Misc Deck (2) Flashcards

(69 cards)

1
Q

What are Twist Custom Panels?

A

User-designed target enrichment panels for NGS, allowing researchers to focus on specific genes or regions of interest

Offer 80-90% on-target rates and can be tailored to various analytes and sequencing platforms.

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2
Q

What is the relevance of Twist Custom Panels to cancer research?

A

Enables targeted sequencing of cancer-related genes, supports precision oncology, and is useful for studying tumor heterogeneity

Examples include targeting oncogenes and tumor suppressors like TP53 or KRAS.

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3
Q

What is the turnaround time for Twist Custom Panels?

A

4 weeks

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4
Q

What does the ‘Cancer Campaign’ refer to?

A

Twist’s overarching initiative to provide NGS tools tailored for cancer research

Includes panels, controls, and workflows for discovery, therapeutic development, and detection.

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5
Q

How does the Cancer Campaign support cancer research?

A

Supports the full cancer research pipeline from mutation identification to biomarker detection

Focuses on precision oncology.

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6
Q

What are the key points of the Cancer Campaign?

A
  • Comprehensive Approach
  • Collaboration-Driven
  • Impact on patient outcomes
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7
Q

What is a liquid biopsy?

A

NGS solutions for analyzing circulating tumor DNA (ctDNA) in blood samples for non-invasive cancer detection

Includes tools like the Twist cfDNA Library Prep Kit.

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8
Q

What is the significance of liquid biopsies in cancer research?

A

Enables early cancer detection, MRD monitoring, and serial monitoring of tumor evolution

Crucial for cancers like colorectal or lung cancer.

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9
Q

What is the sensitivity of the cfDNA Library Prep Kit?

A

Handles low-input samples as low as 1 ng

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10
Q

What does the Twist NGS Methylation Detection System analyze?

A

DNA methylation patterns

Includes enzymatic library prep and panels like the Twist Alliance Pan-Cancer Methylation Panel.

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11
Q

Why are methylation patterns important in cancer research?

A

Key biomarkers for cancer detection indicating genomic instability or transcriptional silencing

Example: hypermethylation of tumor suppressor promoters.

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12
Q

What does the Pan-Cancer Methylation Panel cover?

A

47 disease entities and 31 cancer types

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13
Q

What are the key points about the Twist RNA sequencing solutions?

A
  • Versatility with diverse RNA sources
  • Cost-Effective
  • Actionable Insights for targeted therapies
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14
Q

What are Twist’s Fixed Panels?

A

Pre-designed target enrichment panels covering broad genomic regions or specific cancer-related genes

Examples include the Twist Human Core Exome and Twist Exome 2.0.

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15
Q

What is the benefit of the CNTG Hereditary Oncology Panel?

A

Targets cancer-associated genes, supporting hereditary cancer risk assessment

Covers diagnostics for over 7,000 rare diseases.

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16
Q

What is the importance of the Twist Library Preparation Kits?

A

Streamline the construction of high-quality NGS libraries for DNA, RNA, and methylation sequencing

Supports inputs as low as 1 ng.

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17
Q

What challenges do Twist Library Preparation Kits help overcome?

A

Handles challenging samples like FFPE and low-input cfDNA

Ensures robust libraries for downstream sequencing.

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18
Q

What is the role of Library Prep in cancer research?

A

Prepares libraries for diverse cancer studies from mutation detection to expression profiling

Reduces bias and improves accuracy in detecting rare variants.

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19
Q

What are the three main areas Twist offerings support in cancer research?

A
  • Discovery
  • Therapeutic Development
  • Detection and Monitoring
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20
Q

What should you know when presenting to cancer researchers?

A
  • Their cancer focus
  • Sample types
  • Research goals
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21
Q

True or False: Twist’s Library Prep Kits are designed to work only with high-input samples.

A

False

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22
Q

Fill in the blank: Twist’s Fixed Panels provide _____ coverage of the exome.

A

99% exon

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23
Q

What is the purpose of the Twist Liquid Biopsy/MRD workflow?

A

To detect and analyze ctDNA in blood samples to identify minimal residual disease.

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24
Q

What alternative does the Twist Liquid Biopsy provide compared to traditional methods?

A

A non-invasive alternative to tissue biopsies.

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25
What type of DNA is the focus of the Twist Liquid Biopsy workflow?
Cell-free DNA (cfDNA).
26
What is the typical volume of blood drawn for the Twist Liquid Biopsy?
10-20 mL.
27
What is critical for maintaining sample integrity during blood processing?
Blood should be processed within 48-72 hours.
28
What is the expected yield of ctDNA from 2-4 mL of plasma?
5-50 ng.
29
What is the significance of high recovery rates in cfDNA extraction?
Low cfDNA input can limit downstream analysis.
30
What does the Twist cfDNA Library Prep Kit do?
Prepares sequencing libraries from extracted cfDNA.
31
What role do unique molecular identifiers (UMIs) play in library preparation?
They tag individual DNA molecules to reduce PCR duplicates and improve variant detection accuracy.
32
What is the purpose of target enrichment in the Twist Liquid Biopsy workflow?
To focus sequencing on specific cancer-related regions.
33
What is the expected variant allele frequency (VAF) sensitivity for the Twist workflow?
<0.1% VAF.
34
What type of sequencing platform is used in this workflow?
NGS platform (e.g., Illumina).
35
What must be sufficient to detect rare ctDNA mutations?
Depth and coverage of sequencing.
36
What do bioinformatics pipelines do in the data analysis step?
Process sequencing data and identify tumor-specific mutations.
37
What can MRD-positive results trigger in treatment decisions?
Treatment escalation.
38
What is a key selling point regarding sensitivity in the Twist workflow?
Detects ctDNA at ≤0.1% VAF.
39
What is the significance of low-input compatibility in the Twist Liquid Biopsy?
Works with as little as 1 ng of cfDNA.
40
How long does library preparation take in the Twist workflow?
Under 2.5 hours.
41
What do UMIs ensure in the context of MRD detection?
They ensure the detection of real tumor DNA, not artifacts.
42
What does the cfDNA Pan-Cancer Reference Standard v2 provide?
A benchmark to validate assay performance.
43
What is a critical consideration regarding the sensitivity of the Twist workflow?
It depends on ctDNA shedding rates, which vary by cancer type and stage.
44
What challenge is associated with standardization in MRD detection?
Lack of universal clinical guidelines.
45
What practical insight should researchers consider when using Twist’s workflow?
Pairing with high-depth sequencing and robust bioinformatics maximizes MRD detection.
46
What is the purpose of the Twist cfDNA Library Preparation Kit?
Prepares high-quality NGS libraries from cfDNA extracted from blood, urine, or cerebrospinal fluid (CSF) ## Footnote Enables non-invasive cancer profiling, early detection, and MRD monitoring.
47
What is the minimum input required for the cfDNA Library Prep Kit?
1 ng of cfDNA ## Footnote This is optimized to minimize loss of already scarce cfDNA.
48
What does the end-repair step in the cfDNA Library Prep Kit do?
Creates blunt-ended DNA fragments ## Footnote This step is critical for preparing the DNA for subsequent adapter ligation.
49
What are Unique Molecular Identifiers (UMIs) used for in the cfDNA Library Prep Kit?
Tag individual DNA molecules to reduce PCR duplicates and improve variant detection accuracy ## Footnote Ensures high conversion rates during adapter ligation.
50
What is duplex sequencing?
Sequencing both DNA strands to validate findings and minimize false positives ## Footnote Important for maintaining accuracy in detecting rare variants.
51
What is the output time for the cfDNA Library Prep Kit?
Produces sequence-ready libraries in under 2 hours ## Footnote Compatible with Illumina platforms.
52
What is the significance of detecting low-frequency variants (≤0.1% VAF) in ctDNA?
Enables MRD monitoring and early cancer screening ## Footnote Critical for tumor profiling without invasive biopsies.
53
What are Custom Panels in Twist NGS offerings?
User-designed target enrichment panels for NGS focused on specific genes or regions ## Footnote Examples include cancer-related genes like TP53 and KRAS.
54
What is the delivery time for Custom Panels?
Delivered in 4 weeks ## Footnote This enables rapid research iteration.
55
What does the Cancer Campaign initiative provide?
NGS tools for cancer research, covering discovery, therapeutic development, and detection ## Footnote Integrates various Twist products to support the cancer research pipeline.
56
What is the role of Liquid Biopsy in oncology?
Analyzes ctDNA in body fluids for non-invasive cancer detection ## Footnote Supports early detection, MRD monitoring, and tumor evolution tracking.
57
What does the Twist NGS Methylation Detection System analyze?
DNA methylation, including enzymatic library prep and panels for cancer types ## Footnote Helps identify methylation biomarkers for early cancer detection.
58
What does the Twist RNA Exome focus on?
Whole-transcriptome or targeted RNA-seq, detecting low-expressing transcripts and isoforms ## Footnote Supports precision oncology by profiling tumor transcriptomes.
59
What is the benefit of Fixed Panels like the Twist Human Core Exome?
Pre-designed target enrichment covering broad genomic regions or cancer-specific genes ## Footnote Supports large cohort studies and diagnostics.
60
What does the Twist 96-Plex Library Prep Kit enable?
High-throughput library construction for whole-genome sequencing ## Footnote Processes up to 960 samples per kit.
61
What is the purpose of controls like the Twist cfDNA Pan-Cancer Reference Standard v2?
Provides standardized controls with known ctDNA variants to validate NGS assays ## Footnote Ensures accuracy in liquid biopsy and cancer research.
62
What technology does the FlexPrep Ultra-High Throughput (UHT) Library Prep Kit utilize?
Normalization by Ligation (NBL) technology ## Footnote Supports ultra-high throughput sequencing for up to 1,152 samples.
63
True or False: The cfDNA Library Prep Kit supports duplex sequencing.
True ## Footnote This feature helps to reduce false positives.
64
Fill in the blank: The cfDNA Library Prep Kit is designed for _______.
[liquid biopsy applications in oncology]
65
What Does “Low Input” Samples Like 1 ng Mean in NGS?
Definition: “Low input” refers to the small amount of starting nucleic acid (DNA or RNA) used for NGS library preparation, typically measured in nanograms (ng) or picograms (pg). 1 ng is equivalent to 1 billionth of a gram (10⁻⁹ g) or approximately 150,000-300,000 human diploid genome copies, depending on fragment size and quality. Context in NGS: Traditional NGS workflows often require 50-500 ng of high-quality DNA/RNA, but low-input methods (e.g., Twist’s cfDNA Library Prep Kit) can work with 1-10 ng or less. This is crucial for samples with limited material, such as: Circulating Cell-Free DNA (cfDNA): Found in blood (e.g., liquid biopsy for cancer MRD), yielding 5-50 ng from 2-4 mL plasma. FFPE Samples: Archived tumor tissues with degraded DNA/RNA, often yielding <10 ng. Single-Cell RNA-seq: Individual cells providing picogram amounts of RNA. Rare Disease or Prenatal Testing: Limited fetal DNA in maternal blood or biopsy samples.
66
Twist advantage with working with small amounts
Twist’s Advantage: The cfDNA Library Prep Kit’s ability to start with 1 ng (vs. competitors’ 10-20 ng minimum) is a game-changer for liquid biopsy, FFPE, or single-cell studies, reducing sample requirements and enabling research where material is scarce. Practical Implication: For researchers, this means they can sequence precious samples (e.g., pediatric tumors, rare disease biopsies) or perform repeated liquid biopsies without exhausting resources. Critical Consideration: Low input requires high-depth sequencing (e.g., 10,000x) to detect rare variants, which increases costs—highlight Twist’s cost-saving features (e.g., uniformity) to offset this.
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