PMID- 24813172 OWN - NLM STAT- MEDLINE DCOM- 20150202 LR - 20211021 IS - 1943-7811 (Electronic) IS - 1525-1578 (Print) IS - 1525-1578 (Linking) VI - 16 IP - 4 DP - 2014 Jul TI - Detection of gene rearrangements in targeted clinical next-generation sequencing. PG - 405-17 LID - S1525-1578(14)00074-9 [pii] LID - 10.1016/j.jmoldx.2014.03.006 [doi] AB - The identification of recurrent gene rearrangements in the clinical laboratory is the cornerstone for risk stratification and treatment decisions in many malignant tumors. Studies have reported that targeted next-generation sequencing assays have the potential to identify such rearrangements; however, their utility in the clinical laboratory is unknown. We examine the sensitivity and specificity of ALK and KMT2A (MLL) rearrangement detection by next-generation sequencing in the clinical laboratory. We analyzed a series of seven ALK rearranged cancers, six KMT2A rearranged leukemias, and 77 ALK/KMT2A rearrangement-negative cancers, previously tested by fluorescence in situ hybridization (FISH). Rearrangement detection was tested using publicly available software tools, including Breakdancer, ClusterFAST, CREST, and Hydra. Using Breakdancer and ClusterFAST, we detected ALK rearrangements in seven of seven FISH-positive cases and KMT2A rearrangements in six of six FISH-positive cases. Among the 77 ALK/KMT2A FISH-negative cases, no false-positive identifications were made by Breakdancer or ClusterFAST. Further, we identified one ALK rearranged case with a noncanonical intron 16 breakpoint, which is likely to affect its response to targeted inhibitors. We report that clinically relevant chromosomal rearrangements can be detected from targeted gene panel-based next-generation sequencing with sensitivity and specificity equivalent to that of FISH while providing finer-scale information and increased efficiency for molecular oncology testing. CI - Copyright (c) 2014 American Society for Investigative Pathology and the Association for Molecular Pathology. Published by Elsevier Inc. All rights reserved. FAU - Abel, Haley J AU - Abel HJ AD - Department of Genetics, Washington University, St. Louis, Missouri. FAU - Al-Kateb, Hussam AU - Al-Kateb H AD - Department of Pathology and Immunology, Washington University, St. Louis, Missouri. FAU - Cottrell, Catherine E AU - Cottrell CE AD - Department of Pathology and Immunology, Washington University, St. Louis, Missouri. FAU - Bredemeyer, Andrew J AU - Bredemeyer AJ AD - Department of Pathology and Immunology, Washington University, St. Louis, Missouri. FAU - Pritchard, Colin C AU - Pritchard CC AD - Department of Laboratory Medicine, University of Washington, Seattle, Washington. FAU - Grossmann, Allie H AU - Grossmann AH AD - Department of Pathology, University of Utah and ARUP Laboratories, Salt Lake City, Utah. FAU - Wallander, Michelle L AU - Wallander ML AD - ARUP Institute for Clinical and Experimental Pathology, Salt Lake City, Utah. FAU - Pfeifer, John D AU - Pfeifer JD AD - Department of Pathology and Immunology, Washington University, St. Louis, Missouri. FAU - Lockwood, Christina M AU - Lockwood CM AD - Department of Pathology and Immunology, Washington University, St. Louis, Missouri. FAU - Duncavage, Eric J AU - Duncavage EJ AD - Department of Pathology and Immunology, Washington University, St. Louis, Missouri. Electronic address: eduncavage@path.wustl.edu. LA - eng GR - K12 HL087107/HL/NHLBI NIH HHS/United States GR - K12HL087107-07/HL/NHLBI NIH HHS/United States PT - Evaluation Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20140509 PL - United States TA - J Mol Diagn JT - The Journal of molecular diagnostics : JMD JID - 100893612 RN - 0 (KMT2A protein, human) RN - 149025-06-9 (Myeloid-Lymphoid Leukemia Protein) RN - EC 2.1.1.43 (Histone-Lysine N-Methyltransferase) RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Adenocarcinoma/*genetics MH - Adenocarcinoma of Lung MH - Anaplastic Lymphoma Kinase MH - Carcinoma, Large Cell/*genetics MH - *Gene Rearrangement MH - High-Throughput Nucleotide Sequencing/*methods MH - Histone-Lysine N-Methyltransferase MH - Humans MH - In Situ Hybridization, Fluorescence MH - Leukemia/*genetics MH - Lung Neoplasms/*genetics MH - Myeloid-Lymphoid Leukemia Protein/*genetics MH - Receptor Protein-Tyrosine Kinases/*genetics MH - Sensitivity and Specificity PMC - PMC4078366 EDAT- 2014/05/13 06:00 MHDA- 2015/02/03 06:00 PMCR- 2015/07/01 CRDT- 2014/05/13 06:00 PHST- 2013/11/04 00:00 [received] PHST- 2014/02/24 00:00 [revised] PHST- 2014/03/06 00:00 [accepted] PHST- 2014/05/13 06:00 [entrez] PHST- 2014/05/13 06:00 [pubmed] PHST- 2015/02/03 06:00 [medline] PHST- 2015/07/01 00:00 [pmc-release] AID - S1525-1578(14)00074-9 [pii] AID - 10.1016/j.jmoldx.2014.03.006 [doi] PST - ppublish SO - J Mol Diagn. 2014 Jul;16(4):405-17. doi: 10.1016/j.jmoldx.2014.03.006. Epub 2014 May 9.