Whole-Genome Sequencing Can Identify Clinically Relevant Variants from a Single Sub-Punch of a Dried Blood Spot Specimen

The collection of dried blood spots (DBS) facilitates newborn screening for a variety of rare, but very serious conditions in healthcare systems around the world. Sub-punches of varying sizes (1.5–6 mm) can be taken from DBS specimens to use as inputs for a range of biochemical assays. Advances in D...

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Main Authors: David J. McBride, Claire Fielding, Taksina Newington, Alexandra Vatsiou, Harry Fischl, Maya Bajracharya, Vicki S. Thomson, Louise J. Fraser, Pauline A. Fujita, Jennifer Becq, Zoya Kingsbury, Mark T. Ross, Stuart J. Moat, Sian Morgan
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:International Journal of Neonatal Screening
Subjects:
Online Access:https://www.mdpi.com/2409-515X/9/3/52
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author David J. McBride
Claire Fielding
Taksina Newington
Alexandra Vatsiou
Harry Fischl
Maya Bajracharya
Vicki S. Thomson
Louise J. Fraser
Pauline A. Fujita
Jennifer Becq
Zoya Kingsbury
Mark T. Ross
Stuart J. Moat
Sian Morgan
author_facet David J. McBride
Claire Fielding
Taksina Newington
Alexandra Vatsiou
Harry Fischl
Maya Bajracharya
Vicki S. Thomson
Louise J. Fraser
Pauline A. Fujita
Jennifer Becq
Zoya Kingsbury
Mark T. Ross
Stuart J. Moat
Sian Morgan
author_sort David J. McBride
collection DOAJ
description The collection of dried blood spots (DBS) facilitates newborn screening for a variety of rare, but very serious conditions in healthcare systems around the world. Sub-punches of varying sizes (1.5–6 mm) can be taken from DBS specimens to use as inputs for a range of biochemical assays. Advances in DNA sequencing workflows allow whole-genome sequencing (WGS) libraries to be generated directly from inputs such as peripheral blood, saliva, and DBS. We compared WGS metrics obtained from libraries generated directly from DBS to those generated from DNA extracted from peripheral blood, the standard input for this type of assay. We explored the flexibility of DBS as an input for WGS by altering the punch number and size as inputs to the assay. We showed that WGS libraries can be successfully generated from a variety of DBS inputs, including a single 3 mm or 6 mm diameter punch, with equivalent data quality observed across a number of key metrics of importance in the detection of gene variants. We observed no difference in the performance of DBS and peripheral-blood-extracted DNA in the detection of likely pathogenic gene variants in samples taken from individuals with cystic fibrosis or phenylketonuria. WGS can be performed directly from DBS and is a powerful method for the rapid discovery of clinically relevant, disease-causing gene variants.
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spelling doaj.art-1d0d217ac1d54d599cdda8b46aabf21d2023-11-19T11:12:32ZengMDPI AGInternational Journal of Neonatal Screening2409-515X2023-09-01935210.3390/ijns9030052Whole-Genome Sequencing Can Identify Clinically Relevant Variants from a Single Sub-Punch of a Dried Blood Spot SpecimenDavid J. McBride0Claire Fielding1Taksina Newington2Alexandra Vatsiou3Harry Fischl4Maya Bajracharya5Vicki S. Thomson6Louise J. Fraser7Pauline A. Fujita8Jennifer Becq9Zoya Kingsbury10Mark T. Ross11Stuart J. Moat12Sian Morgan13Illumina Cambridge Ltd., Cambridge CB21 6DF, UKIllumina Cambridge Ltd., Cambridge CB21 6DF, UKIllumina Cambridge Ltd., Cambridge CB21 6DF, UKIllumina Cambridge Ltd., Cambridge CB21 6DF, UKIllumina Cambridge Ltd., Cambridge CB21 6DF, UKIllumina Cambridge Ltd., Cambridge CB21 6DF, UKIllumina Cambridge Ltd., Cambridge CB21 6DF, UKIllumina Cambridge Ltd., Cambridge CB21 6DF, UKIllumina Inc., San Diego, CA 92122, USAIllumina Cambridge Ltd., Cambridge CB21 6DF, UKIllumina Cambridge Ltd., Cambridge CB21 6DF, UKIllumina Cambridge Ltd., Cambridge CB21 6DF, UKWales Newborn Screening Laboratory, University Hospital of Wales, Cardiff CF14 4XW, UKAll Wales Genetics Laboratory, University Hospital of Wales, Cardiff CF14 4XW, UKThe collection of dried blood spots (DBS) facilitates newborn screening for a variety of rare, but very serious conditions in healthcare systems around the world. Sub-punches of varying sizes (1.5–6 mm) can be taken from DBS specimens to use as inputs for a range of biochemical assays. Advances in DNA sequencing workflows allow whole-genome sequencing (WGS) libraries to be generated directly from inputs such as peripheral blood, saliva, and DBS. We compared WGS metrics obtained from libraries generated directly from DBS to those generated from DNA extracted from peripheral blood, the standard input for this type of assay. We explored the flexibility of DBS as an input for WGS by altering the punch number and size as inputs to the assay. We showed that WGS libraries can be successfully generated from a variety of DBS inputs, including a single 3 mm or 6 mm diameter punch, with equivalent data quality observed across a number of key metrics of importance in the detection of gene variants. We observed no difference in the performance of DBS and peripheral-blood-extracted DNA in the detection of likely pathogenic gene variants in samples taken from individuals with cystic fibrosis or phenylketonuria. WGS can be performed directly from DBS and is a powerful method for the rapid discovery of clinically relevant, disease-causing gene variants.https://www.mdpi.com/2409-515X/9/3/52whole genome sequencingnewborn screeningdried blood spotsDNA sequencingcystic fibrosisphenylketonuria
spellingShingle David J. McBride
Claire Fielding
Taksina Newington
Alexandra Vatsiou
Harry Fischl
Maya Bajracharya
Vicki S. Thomson
Louise J. Fraser
Pauline A. Fujita
Jennifer Becq
Zoya Kingsbury
Mark T. Ross
Stuart J. Moat
Sian Morgan
Whole-Genome Sequencing Can Identify Clinically Relevant Variants from a Single Sub-Punch of a Dried Blood Spot Specimen
International Journal of Neonatal Screening
whole genome sequencing
newborn screening
dried blood spots
DNA sequencing
cystic fibrosis
phenylketonuria
title Whole-Genome Sequencing Can Identify Clinically Relevant Variants from a Single Sub-Punch of a Dried Blood Spot Specimen
title_full Whole-Genome Sequencing Can Identify Clinically Relevant Variants from a Single Sub-Punch of a Dried Blood Spot Specimen
title_fullStr Whole-Genome Sequencing Can Identify Clinically Relevant Variants from a Single Sub-Punch of a Dried Blood Spot Specimen
title_full_unstemmed Whole-Genome Sequencing Can Identify Clinically Relevant Variants from a Single Sub-Punch of a Dried Blood Spot Specimen
title_short Whole-Genome Sequencing Can Identify Clinically Relevant Variants from a Single Sub-Punch of a Dried Blood Spot Specimen
title_sort whole genome sequencing can identify clinically relevant variants from a single sub punch of a dried blood spot specimen
topic whole genome sequencing
newborn screening
dried blood spots
DNA sequencing
cystic fibrosis
phenylketonuria
url https://www.mdpi.com/2409-515X/9/3/52
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