Applications of NGS in Molecular Pathology of Cancer Flashcards

1
Q

What does cancer genomics refer to?

A

The analysis of genes and how alterations in genes can lead to changes in cells which cause cancer

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2
Q

What contributes to the development of human tumours?

A

Genetic and epigenetic mechanisms

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3
Q

In cancer gene alterations can occur at the chromosome level, at the genetic level or at the epigenetic level.

What are some examples?

A

Chromosomal variants (SVs) – translocations, inversions, duplications, deletions, amplifications (CNVs)

Gene variants – point mutations (SNVs), copy number variations (CNVs), small indels (insertions and deletions)

Epigenetic variants – DNA methylation, histone modifications

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4
Q

What is the clinical relevance of cancer genomics?

A

Genomic analysis can provide a better understanding of the types of mutations in a tumour

Molecular classification of tumours
Identification of individual targetable genomic alterations

Understand tumour mutation burden (TMB)

Assess tumour heterogeneity

Characterise mechanism of resistance and tumour evolution

Identify complex mutation signatures and cancer specific neo- antigens

Monitoring treatment response

Lead to improved ways to diagnosis, treatment and ultimately better patient care

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5
Q

NGS was developed with the concept of what?

A

Massively Parallel Sequencing -

All MPS platforms require a library with custom linkers (adapters) attached to the ends of the fragments

Each library fragment is amplified on a solid surface – bead or a flat surface with covalently attached adapters that hybridize to the library adapter

Direct step-by-step detection of the nucleotide base incorporated

Hundreds of thousands to hundreds of millions of reactions sequenced per run

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6
Q
  1. What are examples of massively Parallel Sequencing?

2. What are the two most dominant?

A
  1. Roche/ 454 Pyrosequencing

Ion Torrent

Illumina/Solexa Sequencing

ABI/SOLID Sequencing

  1. Ion Torrent

Illumina/Solexa Sequencing

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7
Q

What steps are involved in Ion torrent sequencing?

A

Ion GeneStudio S5 System/ Ion Torrent Genexus System

Library Prep

Emulsion PCR

Ion semiconductor sequencing

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8
Q

What are the pros of Ion torrent sequencing?

What are the cons?

A

Fast
Error rate of 1%
Suitable for clinical diagnostics

Difficulty of interpreting homopolymer sequences (>6 bp)

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9
Q

What is the NGS workflow for Illumina sequencing?

A

Sample acquisition and DNA/RNA
extraction

Library preparation

Sequencing

Alignment to the reference genome

Variant discovery

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10
Q

What does quality control sample acquisition for DNA/RNA extraction involve?

A
Samples Sources:
Cells
Tissues
Blood
Biological  fluids
Fresh
Frozen
Fixed FFPE
Laser capture
Methods for QC:
Agarose gel
Nanodrop (260/280nm,  260/230nm)
Qubit
Bioanalyser (RIN)
Tapestation (DIN)

Genomic DNA samples should be free of PCR inhibitors (high concentration of EDTA, salt)

DNA samples must not be contaminated with other sources of DNA or RNA

Any contaminant DNA will be amplified and affects the data

Accurate quantitation is critical for any downstream applications

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11
Q

What tools are used to conduct quality control?

A

Check Quality (Bioanalyzer Tapestation): - DNA and RNA integrity can be measured - DIN and RIN

DIN- DNA integrity number
1= highly degraded, 10= highly intact DNA

DIN >8.0
DNA >50 kb

RIN >7.0

RNA is DNA free

DNase treatment

Check Purity
(Nanodrop):

260/280 ~ 1.8 for DNA,
lower ratio = protein
contamination

260/280 ~2.0 for RNA,
lower ratio = protein
contamination

260/230 ~2.0 - 2.2 lower or higher ratio = organic contaminants

Purify sample
Re-confirm purity

Check Quantity (Qubit):

Meet input spec of your downstream application

Two close readings for each sample

Sufficient leftover for validation

Consider drying sample Consider alternate suitable for sample

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12
Q

Why conduct sample QC?

A

Quality of sample determines quality of data attained using sequencing

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