PMID- 29133595 OWN - NLM STAT- MEDLINE DCOM- 20190111 LR - 20190816 IS - 1557-3125 (Electronic) IS - 1541-7786 (Linking) VI - 16 IP - 2 DP - 2018 Feb TI - Targeted Next-Generation Sequencing for Detecting MLL Gene Fusions in Leukemia. PG - 279-285 LID - 10.1158/1541-7786.MCR-17-0569 [doi] AB - Mixed lineage leukemia (MLL) gene rearrangements characterize approximately 70% of infant and 10% of adult and therapy-related leukemia. Conventional clinical diagnostics, including cytogenetics and fluorescence in situ hybridization (FISH) fail to detect MLL translocation partner genes (TPG) in many patients. Long-distance inverse (LDI)-PCR, the "gold standard" technique that is used to characterize MLL breakpoints, is laborious and requires a large input of genomic DNA (gDNA). To overcome the limitations of current techniques, a targeted next-generation sequencing (NGS) approach that requires low RNA input was tested. Anchored multiplex PCR-based enrichment (AMP-E) was used to rapidly identify a broad range of MLL fusions in patient specimens. Libraries generated using Archer FusionPlex Heme and Myeloid panels were sequenced using the Illumina platform. Diagnostic specimens (n = 39) from pediatric leukemia patients were tested with AMP-E and validated by LDI-PCR. In concordance with LDI-PCR, the AMP-E method successfully identified TPGs without prior knowledge. AMP-E identified 10 different MLL fusions in the 39 samples. Only two specimens were discordant; AMP-E successfully identified a MLL-MLLT1 fusion where LDI-PCR had failed to determine the breakpoint, whereas a MLL-MLLT3 fusion was not detected by AMP-E due to low expression of the fusion transcript. Sensitivity assays demonstrated that AMP-E can detect MLL-AFF1 in MV4-11 cell dilutions of 10(-7) and transcripts down to 0.005 copies/ng.Implications: This study demonstrates a NGS methodology with improved sensitivity compared with current diagnostic methods for MLL-rearranged leukemia. Furthermore, this assay rapidly and reliably identifies MLL partner genes and patient-specific fusion sequences that could be used for monitoring minimal residual disease. Mol Cancer Res; 16(2); 279-85. (c)2017 AACR. CI - (c)2017 American Association for Cancer Research. FAU - Afrin, Sadia AU - Afrin S AD - The University of Queensland Diamantina Institute, Translational Research Institute, Brisbane, Australia. FAU - Zhang, Christine R C AU - Zhang CRC AD - The University of Queensland Diamantina Institute, Translational Research Institute, Brisbane, Australia. FAU - Meyer, Claus AU - Meyer C AD - Institute of Pharm. Biology/DCAL, Goethe-University, Frankfurt/Main, Germany. FAU - Stinson, Caedyn L AU - Stinson CL AD - The University of Queensland Diamantina Institute, Translational Research Institute, Brisbane, Australia. FAU - Pham, Thy AU - Pham T AD - The University of Queensland Diamantina Institute, Translational Research Institute, Brisbane, Australia. FAU - Bruxner, Timothy J C AU - Bruxner TJC AD - Institute for Molecular Bioscience, The University of Queensland, Brisbane, Australia. FAU - Venn, Nicola C AU - Venn NC AD - Children's Cancer Institute, University of New South Wales, Sydney, Australia. FAU - Trahair, Toby N AU - Trahair TN AD - Kids Cancer Centre, Sydney Children's Hospital, Sydney, Australia. FAU - Sutton, Rosemary AU - Sutton R AD - Children's Cancer Institute, University of New South Wales, Sydney, Australia. FAU - Marschalek, Rolf AU - Marschalek R AD - Institute of Pharm. Biology/DCAL, Goethe-University, Frankfurt/Main, Germany. FAU - Fink, J Lynn AU - Fink JL AD - The University of Queensland Diamantina Institute, Translational Research Institute, Brisbane, Australia. FAU - Moore, Andrew S AU - Moore AS AD - The University of Queensland Diamantina Institute, Translational Research Institute, Brisbane, Australia. andrew.moore@uq.edu.au. AD - Oncology Services Group, Children's Health Queensland Hospital and Health Service, Brisbane, Australia. AD - UQ Child Health Research Centre, The University of Queensland, Brisbane, Australia. LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20171113 PL - United States TA - Mol Cancer Res JT - Molecular cancer research : MCR JID - 101150042 RN - 0 (KMT2A protein, human) RN - 0 (Reagent Kits, Diagnostic) RN - 149025-06-9 (Myeloid-Lymphoid Leukemia Protein) RN - EC 2.1.1.43 (Histone-Lysine N-Methyltransferase) SB - IM MH - Child MH - Child, Preschool MH - Cohort Studies MH - Female MH - *Gene Fusion MH - High-Throughput Nucleotide Sequencing/methods MH - Histone-Lysine N-Methyltransferase/*genetics MH - Humans MH - Infant MH - Infant, Newborn MH - Leukemia/diagnosis/*genetics MH - Male MH - Myeloid-Lymphoid Leukemia Protein/*genetics MH - Reagent Kits, Diagnostic MH - Sensitivity and Specificity MH - Sequence Analysis, DNA/*methods EDAT- 2017/11/15 06:00 MHDA- 2019/01/12 06:00 CRDT- 2017/11/15 06:00 PHST- 2017/10/05 00:00 [received] PHST- 2017/10/17 00:00 [revised] PHST- 2017/10/30 00:00 [accepted] PHST- 2017/11/15 06:00 [pubmed] PHST- 2019/01/12 06:00 [medline] PHST- 2017/11/15 06:00 [entrez] AID - 1541-7786.MCR-17-0569 [pii] AID - 10.1158/1541-7786.MCR-17-0569 [doi] PST - ppublish SO - Mol Cancer Res. 2018 Feb;16(2):279-285. doi: 10.1158/1541-7786.MCR-17-0569. Epub 2017 Nov 13.