Assessing aneuploidy with repetitive element sequencing.

Douville, Christopher; Cohen, Joshua D; Ptak, Janine; Popoli, Maria; Schaefer, Joy; Silliman, Natalie; Dobbyn, Lisa; Schoen, Robert E et al. · Proc Natl Acad Sci U S A · 2020

basic_science · Level V

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Abstract

We report a sensitive PCR-based assay called Repetitive Element AneupLoidy Sequencing System (RealSeqS) that can detect aneuploidy in samples containing as little as 3 pg of DNA. Using a single primer pair, we amplified ∼350,000 amplicons distributed throughout the genome. Aneuploidy was detected in 49% of liquid biopsies from a total of 883 nonmetastatic, clinically detected cancers of the colorectum, esophagus, liver, lung, ovary, pancreas, breast, or stomach. Combining aneuploidy with somatic mutation detection and eight standard protein biomarkers yielded a median sensitivity of 80% in these eight cancer types, while only 1% of 812 healthy controls scored positive.

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