1. Clinical Validation of Somatic Mutation Detection by the OncoScan CNV Plus Assay
- Author
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Kevin Ginn, Tara M. Bendorf, Scott C. Smith, Melissa Gener, Julie M. Joyce, Linda D. Cooley, and Midhat S. Farooqi
- Subjects
0301 basic medicine ,Male ,Adolescent ,DNA Copy Number Variations ,Biology ,Real-Time Polymerase Chain Reaction ,Polymorphism, Single Nucleotide ,Sensitivity and Specificity ,Pathology and Forensic Medicine ,Cohort Studies ,03 medical and health sciences ,symbols.namesake ,Young Adult ,0302 clinical medicine ,Germline mutation ,PTEN ,Humans ,Microarray platform ,Child ,Sanger sequencing ,Brain Neoplasms ,Infant, Newborn ,High-Throughput Nucleotide Sequencing ,Infant ,Molecular biology ,Data Accuracy ,030104 developmental biology ,Tissue Array Analysis ,030220 oncology & carcinogenesis ,Child, Preschool ,Mutation ,symbols ,biology.protein ,Molecular Medicine ,Female ,Algorithms - Abstract
The OncoScan CNV Plus Assay (OS+) is a single-nucleotide polymorphism microarray platform that can detect 74 hotspot somatic mutations (SMs) in nine genes via molecular inversion probes. We report validation of the SM component of OS+ using a cohort of pediatric high-grade brain tumor specimens. SM calls were generated from 46 brain tumor cases, most tested orthogonally via bidirectional Sanger sequencing. The initial calling algorithm result showed that 31 tumors were positive and 15 were negative for SM, with a total of 71 OS+ SM calls [28 high-confidence (HC) and 43 low-confidence (LC)]. Sanger sequencing was performed for 54 of the 71 calls (27 HC and 27 LC), as well as for 21 randomly selected hotspots across the 15 OS+ negative cases. HC calls (except EGFR) Sanger sequencing confirmed positive, negative calls confirmed negative, but none of the LC calls were Sanger-confirmed positive. An update of the OS+ algorithm resolved the LC calls, but of the 11 HC SM EGFR calls, Sanger sequencing confirmed only one. Two PTEN SM calls by OS+ in two separate cases were also negative per Sanger sequencing. We conclude that a majority of HC OS+ SM calls were accurate, except calls identified in EGFR and PTEN. Clinically, we report SMs identified by OS+ only after Sanger sequencing verification.
- Published
- 2020