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Inherited Colorectal Cancer - validation of molecular diagnosis by Next Generation Sequencing

dc.contributor.authorTheisen, Patrícia
dc.contributor.authorRodrigues, Pedro
dc.contributor.authorSilva, Catarina
dc.contributor.authorPereira-Caetano, Iris
dc.contributor.authorIsidro, Glória
dc.contributor.authorVieira, Luís
dc.contributor.authorGonçalves, João
dc.date.accessioned2016-02-02T14:25:05Z
dc.date.available2016-02-02T14:25:05Z
dc.date.issued2015-11-05
dc.description.abstractIntroduction:Colorectal cancer is the third major cause of cancer related deaths worldwide. Around 5% of these cases are due to Inherited Colorectal Cancer (ICC) associated with highly penetrant single-gene mutations. Conventional molecular analysis of patients with ICC is well established and usually comprises PCR followed by Sanger sequencing of different genes with autosomal dominant inheritance - MLH1, MSH2, MSH6, PMS2 and EPCAM-3’ deletions in Lynch syndrome, APC in Familial Adenomatous Polyposis (FAP), or the study of an autosomal recessive condition with colorectal polyps associated with MUTYH variants. As standard molecular methodologies have high costs and are time consuming, they are progressively being replaced by Next Generation Sequencing (NGS), which allows the analysis of multiple genes simultaneously and with lower costs compared to Sanger sequencing. In order to validate NGS analysis for a set of genes associated with ICC, we performed NGS in 26 DNA samples from patients previously analysed by Sanger sequencing. Methods: NGS was performed using the Trusight Cancer Sequencing Panel and the MiSeq sequencer (Illumina), followed by bioinformatic analysis of the MLH1, MSH2, APC, MUTYH and STK11 genes using the MiSeq Reporter, VariantStudio and Isaac Enrichment tools. Results: Data analysis revealed 77 variants (31 unique, comprising 4 deletions, 1 insertion, 2 indels and 24 single nucleotide variants). Of these, 76 variants were previously identified by Sanger sequencing. NGS produced a false positive result associated with low coverage in STK11 (c.375-49G>A). Discussion: Results obtained by NGS are consistent with Sanger sequencing and showed high analytical sensitivity and specificity. Therefore after this initial validation, with high repeatability, conventional molecular analysis can be replaced by NGS, allowing us to offer the possibility to screen more genes, at lower costs and with a shorter turnaround time.pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.18/3259
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectDoenças Genéticaspt_PT
dc.subjectCancro Coloretalpt_PT
dc.subjectNGSpt_PT
dc.subjectSequenciação de Nova Geraçãopt_PT
dc.subjectSíndrome de Lynchpt_PT
dc.subjectHNPCCpt_PT
dc.titleInherited Colorectal Cancer - validation of molecular diagnosis by Next Generation Sequencingpt_PT
dc.typeconference object
dspace.entity.typePublication
oaire.citation.conferencePlacePorto, Portugalpt_PT
oaire.citation.title19.ª Reunião Anual da Sociedade Portuguesa de Genética Humana, 5-7 de Novembro 2015pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT

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