Archival bone marrow smears are useful in targeted next-generation sequencing for diagnosing myeloid neoplasms.

Gene abnormalities, including mutations and fusions, are important determinants in the molecular diagnosis of myeloid neoplasms. The use of bone marrow (BM) smears as a source of DNA and RNA for next-generation sequencing (NGS) enables molecular diagnosis to be done with small amounts of bone marrow...

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Autores principales: Daichi Sadato, Chizuko Hirama, Ai Kaiho-Soma, Ayaka Yamaguchi, Hiroko Kogure, Sonomi Takakuwa, Mina Ogawa, Noriko Doki, Kazuteru Ohashi, Hironori Harada, Keisuke Oboki, Yuka Harada
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Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/3173f9b171914b53b197c507cbe2a672
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spelling oai:doaj.org-article:3173f9b171914b53b197c507cbe2a6722021-12-02T20:06:29ZArchival bone marrow smears are useful in targeted next-generation sequencing for diagnosing myeloid neoplasms.1932-620310.1371/journal.pone.0255257https://doaj.org/article/3173f9b171914b53b197c507cbe2a6722021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255257https://doaj.org/toc/1932-6203Gene abnormalities, including mutations and fusions, are important determinants in the molecular diagnosis of myeloid neoplasms. The use of bone marrow (BM) smears as a source of DNA and RNA for next-generation sequencing (NGS) enables molecular diagnosis to be done with small amounts of bone marrow and is especially useful for patients without stocked cells, DNA or RNA. The present study aimed to analyze the quality of DNA and RNA derived from smear samples and the utility of NGS for diagnosing myeloid neoplasms. Targeted DNA sequencing using paired BM cells and smears yielded sequencing data of adequate quality for variant calling. The detected variants were analyzed using the bioinformatics approach to detect mutations reliably and increase sensitivity. Noise deriving from variants with extremely low variant allele frequency (VAF) was detected in smear sample data and removed by filtering. Consequently, various driver gene mutations were detected across a wide range of allele frequencies in patients with myeloid neoplasms. Moreover, targeted RNA sequencing successfully detected fusion genes using smear-derived, very low-quality RNA, even in a patient with a normal karyotype. These findings demonstrated that smear samples can be used for clinical molecular diagnosis with adequate noise-reduction methods even if the DNA and RNA quality is inferior.Daichi SadatoChizuko HiramaAi Kaiho-SomaAyaka YamaguchiHiroko KogureSonomi TakakuwaMina OgawaNoriko DokiKazuteru OhashiHironori HaradaKeisuke ObokiYuka HaradaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0255257 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Daichi Sadato
Chizuko Hirama
Ai Kaiho-Soma
Ayaka Yamaguchi
Hiroko Kogure
Sonomi Takakuwa
Mina Ogawa
Noriko Doki
Kazuteru Ohashi
Hironori Harada
Keisuke Oboki
Yuka Harada
Archival bone marrow smears are useful in targeted next-generation sequencing for diagnosing myeloid neoplasms.
description Gene abnormalities, including mutations and fusions, are important determinants in the molecular diagnosis of myeloid neoplasms. The use of bone marrow (BM) smears as a source of DNA and RNA for next-generation sequencing (NGS) enables molecular diagnosis to be done with small amounts of bone marrow and is especially useful for patients without stocked cells, DNA or RNA. The present study aimed to analyze the quality of DNA and RNA derived from smear samples and the utility of NGS for diagnosing myeloid neoplasms. Targeted DNA sequencing using paired BM cells and smears yielded sequencing data of adequate quality for variant calling. The detected variants were analyzed using the bioinformatics approach to detect mutations reliably and increase sensitivity. Noise deriving from variants with extremely low variant allele frequency (VAF) was detected in smear sample data and removed by filtering. Consequently, various driver gene mutations were detected across a wide range of allele frequencies in patients with myeloid neoplasms. Moreover, targeted RNA sequencing successfully detected fusion genes using smear-derived, very low-quality RNA, even in a patient with a normal karyotype. These findings demonstrated that smear samples can be used for clinical molecular diagnosis with adequate noise-reduction methods even if the DNA and RNA quality is inferior.
format article
author Daichi Sadato
Chizuko Hirama
Ai Kaiho-Soma
Ayaka Yamaguchi
Hiroko Kogure
Sonomi Takakuwa
Mina Ogawa
Noriko Doki
Kazuteru Ohashi
Hironori Harada
Keisuke Oboki
Yuka Harada
author_facet Daichi Sadato
Chizuko Hirama
Ai Kaiho-Soma
Ayaka Yamaguchi
Hiroko Kogure
Sonomi Takakuwa
Mina Ogawa
Noriko Doki
Kazuteru Ohashi
Hironori Harada
Keisuke Oboki
Yuka Harada
author_sort Daichi Sadato
title Archival bone marrow smears are useful in targeted next-generation sequencing for diagnosing myeloid neoplasms.
title_short Archival bone marrow smears are useful in targeted next-generation sequencing for diagnosing myeloid neoplasms.
title_full Archival bone marrow smears are useful in targeted next-generation sequencing for diagnosing myeloid neoplasms.
title_fullStr Archival bone marrow smears are useful in targeted next-generation sequencing for diagnosing myeloid neoplasms.
title_full_unstemmed Archival bone marrow smears are useful in targeted next-generation sequencing for diagnosing myeloid neoplasms.
title_sort archival bone marrow smears are useful in targeted next-generation sequencing for diagnosing myeloid neoplasms.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/3173f9b171914b53b197c507cbe2a672
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