Clinical whole exome sequencing
1.
What kind of research is exon sequencing suitable for?
There
are about 180000 exons in human genome, and the size of exon CDs region
accounts for 1-2% of human genome, about 30 MB. The protein coding region of
human genome contains about 85% of pathogenic mutations. Exome sequencing is
mainly aimed at the detection of coding region, so exome sequencing is mainly suitable
for the study of diseases caused by potential mutation of coding region.
Sequencing is cost-effective, especially suitable for high-depth and
large-scale sequencing, which can find common mutations and low-frequency
mutations. It is mainly used in the research of Mendelian genetic disease and
tumor.
2.
What types of mutations can exon sequencing detect?
Exon
capture is a process of hybridization capture. The hybridization efficiency of
probe and different exon segments is not the same, and the coverage depth of
different exon segments is different, so exon sequencing can not be used to
detect CNV. But we can detect SNP, indel and CNV variation for a single sample
by using international mainstream software and long-term optimization analysis
method.
3. Why
do cancer genome sequencing usually select cancer tissue and adjacent tissue /
blood samples from the same patient in pairs?
Cancer
genomics focuses on the study of somatic mutations caused by tumor cell
specific and non genetic factors, so we need to select the normal tissues of
patients for sequencing to filter germline mutations. Because of the great
difference of germline mutations among individuals, in order to avoid screening
many pseudopositive somatic mutation sites, tumor and normal tissues need to
come from the same individual.