Sanger Sequencing

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Sanger sequencing and its application

Presented by

Manoj Kumar
Department of Molecular Biology
Amrita Hospital, Faridabad
About ABI ProFlex 8 genetic
analyzer
Uses capillary electrophoresis to perform
Sanger sequencing and fragment length
analysis (FLA)

8 capillaries with a 4-plate deck system,


allows continuous loading and reprioritization
of urgent samples.
Principle of Sanger sequencing
Capillary vs Agarose Gel
Electrophoresis
Capillary Gel Agarose Gel

Resolution single-nucleotide resolution 5 bp in 3% gel w/ <200 bp


fragment

Throughput High and automated, 96x4 Low and manual

Multiplexing Yes, 6 dyes in single tube No

Cost High Low

Applications Targeted DNA sequencing, Fragment Fusion, deletion and snv


length analysis, confirmation of NGS detection of
variants.
Tests that can be done
NPM1, FLT3 and CEBPA mutations in Acute myeloid leukaemia (AML)

Site-specific germline testing for inherited cancers

Chimerism monitoring after Bone marrow transplant by FLA

Ataxia CAG repeats analysis by FLA

Microsatellite instability by FLA

MLPA (Multiplex Ligation-dependent Probe Amplification) for BRCA1/2 and DMD

Orthogonal verification for Next Generation Sequencing


MSI
orthogonal verification
CCAAT/enhancer-binding protein alpha
(CEBPA) Mutation by Sanger Sequencing

~10% incidence in AML

Mutations across whole gene, two major hotspots i.e. N- terminus


and C-terminus region

Favourable prognosis in patients with double mutation


Frameshift

P1 Normal P1 Mutant
Frameshift

P2 Normal P2 Mutant
A case of Denovo Li-Fraumeni Syndrome
Rare genetic disorder, increases risk of developing different cancers
especially at young age

Caused by mutation in TP53:chr17:7577121,c.817C>T (p.Arg273Cys)

Either inherited or can be de-novo (~5%)

No cure, but regular screening and surveillance can help detect and treat
cancers early
Source: clinvar
Proband, 9 years old, diagnosed with B cell Acute lymphoblastic
leukemia

Tested on a NGS Panel


transactivation motif DNA-binding domain tetramerisation motif

Parent 1 : Normal Parent 2 : Normal


transactivation motif DNA-binding domain tetramerisation motif

G>A

Proband/Offspring : Mutant, De-novo

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