Next generation sequencing - a science tool or routine pathology?

Cesk Patol. 2021 Summer;57(3):136-143.

Abstract

Molecular assays for translocation detection in different tumors have gradually been incorporated into routine diagnostics. However, conventional methods such as fluorescence in situ hybridization (FISH) and reverse transcriptase-PCR come with several drawbacks. Next-generation sequencing (NGS) can provide in-depth detection of numerous gene alterations. The anchored multiplex PCR assay proved to be a fast and easy-to-analyze approach for routine diagnostics laboratories. Next-generation sequencing-based anchored multiplex PCR technique (Archer FusionPlex Panels) is beneficial in both diagnosis for patient care and in identification of a novel fusion breakpoint in tumors. NGS is useful in identifying targetable molecular changes (point mutations, fusion genes, etc.) in tumors that can serve as a rationale for inclusion of patients with advanced disease in ongoing clinical trials and allow for better risk stratification.

Keywords: Fusion genes; next generation sequencing (NGS); somatic mutations; targeted therapy.

MeSH terms

  • High-Throughput Nucleotide Sequencing*
  • Humans
  • In Situ Hybridization, Fluorescence
  • Multiplex Polymerase Chain Reaction
  • Neoplasms* / diagnosis
  • Neoplasms* / genetics
  • Translocation, Genetic