NGS methods and applications Flashcards

1
Q

Purpose of library prep

3 main steps

A

Prepares DNA for sequencing, depending on NGS platform used

Fragmentation
Adaptor/indices ligation
Enrichment

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2
Q

Purpose of an enrichment step

A

Capture the ROI for single genes, targeted panels or clinical/whole exome

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3
Q

2 types of enrichment

A

Amplicon/PCR based

Hybridisation/Capture based

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4
Q

2 advantages of amplicon enrichment

A

Lower cost and faster TAT

Decreased amount of starting DNA

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5
Q

Name an example kit that uses amplicon enrichment and an application

A

QIAseq for somatic cancer panels

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6
Q

3 disadvantages of amplicon enrichment

A

Preferential amplification = non-uniform enrichment

Artefacts

Difficult to multiplex for high ROI numbers

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7
Q

What are UMIs?

A

Unique Molecular Indices are used to tag an original DNA frag. Allow filtering of PCR duplicate reads based on UMI. Can also be used to identify CNVs

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8
Q

Basis of capture enrichment

A

RNA or DNA oligonucleotides specific to target ROI and ‘pulled down’ using biotin and streptavidin labelled bead clean up

Creates a tile of captured fragments that represent a whole ROI

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9
Q

3 advantages of capture based enrichment

A

More uniform coverage and improved for GC rich regions

PCR duplicates are easily recognised and removed

Higher read depth can be achieved for CNV/mosaicism analysis

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10
Q

2 limitations of capture enrichment

A

More starting material required

High costs and slower TAT

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11
Q

1 example kit using capture enrichment

A

Agilent SureSelect

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12
Q

Describe short read NGS

A

Series of automatically coordinated repeated chemical reactions, carried out in a flow cell which has immobilised templates and reagents.

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13
Q

What is the main sequencing method for SRS and outline the process

A

Sequencing by synthesis

Repeated cyclical process involving nucleotide addition, washing and signal detection

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14
Q

Briefly describe Illumina SBS sequencing

A

Solid phase bridge amplification to clonally amplify templates to generate clusters, followed by single based sequencing using fluorescence

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15
Q

Briefly describe IonTorrent sequencing

A

Measures release of hydrogen ions when a nucleotide is incorporated into DNA by polymerase. The potential difference due to the pH change is converted to a base call by an ion sensor

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16
Q

Name 2 long read sequencing methods

A

Single Molecule Real Time (SMRT) sequencing

Nanopore sequencing

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17
Q

Name an application for SMRT

A

Rapid identification of infectious pathogens

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18
Q

3 steps of nanopore sequencing

A
  1. dsDNA is unzipped to form ssDNA that moves through the pore
  2. Flow of ions produces a current depending on the base in ssDNA passing through the pore
  3. Adaptor molecular keeps bases in place long enough to identify
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19
Q

2 advantages of SRS

A

High accuracy and throughput

Cost effective

20
Q

4 advantages of LRS

A

Allows variant phasing by haplotype generation

Better SV and CNV calling

Can distinguish genes and pseudogenes

Sizing of repeat expansions

21
Q

4 limitations of LRS meaning it is not applicable for diagnostics (yet)

A

Not cost effective

High error rate

Requires high molecular weight DNA

Not standardised

22
Q

4 main steps for NGS bioinformatics

A

QC

Alignment

Variant calling

Annotation

23
Q

3 files for NGS data storage

A

FASTQ (text file with base calls and QC data)

BAM (aligned data with variants/coverage info)

VCF (annotated variants)

24
Q

2 sources of sequencing errors in NGS

A

Polymerase misincorporation

Cross talk from nearby cluster

25
Balance of base calling algorithms should achieve
Identify/remove true errors whilst not removing true variants e.g. deletions
26
What are Phred scores?
A log converted scale for estimated probability of an incorrect call at a given base
27
What accuracy of base calling does a Phred score of 30 give?
99.9%
28
Advantage of pair end reads?
More precise alignment especially at repeat regions
29
What coverage is sufficient for diagnostic germline panels?
30X with >99% sensitivity for heterozygous variants
30
What scenarios require deep sequencing?
Germline disorders showing mosaicism e.g. NF2 Somatic variant detection in samples with low NCC content
31
What coverage is required to accurately identify a SNV at 1% within a sample?
5000x
32
Difference between germline and somatic variant interpretation?
Germline = is the variant causing the phenotype? Somatic = is the variant a driver, diagnostic for a specific cancer, associated with good/poor risk or is targetable with a specific drug?
33
Name a pan-cancer database used to aid somatic variant interpretation
COSMIC
34
Name 3 sources of targeted NGS panels
Custom target enrichment Clinical exome Virtual panels for WES/WGS
35
Advantage of virtual panel over custom target enrichment?
New genes can be easily added and same data analysed. No re-design of probes required.
36
3 advantages of targeted panels
High coverage Less incidental findings and VUS Less data storage
37
What % of disease causing variants does WES detect?
85%
38
2 advantages of WES
Decreased sequencing, analysis and storage costs Easier variant interpretation (less fatigue)
39
4 advantages of WGS
Detects SNV, CNV, indel, UPD, LOH and mosaicism in coding and non-coding gDNA and mtDNA Increased reliable and uniform coverage (no capture inefficiencies) No PCR amplification = less GC bias Less read depth for same coverage
40
What is a gene agnostic testing strategy?
Non-targeted panels of many genes (WES?). Used for patients with broad/overlapping phenotypes e.g. dev delay
41
Aim of DDD study and testing strategy
Discovery and diagnosis of genetic conditions in patients with severe developmental disorders Trio WES
42
Diagnostic yield for DDD
35%
43
What was the 100kGP and the main aim?
Proof of principle study showing the utility of WGS in clinical diagnostics Aim to create a new genome medicine service for NHS that benefits patients, is ethical based on consent and also enables scientific discovery
44
What was the aim of the PAGE study? 2014-2016
Assess the incorporation of WES/WGS in OND and elucidate genetic causes of fetal anomalies. Translate into routine clinical practice.
45
Where was the first rapid WGS service introduced in the NHS? Diagnostic yield and TAT?
Wales 41% TAT = 6-26 days
46
McDermott et al (2022) report summary?
Retrospective study of 1 year of rapid WES testing in NHS Birmingham/Exeter labs Diagnostic yield = 40% (38/95) Median TAT = 11 days Altered management in 97%