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Detection of mosaics in hemophilia A by deep Ion Torrent sequencing and droplet digital PCR

Manderstedt, Eric LU ; Nilsson, Rosanna ; Ljung, Rolf LU orcid ; Lind-Halldén, Christina LU ; Astermark, Jan LU and Halldén, Christer LU (2020) In Research and practice in thrombosis and haemostasis 4(7). p.1121-1130
Abstract

Background: The occurrence of mosaicism in hemophilia A (HA) has been investigated in several studies using different detection methods.

Objectives: To characterize and compare the ability of AmpliSeq/Ion Torrent sequencing and droplet digital polymerase chain reaction (ddPCR) for mosaic detection in HA.

Methods: Ion Torrent sequencing and ddPCR were used to analyze 20 healthy males and 16 mothers of sporadic HA patients.

Results: An error-rate map over all coding positions and all positions reported as mutated in the F8-specific mutation database was produced. The sequencing produced a mean read depth of >1500X where >97% of positions were covered by >100 reads. Higher error frequencies were observed in... (More)

Background: The occurrence of mosaicism in hemophilia A (HA) has been investigated in several studies using different detection methods.

Objectives: To characterize and compare the ability of AmpliSeq/Ion Torrent sequencing and droplet digital polymerase chain reaction (ddPCR) for mosaic detection in HA.

Methods: Ion Torrent sequencing and ddPCR were used to analyze 20 healthy males and 16 mothers of sporadic HA patients.

Results: An error-rate map over all coding positions and all positions reported as mutated in the F8-specific mutation database was produced. The sequencing produced a mean read depth of >1500X where >97% of positions were covered by >100 reads. Higher error frequencies were observed in positions with A or T as reference allele and in positions surrounded on both sides with C or G. Seventeen of 9319 positions had a mean substitution error frequency >1%. The ability to identify low-level mosaicism was determined primarily by read depth and error rate of each specific position. Limit of detection (LOD) was <1% for 97% of positions with substitutions and 90% of indel positions. The positions with LOD >1% require repeated testing and mononucleotide repeats with more than four repeat units need an alternative analysis strategy. Mosaicism was detected in 1 of 16 mothers and confirmed using ddPCR.

Conclusions: Deep sequencing using an AmpliSeq/Ion Torrent strategy allows for simultaneous identification of disease-causing mutations in patients and mosaicism in mothers. ddPCR has high sensitivity but is hampered by the need for mutation-specific design.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Research and practice in thrombosis and haemostasis
volume
4
issue
7
pages
10 pages
publisher
Wiley
external identifiers
  • scopus:85106541243
  • pmid:33134778
ISSN
2475-0379
DOI
10.1002/rth2.12425
language
English
LU publication?
yes
additional info
© 2020 The Authors. Research and Practice in Thrombosis and Haemostasis published by Wiley Periodicals LLC on behalf of International Society on Thrombosis.
id
801ab3cc-cf5f-488c-ac65-ef05a85a881d
date added to LUP
2020-11-08 12:19:03
date last changed
2024-04-03 17:16:31
@article{801ab3cc-cf5f-488c-ac65-ef05a85a881d,
  abstract     = {{<p>Background: The occurrence of mosaicism in hemophilia A (HA) has been investigated in several studies using different detection methods.</p><p>Objectives: To characterize and compare the ability of AmpliSeq/Ion Torrent sequencing and droplet digital polymerase chain reaction (ddPCR) for mosaic detection in HA.</p><p>Methods: Ion Torrent sequencing and ddPCR were used to analyze 20 healthy males and 16 mothers of sporadic HA patients.</p><p>Results: An error-rate map over all coding positions and all positions reported as mutated in the F8-specific mutation database was produced. The sequencing produced a mean read depth of &gt;1500X where &gt;97% of positions were covered by &gt;100 reads. Higher error frequencies were observed in positions with A or T as reference allele and in positions surrounded on both sides with C or G. Seventeen of 9319 positions had a mean substitution error frequency &gt;1%. The ability to identify low-level mosaicism was determined primarily by read depth and error rate of each specific position. Limit of detection (LOD) was &lt;1% for 97% of positions with substitutions and 90% of indel positions. The positions with LOD &gt;1% require repeated testing and mononucleotide repeats with more than four repeat units need an alternative analysis strategy. Mosaicism was detected in 1 of 16 mothers and confirmed using ddPCR.</p><p>Conclusions: Deep sequencing using an AmpliSeq/Ion Torrent strategy allows for simultaneous identification of disease-causing mutations in patients and mosaicism in mothers. ddPCR has high sensitivity but is hampered by the need for mutation-specific design.</p>}},
  author       = {{Manderstedt, Eric and Nilsson, Rosanna and Ljung, Rolf and Lind-Halldén, Christina and Astermark, Jan and Halldén, Christer}},
  issn         = {{2475-0379}},
  language     = {{eng}},
  number       = {{7}},
  pages        = {{1121--1130}},
  publisher    = {{Wiley}},
  series       = {{Research and practice in thrombosis and haemostasis}},
  title        = {{Detection of mosaics in hemophilia A by deep Ion Torrent sequencing and droplet digital PCR}},
  url          = {{http://dx.doi.org/10.1002/rth2.12425}},
  doi          = {{10.1002/rth2.12425}},
  volume       = {{4}},
  year         = {{2020}},
}