An Integrated Next-Generation Sequencing System for Analyzing DNA Mutations, Gene Fusions, and RNA Expression in Lung Cancer

Brian C. Haynes, Richard A. Blidner, Robyn D. Cardwell, Robert Zeigler, Shobha Gokul, Julie R. Thibert, Liangjing Chen, Junya Fujimoto, Vassiliki A. Papadimitrakopoulou, Ignacio I. Wistuba, Gary J. Latham

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

We developed and characterized a next-generation sequencing (NGS) technology for streamlined analysis of DNA and RNA using low-input, low-quality cancer specimens. A single-workflow, targeted NGS panel for non–small cell lung cancer (NSCLC) was designed covering 135 RNA and 55 DNA disease-relevant targets. This multiomic panel was used to assess 219 formalin-fixed paraffin-embedded NSCLC surgical resections and core needle biopsies. Mutations and expression phenotypes were identified consistent with previous large-scale genomic studies, including mutually exclusive DNA and RNA oncogenic driver events. Evaluation of a second cohort of low cell count fine-needle aspirate smears from the BATTLE-2 trial yielded 97% agreement with an independent, validated NGS panel that was used with matched surgical specimens. Collectively, our data indicate that broad, clinically actionable insights that previously required independent assays, workflows, and analyses to assess both DNA and RNA can be conjoined in a first-tier, highly multiplexed NGS test, thereby providing faster, simpler, and more economical results.

Original languageEnglish (US)
Pages (from-to)836-845
Number of pages10
JournalTranslational Oncology
Volume12
Issue number6
DOIs
StatePublished - Jun 2019

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

MD Anderson CCSG core facilities

  • Tissue Biospecimen and Pathology Resource
  • Clinical Trials Office

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