Department of Hematology, University Hospital Schleswig-Holstein, Kiel, Germany.
CLIP - Childhood Leukaemia Investigation Prague, Department of Paediatric Haematology and Oncology, Second Faculty of Medicine, Charles University, University Hospital Motol, Prague, Czech Republic.
Leukemia. 2019 Sep;33(9):2241-2253. doi: 10.1038/s41375-019-0496-7. Epub 2019 Jun 26.
Amplicon-based next-generation sequencing (NGS) of immunoglobulin (IG) and T-cell receptor (TR) gene rearrangements for clonality assessment, marker identification and quantification of minimal residual disease (MRD) in lymphoid neoplasms has been the focus of intense research, development and application. However, standardization and validation in a scientifically controlled multicentre setting is still lacking. Therefore, IG/TR assay development and design, including bioinformatics, was performed within the EuroClonality-NGS working group and validated for MRD marker identification in acute lymphoblastic leukaemia (ALL). Five EuroMRD ALL reference laboratories performed IG/TR NGS in 50 diagnostic ALL samples, and compared results with those generated through routine IG/TR Sanger sequencing. A central polytarget quality control (cPT-QC) was used to monitor primer performance, and a central in-tube quality control (cIT-QC) was spiked into each sample as a library-specific quality control and calibrator. NGS identified 259 (average 5.2/sample, range 0-14) clonal sequences vs. Sanger-sequencing 248 (average 5.0/sample, range 0-14). NGS primers covered possible IG/TR rearrangement types more completely compared with local multiplex PCR sets and enabled sequencing of bi-allelic rearrangements and weak PCR products. The cPT-QC showed high reproducibility across all laboratories. These validated and reproducible quality-controlled EuroClonality-NGS assays can be used for standardized NGS-based identification of IG/TR markers in lymphoid malignancies.
基于扩增子的下一代测序(NGS)技术可用于免疫球蛋白(IG)和 T 细胞受体(TR)基因重排的克隆性评估、标志物鉴定和淋巴肿瘤微小残留病(MRD)的定量,一直是研究、开发和应用的重点。然而,在科学控制的多中心环境中仍然缺乏标准化和验证。因此,IG/TR 检测的开发和设计,包括生物信息学,在 EuroClonality-NGS 工作组内进行,并在急性淋巴细胞白血病(ALL)中对 MRD 标志物鉴定进行了验证。五个 EuroMRD ALL 参考实验室在 50 个诊断性 ALL 样本中进行了 IG/TR NGS,并将结果与通过常规 IG/TR Sanger 测序生成的结果进行了比较。使用中央多靶点质量控制(cPT-QC)监测引物性能,并在每个样本中加入中央管内质量控制(cIT-QC)作为文库特异性质量控制和校准剂。NGS 鉴定了 259 个(平均每个样本 5.2 个,范围 0-14)克隆序列,而 Sanger 测序鉴定了 248 个(平均每个样本 5.0 个,范围 0-14)。与本地多重 PCR 集相比,NGS 引物更全面地覆盖了可能的 IG/TR 重排类型,并能够对双等位基因重排和弱 PCR 产物进行测序。cPT-QC 在所有实验室中均表现出高度的可重复性。这些经过验证和可重复的质量控制的 EuroClonality-NGS 检测可以用于标准化的基于 NGS 的淋巴恶性肿瘤 IG/TR 标志物鉴定。