Ontology highlight
ABSTRACT: Purpose
Structural variants (SVs) may be an underestimated cause of hereditary cancer syndromes given the current limitations of short-read next-generation sequencing. Here we investigated the utility of long-read sequencing in resolving germline SVs in cancer susceptibility genes detected through short-read genome sequencing.Methods
Known or suspected deleterious germline SVs were identified using Illumina genome sequencing across a cohort of 669 advanced cancer patients with paired tumor genome and transcriptome sequencing. Candidate SVs were subsequently assessed by Oxford Nanopore long-read sequencing.Results
Nanopore sequencing confirmed eight simple pathogenic or likely pathogenic SVs, resolving three additional variants whose impact could not be fully elucidated through short-read sequencing. A recurrent sequencing artifact on chromosome 16p13 and one complex rearrangement on chromosome 5q35 were subsequently classified as likely benign, obviating the need for further clinical assessment. Variant configuration was further resolved in one case with a complex pathogenic rearrangement affecting TSC2.Conclusion
Our findings demonstrate that long-read sequencing can improve the validation, resolution, and classification of germline SVs. This has important implications for return of results, cascade carrier testing, cancer screening, and prophylactic interventions.
SUBMITTER: Thibodeau ML
PROVIDER: S-EPMC7605438 | biostudies-literature | 2020 Nov
REPOSITORIES: biostudies-literature
Thibodeau My Linh ML O'Neill Kieran K Dixon Katherine K Reisle Caralyn C Mungall Karen L KL Krzywinski Martin M Shen Yaoqing Y Lim Howard J HJ Cheng Dean D Tse Kane K Wong Tina T Chuah Eric E Fok Alexandra A Sun Sophie S Renouf Daniel D Schaeffer David F DF Cremin Carol C Chia Stephen S Young Sean S Pandoh Pawan P Pleasance Stephen S Pleasance Erin E Mungall Andrew J AJ Moore Richard R Yip Stephen S Karsan Aly A Laskin Janessa J Marra Marco A MA Schrader Kasmintan A KA Jones Steven J M SJM
Genetics in medicine : official journal of the American College of Medical Genetics 20200706 11
<h4>Purpose</h4>Structural variants (SVs) may be an underestimated cause of hereditary cancer syndromes given the current limitations of short-read next-generation sequencing. Here we investigated the utility of long-read sequencing in resolving germline SVs in cancer susceptibility genes detected through short-read genome sequencing.<h4>Methods</h4>Known or suspected deleterious germline SVs were identified using Illumina genome sequencing across a cohort of 669 advanced cancer patients with pa ...[more]