Extended RAS and BRAF Mutation Analysis Using Next-Generation Sequencing.

Somatic mutations in KRAS, NRAS, and BRAF genes are related to resistance to anti-EGFR antibodies in colorectal cancer. We have established an extended RAS and BRAF mutation assay using a next-generation sequencer to analyze these mutations. Multiplexed deep sequencing was performed to detect somati...

Full description

Bibliographic Details
Main Authors: Kazuko Sakai, Junji Tsurutani, Takeharu Yamanaka, Azusa Yoneshige, Akihiko Ito, Yosuke Togashi, Marco A De Velasco, Masato Terashima, Yoshihiko Fujita, Shuta Tomida, Takao Tamura, Kazuhiko Nakagawa, Kazuto Nishio
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4425536?pdf=render
_version_ 1819213187536388096
author Kazuko Sakai
Junji Tsurutani
Takeharu Yamanaka
Azusa Yoneshige
Akihiko Ito
Yosuke Togashi
Marco A De Velasco
Masato Terashima
Yoshihiko Fujita
Shuta Tomida
Takao Tamura
Kazuhiko Nakagawa
Kazuto Nishio
author_facet Kazuko Sakai
Junji Tsurutani
Takeharu Yamanaka
Azusa Yoneshige
Akihiko Ito
Yosuke Togashi
Marco A De Velasco
Masato Terashima
Yoshihiko Fujita
Shuta Tomida
Takao Tamura
Kazuhiko Nakagawa
Kazuto Nishio
author_sort Kazuko Sakai
collection DOAJ
description Somatic mutations in KRAS, NRAS, and BRAF genes are related to resistance to anti-EGFR antibodies in colorectal cancer. We have established an extended RAS and BRAF mutation assay using a next-generation sequencer to analyze these mutations. Multiplexed deep sequencing was performed to detect somatic mutations within KRAS, NRAS, and BRAF, including minor mutated components. We first validated the technical performance of the multiplexed deep sequencing using 10 normal DNA and 20 formalin-fixed, paraffin-embedded (FFPE) tumor samples. To demonstrate the potential clinical utility of our assay, we profiled 100 FFPE tumor samples and 15 plasma samples obtained from colorectal cancer patients. We used a variant calling approach based on a Poisson distribution. The distribution of the mutation-positive population was hypothesized to follow a Poisson distribution, and a mutation-positive status was defined as a value greater than the significance level of the error rate (α = 2 x 10(-5)). The cut-off value was determined to be the average error rate plus 7 standard deviations. Mutation analysis of 100 clinical FFPE tumor specimens was performed without any invalid cases. Mutations were detected at a frequency of 59% (59/100). KRAS mutation concordance between this assay and Scorpion-ARMS was 92% (92/100). DNA obtained from 15 plasma samples was also analyzed. KRAS and BRAF mutations were identified in both the plasma and tissue samples of 6 patients. The genetic screening assay using next-generation sequencer was validated for the detection of clinically relevant RAS and BRAF mutations using FFPE and liquid samples.
first_indexed 2024-12-23T06:54:53Z
format Article
id doaj.art-19f7edc251154a5fb2fabc94f36b8b4b
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-23T06:54:53Z
publishDate 2015-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-19f7edc251154a5fb2fabc94f36b8b4b2022-12-21T17:56:21ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01105e012189110.1371/journal.pone.0121891Extended RAS and BRAF Mutation Analysis Using Next-Generation Sequencing.Kazuko SakaiJunji TsurutaniTakeharu YamanakaAzusa YoneshigeAkihiko ItoYosuke TogashiMarco A De VelascoMasato TerashimaYoshihiko FujitaShuta TomidaTakao TamuraKazuhiko NakagawaKazuto NishioSomatic mutations in KRAS, NRAS, and BRAF genes are related to resistance to anti-EGFR antibodies in colorectal cancer. We have established an extended RAS and BRAF mutation assay using a next-generation sequencer to analyze these mutations. Multiplexed deep sequencing was performed to detect somatic mutations within KRAS, NRAS, and BRAF, including minor mutated components. We first validated the technical performance of the multiplexed deep sequencing using 10 normal DNA and 20 formalin-fixed, paraffin-embedded (FFPE) tumor samples. To demonstrate the potential clinical utility of our assay, we profiled 100 FFPE tumor samples and 15 plasma samples obtained from colorectal cancer patients. We used a variant calling approach based on a Poisson distribution. The distribution of the mutation-positive population was hypothesized to follow a Poisson distribution, and a mutation-positive status was defined as a value greater than the significance level of the error rate (α = 2 x 10(-5)). The cut-off value was determined to be the average error rate plus 7 standard deviations. Mutation analysis of 100 clinical FFPE tumor specimens was performed without any invalid cases. Mutations were detected at a frequency of 59% (59/100). KRAS mutation concordance between this assay and Scorpion-ARMS was 92% (92/100). DNA obtained from 15 plasma samples was also analyzed. KRAS and BRAF mutations were identified in both the plasma and tissue samples of 6 patients. The genetic screening assay using next-generation sequencer was validated for the detection of clinically relevant RAS and BRAF mutations using FFPE and liquid samples.http://europepmc.org/articles/PMC4425536?pdf=render
spellingShingle Kazuko Sakai
Junji Tsurutani
Takeharu Yamanaka
Azusa Yoneshige
Akihiko Ito
Yosuke Togashi
Marco A De Velasco
Masato Terashima
Yoshihiko Fujita
Shuta Tomida
Takao Tamura
Kazuhiko Nakagawa
Kazuto Nishio
Extended RAS and BRAF Mutation Analysis Using Next-Generation Sequencing.
PLoS ONE
title Extended RAS and BRAF Mutation Analysis Using Next-Generation Sequencing.
title_full Extended RAS and BRAF Mutation Analysis Using Next-Generation Sequencing.
title_fullStr Extended RAS and BRAF Mutation Analysis Using Next-Generation Sequencing.
title_full_unstemmed Extended RAS and BRAF Mutation Analysis Using Next-Generation Sequencing.
title_short Extended RAS and BRAF Mutation Analysis Using Next-Generation Sequencing.
title_sort extended ras and braf mutation analysis using next generation sequencing
url http://europepmc.org/articles/PMC4425536?pdf=render
work_keys_str_mv AT kazukosakai extendedrasandbrafmutationanalysisusingnextgenerationsequencing
AT junjitsurutani extendedrasandbrafmutationanalysisusingnextgenerationsequencing
AT takeharuyamanaka extendedrasandbrafmutationanalysisusingnextgenerationsequencing
AT azusayoneshige extendedrasandbrafmutationanalysisusingnextgenerationsequencing
AT akihikoito extendedrasandbrafmutationanalysisusingnextgenerationsequencing
AT yosuketogashi extendedrasandbrafmutationanalysisusingnextgenerationsequencing
AT marcoadevelasco extendedrasandbrafmutationanalysisusingnextgenerationsequencing
AT masatoterashima extendedrasandbrafmutationanalysisusingnextgenerationsequencing
AT yoshihikofujita extendedrasandbrafmutationanalysisusingnextgenerationsequencing
AT shutatomida extendedrasandbrafmutationanalysisusingnextgenerationsequencing
AT takaotamura extendedrasandbrafmutationanalysisusingnextgenerationsequencing
AT kazuhikonakagawa extendedrasandbrafmutationanalysisusingnextgenerationsequencing
AT kazutonishio extendedrasandbrafmutationanalysisusingnextgenerationsequencing