Clinical-grade validation of whole genome sequencing reveals robust detection of low-frequency variants and copy number alterations in CLL

  • Jenny Klintman
  • , Katerina Barmpouti
  • , Samantha J.L. Knight
  • , Pauline Robbe
  • , Hélène Dreau
  • , Ruth Clifford
  • , Kate Ridout
  • , Adam Burns
  • , Adele Timbs
  • , David Bruce
  • , Pavlos Antoniou
  • , Alona Sosinsky
  • , Jennifer Becq
  • , David Bentley
  • , Peter Hillmen
  • , Jenny C. Taylor
  • , Mark Caulfield
  • , Anna H. Schuh

Research output: Contribution to journalArticlepeer-review

Abstract

The 100 000 Genome Project aims to develop a diagnostics platform by introducing whole genome sequencing (WGS) into clinical practice. Samples from patients with chronic lymphocytic leukaemia were subjected to WGS. WGS detection of single nucleotide variants and insertion/deletions were validated by targeted next generation sequencing showing high concordance (96·3%), also for detection of sub-clonal variants and low-frequency TP53 variants. Copy number alteration detection was verified by fluorescent in situ hybridisation and genome-wide single nucleotide polymorphism array (concordances of 86·7% and 92·9%, respectively), confirming adequate sensitivity by WGS. Our results confirm that WGS can provide comprehensive genomic characterisation for clinical trials, drug discovery and, ultimately, precision medicine.

Original languageEnglish
Pages (from-to)412-417
Number of pages6
JournalBritish Journal of Haematology
Volume182
Issue number3
DOIs
Publication statusPublished - Aug 2018
Externally publishedYes

Keywords

  • CLL
  • Genomics England
  • chronic lymphocytic leukaemia
  • precision medicine
  • whole genome sequencing

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