to time-consuming DNA extraction, targeted amplification, and library preparation times. In this work, we present a proof-of-principle approach for sub-1 hour targeted variant detection using real-time DNA sequencers. By modifying existing protocols, optimizing for diagnostic time-to-result, we demonstrate confirmation of a hot-spot mutation from tumor tissue in ~52 minutes. To further reduce time, we explore rapid, targeted Loop-mediated Isothermal Amplification (LAMP) and design a bioinformatics tool-LAMPrey-to process sequenced LAMP product. LAMPrey's concatemer aware alignment algorithm is designed to maximize recovery of diagnostically relevant information leading to a more rapid detection versus standard read alignment approaches. Using LAMPrey, we demonstrate confirmation of a hot-spot mutation (250x support) from tumor tissue in less than 30 minutes.

SUBMITTER: Wadden J 

PROVIDER: S-EPMC9284968 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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Ultra-rapid somatic variant detection via real-time targeted amplicon sequencing.

Wadden Jack J   Newell Brandon S BS   Bugbee Joshua J   John Vishal V   Bruzek Amy K AK   Dickson Robert P RP   Koschmann Carl C   Blaauw David D   Narayanasamy Satish S   Das Reetuparna R  

Communications biology 20220715 1


Molecular markers are essential for cancer diagnosis, clinical trial enrollment, and some surgical decision making, motivating ultra-rapid, intraoperative variant detection. Sequencing-based detection is considered the gold standard approach, but typically takes hours to perform due to time-consuming DNA extraction, targeted amplification, and library preparation times. In this work, we present a proof-of-principle approach for sub-1 hour targeted variant detection using real-time DNA sequencers  ...[more]

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