[HTML][HTML] Conventional and single-molecule targeted sequencing method for specific variant detection in IKBKG while bypassing the IKBKGP1 pseudogene

G Frans, W Meert, JVW Ten Bosch, I Meyts… - The Journal of Molecular …, 2018 - Elsevier
G Frans, W Meert, JVW Ten Bosch, I Meyts, X Bossuyt, JR Vermeesch, MS Hestand
The Journal of Molecular Diagnostics, 2018Elsevier
In addition to Sanger sequencing, next-generation sequencing of gene panels and exomes
has emerged as a standard diagnostic tool in many laboratories. However, these captures
can miss regions, have poor efficiency, or capture pseudogenes, which hamper proper
diagnoses. One such example is the primary immunodeficiency-associated gene IKBKG. Its
pseudogene IKBKGP1 makes traditional capture methods aspecific. We therefore
developed a long-range PCR method to efficiently target IKBKG, as well as two associated …
In addition to Sanger sequencing, next-generation sequencing of gene panels and exomes has emerged as a standard diagnostic tool in many laboratories. However, these captures can miss regions, have poor efficiency, or capture pseudogenes, which hamper proper diagnoses. One such example is the primary immunodeficiency-associated gene IKBKG. Its pseudogene IKBKGP1 makes traditional capture methods aspecific. We therefore developed a long-range PCR method to efficiently target IKBKG, as well as two associated genes (IRAK4 and MYD88), while bypassing the IKBKGP1 pseudogene. Sequencing accuracy was evaluated using both conventional short-read technology and a newer long-read, single-molecule sequencer. Different mapping and variant calling options were evaluated in their capability to bypass the pseudogene using both sequencing platforms. Based on these evaluations, we determined a robust diagnostic application for unambiguous sequencing and variant calling in IKBKG, IRAK4, and MYD88. This method allows rapid identification of selected primary immunodeficiency diseases in patients suffering from life-threatening invasive pyogenic bacterial infections.
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