Representative Sequencing: Unbiased Sampling of Solid Tumor Tissue
Representative Sequencing: Unbiased Sampling of Solid Tumor Tissue
Although thousands of solid tumors have been sequenced to date, a fundamental under-sampling bias is inherent in current methodologies. This is caused by a tissue sample input of fixed dimensions (e.g., 6 mm biopsy), which becomes grossly under-powered as tumor volume scales. Here, we demonstrate representative sequencing (Rep-Seq) as a new method to achieve unbiased tumor tissue sampling. Rep-Seq uses fixed residual tumor material, which is homogenized and subjected to next-generation sequencing. Analysis of intratumor tumor mutation burden (TMB) variability shows a high level of misclassification using current single-biopsy methods, with 20% of lung and 52% of bladder tumors having at least one biopsy with high TMB but low clonal TMB overall. Misclassification rates by contrast are reduced to 2% (lung) and 4% (bladder) when a more representative sampling methodology is used. Rep-Seq offers an improved sampling protocol for tumor profiling, with significant potential for improved clinical utility and more accurate deconvolution of clonal structure.
- Royal Marsden Hospital United Kingdom
- University of Southampton United Kingdom
- Roche (United States) United States
- The Francis Crick Institute United Kingdom
- University of Edinburgh United Kingdom
tumor sequencing, Tumor, tumor mutational burden, tumor sampling, Lung Neoplasms, Manchester Cancer Research Centre, QH301-705.5, molecular profiling, Biopsy, homogenization, 610, biomarkers, High-Throughput Nucleotide Sequencing, ResearchInstitutes_Networks_Beacons/mcrc; name=Manchester Cancer Research Centre, tumor hetereogeneity, Tumor Burden, [SDV.CAN] Life Sciences [q-bio]/Cancer, representative sampling, Urinary Bladder Neoplasms, Mutation, Biomarkers, Tumor, Humans, Biology (General)
tumor sequencing, Tumor, tumor mutational burden, tumor sampling, Lung Neoplasms, Manchester Cancer Research Centre, QH301-705.5, molecular profiling, Biopsy, homogenization, 610, biomarkers, High-Throughput Nucleotide Sequencing, ResearchInstitutes_Networks_Beacons/mcrc; name=Manchester Cancer Research Centre, tumor hetereogeneity, Tumor Burden, [SDV.CAN] Life Sciences [q-bio]/Cancer, representative sampling, Urinary Bladder Neoplasms, Mutation, Biomarkers, Tumor, Humans, Biology (General)
9 Research products, page 1 of 1
- 2017IsAmongTopNSimilarDocuments
- 2019IsAmongTopNSimilarDocuments
- 2019IsAmongTopNSimilarDocuments
- 2021IsAmongTopNSimilarDocuments
- IsRelatedTo
- IsRelatedTo
- IsRelatedTo
- IsRelatedTo
citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).62 popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.Top 1% influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).Top 10% impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.Top 1%
