Genetic Testing Flashcards

(31 cards)

1
Q

how does sanger sequencing fragment DNA

A

flourescent terminating nucleotides

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2
Q

what makes sanger harder to interpret

A

shift mutations- insertions/ deletions

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3
Q

what can NGS do

A

sequence many regions of DNA at the same time as samples spatially separated
millions of overlapping DNA fragments generated for each sample (lots of data)
barcode identifies specific samples (demultiplexing)

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4
Q

in NGS what is a paired read

A

when fragment is sequenced from both ends

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5
Q

how long is a short read in NGS

A

300bp

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6
Q

what does coverage mean

A

proportion of genes covered by testing
depth of coverage= how many times each nucleotide is sequenced
(for germline want coverage of .95% at x30 depth)
(for somatic x200 depth)

uniform coverage of a sequence means you have to do it less as more areas covered well

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7
Q

what is NGS most commonly used for

A

gene panels

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8
Q

what does the overlap of fragments allow

A

re-ordering

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9
Q

what is a duplicate read

A

when the same region sequenced twice- waste of time

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10
Q

what are the disadvantages of short read NGS

A

GC bias
15 hours +
not good at detecting transcript splicing variants or structural DNA variants (translocations/ fusions) as hard to get sequence that covers the break/ splice site

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11
Q

what does long read NGS allow

A

real time sequencing
no GC bias
dont need to amplify DNA
direct detection of modifications such as methylation

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12
Q

is short or long read sequencing used for wgs

A

short

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13
Q

why does wgs variant interpretation take a long time

A

as variants of unknown significance identified

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14
Q

what does targeted sequencing via hybridisation allow

A

sequencing clinical exome, whole exome or specific genes

cheaper, less unknown variants

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15
Q

what can targeted sequencing via PCR do

A

amplify regions of interest

useful where limited sample available e.g. cancer biopsy

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16
Q

what can targeted long read sequencing do

A

chromosomal rearrangements

17
Q

what is consituitive genetics

A

gene panel

where small number of genes associated with phenotye

18
Q

what is chip-seq

A

assesses DNA binding proteins

19
Q

what is atac-seq

A

unwound sequences- transcriptionally active

20
Q

what is RNA sequencing good for

A
fusion transcripts (formed from chromo rearrangements) 
used in diagnostic cancer testing
21
Q

what is cDNA

A

DNA formed from RNA by reverse transcriptase

22
Q

what do microarrays do

A

by comparison to reference show variants present
methylation assays
SNP assays - only detect known possible variants
can only detect unbalances abnormalities (microdeletions/ microduplications, chromo abnormalities, excessive homozygosity)

23
Q

what is the difference between genetic and genomic testing

A
genetic= changes in individual genes/ proteins 
genomic= changes at multi gene or structural level
24
Q

what is cancer germline testing

A

inherited cancer syndromes

25
what is a clinical exome
genes associated with a specific phenotype
26
name 3 global screens
karotyping, array, WGS
27
what are gene panels
testing multiple genes associated with a phenotype | can sequence all genes in panel but then only analyse a subgroup of these if others not needed
28
what does T>G mean
t based turned in G base
29
does a gene panel or a clinical exome test more genes
clinical exome | used where multiple possible causative genes e.g. developmental delay
30
how can relevant genes be found after wgs
filter against gene panels | e.g. if child had normal array and gene panel could do WGS to look for variants
31
why should you try and avoid wgs
as gives incidental findings (esp high penetrance cancer susceptibility), expensive, takes storage and time