CAPTURE PROBE AND ASSAY FOR ANALYSIS OF FRAGMENTED NUCLEIC ACIDS

Information

  • Patent Application
  • 20130123117
  • Publication Number
    20130123117
  • Date Filed
    November 15, 2012
    12 years ago
  • Date Published
    May 16, 2013
    11 years ago
Abstract
Disclosed is an efficient and scalable method for targeted resequencing and variant identification of nucleic acids such as genomic DNA found in single stranded, fragmented form, such as in a clinical sample of formalin-fixed, paraffin-embedded (FFPE) tissue. The method uses a large number of capture probes mixed with the sample in the presence of a 5′ to 3′ exonuclease, a 3′ to 5′ exonuclease, a ligase, and a universal amplification oligonucleotide that hybridizes to the various capture probes. The nucleases act on ssDNA, not dsDNA. A single stranded circle is formed by the ligase, and is then amplified to produce a population (library) of double stranded linear DNA molecules that are suitable for sequencing. It is shown that the library produces a high degree of fidelity to the original sample, and predictable base changes are shown.
Description
REFERENCE TO SEQUENCE LISTING, COMPUTER PROGRAM, OR COMPACT DISK

The instant application contains a Sequence Listing which has been submitted in ASCII format via EFS-Web and is hereby incorporated by reference in its entirety. Said ASCII copy, created on Oct. 26, 2012, is named 381596US.txt and is 828,319 bytes in size.


BACKGROUND OF THE INVENTION

1. Field of the Invention


The present invention relates to the field of nucleic analysis, and, more particularly, to methods for contacting fragmented nucleic acids, such as genomic DNA with probes and enzymes whereby selected portions of the genomic DNA are amplified and assayed.


2. Related Art


Presented below is background information on certain aspects of the present invention as they may relate to technical features referred to in the detailed description, but not necessarily described in detail. That is, individual parts or methods used in the present invention may be described in greater detail in the materials discussed below, which materials may provide further guidance to those skilled in the art for making or using certain aspects of the present invention as claimed. The discussion below should not be construed as an admission as to the relevance of the information to any claims herein or the prior art effect of the material described.


Next generation DNA sequencing (NGS) has revolutionized genetics by enabling one to routinely sequence human genomes, either in their entirety or specific subsets. While NGS advances have dramatically increased our ability to identify disease-related genetic variants, the widespread application of NGS-based approaches to clinical populations faces some limitations. Citing an example, NGS-based discovery of cancer mutations for large translational and clinical studies is severely restricted by the availability of clinical samples from which one can extract high quality genomic DNA. The vast majority of cancers samples like gastric and colorectal cancer are processed with formalin fixed paraffin embedding (FFPE) of tissues. For clinical pathology laboratories, this is a preservation method because (1) it maintains morphological features of the tumor, (2) enables histopathologic examination with a number of staining processes and (3) can be stored indefinitely at room temperature. However, the fixation process causes irreversible damage to the sample genomic DNA via cross linkages and increased fragmentation. As a result, genomic DNA extracted from FFPE material is often of poor quality. Furthermore, FFPE-extracted genomic DNA is generally in a single stranded form because of the need for high temperature incubations to melt the paraffin. Therefore, the analysis of FFPE-derived genomic DNA using PCR-based assays is difficult. Overall, these issues restrict our ability to conduct clinical population genetic studies and genetic diagnostic development using these valuable samples.


A variety of methods have been developed to enrich specific regions of the human genome. These include in-solution hybridization enrichment, multiplexed-PCR and targeted circularization approaches. Hybrid selection methods apply immobilized oligonucleotides on either microarrays [1-3] or beads [4] to enrich genomic targets from a modified DNA sample. In multiplex-PCR [5], complex primer sets can be utilized to selectively amplify targeted regions prior to modifying DNA for the sequencer. Highly parallel simplex PCR reactions can be conducted with microdroplet technology [6]. In-solution oligonucleotide-based approaches such as molecular inversion probes (MIPs) capture targets by DNA synthesis across the target and ligation that result in circularization of the capture oligonucleotides [7, 8]. Citing another in-solution approach, targeted genomic circularization (TGC) directly captures a genomic DNA target by converting it into a target specific circle using in-solution capture oligonucleotides [9].


There are limitations with all of the previously described capture methods on genomic DNA from FFPE samples. For example, hybridization enrichment has been applied to cancer samples for single nucleotide variation (SNV) detection [10]. For example, Kerick et al. used the Agilent in-solution hybridization method to investigate reproducibility of SNV detection comparing genomic DNA from FFPE to flash-frozen samples. They demonstrated a false positive rate of approximately 1% when using sequencing coverage greater than 20× coverage. This translates into 1 false mutation caller for every 100 variants identified. In addition, hybridization-based methods have high levels of off-target capture, involve complex workflows that require additional PCR amplification and sample preparation steps. MIP technology has potential advantages for degraded genomic DNA from FFPE samples, but the capture reaction is inefficient for larger targets beyond 200 bps and the assay is extremely complicated in its implementation [11]. Furthermore, with MIPs, the captured regions contain 20 bps of the oligonucleotide-derived sequences and the rest is the reverse-complement of the template DNA, not the original DNA strand. This requires some degree of bioinformatic processing to eliminate synthetic sequence. Capture with the targeted genomic circularization relies on the presence of existing restriction sites in double stranded DNA and requires multiple restriction enzymes which increase the number of reactions needed for a given sample [9]. This can limit the efficiency of capture coverage due to the absence of a suitable restriction site. Furthermore, TGC-capture requires double stranded DNA for restriction enzyme fragmentation while FFPE-derived genomic DNA is generally single stranded. Whole genome amplification using random primers followed by an end-repair step can be used to sequence FFPE-derived genomic DNA, but these amplification steps can skew the representation of certain region even before the capture reaction.


Specific Patents and Publications

Dahl et al., “Multiplex amplification enabled by selective circularization of large sets of genomic DNA fragments,” Nucleic Acids Res. 33 e71 (2005), discloses a method for multiplex amplification which uses a general primer pair motif and a vector oligonucleotide selector probe, where the circularization procedure starts with digestion of the DNA to generate targets.


US patent publication 2008/0199916, by Zheng et al., published Aug. 21, 2008, entitled “Multiplex targeted amplification using flap nuclease,” discloses the use of UDG (uracil-DNA glycosylase) and a flap exonuclease.


PG Pub 2007/0128635 by Macevicz, entitled “Selected Amplification of Polynucleotides,” discloses a method in which fragments and selection oligonucleotides are combined in a reaction mixture comprising the following enzymatic activities: (i) a 5′ flap endonuclease activity, (ii) a DNA polymerase lacking strand displacement activity, (iii) a 3′ single stranded exonuclease activity, and (iv) a ligase activity.


WO 2008/033442 A2, “Methods And Compositions For Performing Low Background Multiplex Nucleic Acid Amplification Reactions,” by Fredriksson et al., discloses a method of amplifying target nucleic acids involving circularizing target amplicons in an amplified composition; and selecting for said circularized target amplicons in said amplified composition.


BRIEF SUMMARY OF THE INVENTION

The following brief summary is not intended to include all features and aspects of the present invention, nor does it imply that the invention must include all features and aspects discussed in this summary.


The present invention comprises, in certain aspects, methods and materials for detection and analysis of a large number of random fragments of DNA in a sample. The methods can be used for targeted resequencing of DNA. In certain aspects, the present methods employ a mixture of single-stranded polynucleotide capture probes, a number of universal single stranded oligonucleotides (second polynucleotides) each having the same sequence and hybridizing to a portion of the various capture probes; and a mixture comprising exonucleases and a ligase.


In certain aspects, the present invention comprises a composition in the form of a reaction mixture useful for preparing a population of double stranded DNA molecules from a sample containing single stranded polynucleic acids, comprising, preferably in a suitable buffer: (a) a plurality of single stranded capture probes, each capture probe containing (i) 5′ and 3′ end capture arms complementary to specific portions of a polynucleic acid in the sample and (ii) an invariant sequence between the capture arms, whereby a circular structure comprising a specific capture probe and a polynucleic acid sample molecule having regions complementary to the capture arms is formed in the buffer; (b) a plurality of second (“universal”) single stranded polynucleotides having a sequence complementary to the invariant sequence and having amplification sites for amplification of a polynucleic acid in a circular structure; and (c) a 5′ exonuclease, a 3′ exonuclease, and a ligase. While “each” capture probe will contain the defined features, it is not to be implied that “every” capture probe in a composition must have these features.


The single stranded polynucleic acids in the composition may comprise random fragments of human genomic DNA. The fragments may be fixed by crosslinking and embedded in a wax, which makes the composition well suited for dealing with degraded DNA from FFPE samples.


The composition also comprises at least one of amplification primers and a polymerase for amplification. The amplification sites of the composition comprise PCR primer sites, which may be spaced on the universal polynucleotides about 120 to 250 bases apart.


In certain embodiments, the composition (reaction mixture) comprises capture probes having a three part construction: two capture arms on the flanks which are able to capture specific single-stranded genomic DNA and a sequence between the two capture arms which is termed a “universal” sequence in that it is essentially the same (“invariant”) among the different probes. The capture probes may be present in the composition as a set of at least 500 different probes, at least 600 different probes, at least 700 different probes, or at least 1000 different probes, each probe having capture arms complementary to different portions of a single stranded polynucleic acid in the sample and having the same universal probe sequence between the two capture arms.


In certain aspects, the present invention also comprises a method for analyzing single stranded polynucleotides from a sample, comprising the steps of: (a) adding to the sample a plurality of capture probes, each capture probe containing capture arms designed to be complementary to specific portions of a polynucleic acid in the sample and a universal probe sequence between the arms, whereby a circular structure comprising a specific capture probe and a polynucleic acid sample molecule is formed in the buffer; (b) adding to the sample a plurality of universal polynucleotides having a sequence complementary to the universal probe sequence and having amplification sites for amplification of a polynucleic acid in a circular structure; and (c) adding to the sample containing capture probes and universal polynucleotides a mixture of a 5′ exonuclease, a 3′ exonuclease, and a ligase under conditions whereby exonucleases remove bases from the single stranded polynucleotides to form a new 5′ end thereof and a new 3′ end thereof, and the ligase ligates the new 5′ end to the new 3′ end.


The composition and method described above may also comprise a 5′ exonuclease, which may be Exonuclease I; a 3′ exonuclease, which may be a polymerase or a thermostable polymerase; and a ligase, which may be a thermostable DNA ligase. As described below, the capture arms may hybridize to various portions of the DNA in the sample, leaving “flaps”, which are removed by the exonucleases.


In certain aspects, the present invention further contemplates a method for analyzing single stranded polynucleotides from a sample, comprising the steps of: (a) adding to the sample a plurality of capture probes, each capture probe containing capture arms complementary to specific portions of a polynucleic acid in the sample and a universal probe sequence between the arms, whereby a circular structure comprising a specific capture probe and a polynucleic acid sample molecule is formed in the buffer; (b) adding to the sample a plurality of universal polynucleotides having a sequence complementary to the universal probe sequence and having amplification sites for amplification of a polynucleic acid in a circular structure; and (c) adding to the sample containing capture probes and universal polynucleotides a mixture of a 5′ exonuclease, a 3′ exonuclease, and a ligase under conditions whereby exonucleases remove bases from the single stranded polynucleotides to form a new 5′ end thereof and a new 3′ end thereof, and the ligase ligates the new 5′ end to the new 3′ end; (d) adding to the sample a polymerase and polymerase primers; and (e) conducting a polymerase chain reaction using the polymerase primers for amplification of a portion of a single stranded polynucleotide captured by a corresponding capture probe.


The above method may further comprise the step of sequencing amplified polynucleotides from step (e). The polymerase chain reaction conducted step (e) may utilize an annealing temperature of between about 45 degrees Celsius and 55 degrees Celsius.


The analyzing of the single stranded polynucleotides from a sample may comprise analyzing polynucleotides from a preserved tissue sample or analyzing polynucleotides from a preserved tissue sample and analyzing polynucleotides from a fresh sample from the same individual.


In certain aspects, the present invention also comprises the preparation of a composition as described herein using a kit. The kit may comprise a set of capture probes and universal oligos. Other reagents, such as enzymes may also be included in the kit. An exemplary set of 628 capture polynucleotides is described in the accompanying sequence listing.





BRIEF DESCRIPTION OF THE DRAWINGS


FIG. 1A, 1B is a schematic diagram illustrating an overview of the single stranded DNA capture assay.



FIGS. 2A, 2B, and 2C is a set of graphs showing the sequencing coverage of targeted resequencing on matched FFPE versus flash-frozen genomic DNA sources in exemplary patients 751 (FIG. 2A), patient 761 (FIG. 2B) and patient 780 (FIG. 2C). Coverage exceeded 85% of all captured regions in each case.



FIG. 3 is a scatter plot showing where the 2nd base frequency of a given variant is compared from targeted resequencing of genomic DNA from matched flash-frozen versus FFPE samples. The x-axis represents the 2nd base frequency of SNVs identified from FFPE targeted resequencing compared to the y-axis, which indicates the variant base fraction from the flash-frozen genomic DNA.





DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT
Overview

Described herein is a novel DNA targeting and enrichment method particularly suited for analysis of samples containing fragmented single stranded nucleic acids, such as genomic DNA fragments in a biopsy sample. The method results in highly multiplexed amplification of selected portions of the sample nucleic acid, i.e., the reaction mixture may contain hundreds or thousands of different capture probes for amplification of sample DNA regions spanned by the capture probes. The amplified portions from the reaction may be further analyzed, e.g. by sequencing the amplified portions.


The present method is an improvement of a previously described technique that required double stranded DNA as input and required that the targeting oligonucleotide probes be placed adjacent to certain restriction sites. For the present approach, the hybridization arms of the capture oligonucleotides do not require a restriction site and the input DNA can be single stranded. This improves the flexibility and the coverage of the design. An important feature of the present capture approach involves using single stranded DNA as input material. Given the need for high heat during processing, the majority of formalin fixed and paraffin embedded (FFPE) derived genomic DNA molecules are generally single stranded. The present approach has a major advantage compared to other methods that rely exclusively on enzymatic manipulations of double stranded genomic DNA. The capture performance is comparable when using genomic DNA derived from flash-frozen versus FFPE processed tissue. Eighty five percent of the heterozygote SNV detected from high quality genomic DNA extracted flash-frozen samples were also detected in targeted resequencing data from the matched FFPE samples. The number of false positive FFPE-specific SNV calls are exceptionally low at one per every 12 Kb of targeted genomic sequence.


While multiplexed capture assays for hundreds of genomic regions in the present examples is described herein, it is believed the reaction could be scaled to thousands. As published, efficient capture using pools of 5,000 oligonucleotides for restriction enzyme-based targeted circularization has been achieved and it is believed that this new method will scale similarly. For most of the results presented here, we used 4 indexed samples per lane of sequencing (2 flash frozen and 2 FFPE samples). Targeted resequencing projects involving hundreds of exons in hundreds of FFPE samples are therefore achievable and may be implemented with minimal additional steps in a next generation sequencer such as the Illumina HiSeq or GAIIx. In addition, the application of the present approach is demonstrated using the Illumina MiSeq system which is designed for rapid analysis.


An innovative approach to capture genomic targets from archival genomic DNA with in-solution polynucleotides is described. This approach is fundamentally different than other methods given that it only requires random fragments of single stranded genomic DNA as commonly seen in FFPE samples, is highly scalable for multiplexed target coverage, and does not rely on any whole genome amplification. The capture assay is straightforward, relatively fast and can be implemented with standard molecular biology equipment. The robust performance of the capture assay and comparisons of SNV detection using genomic DNA derived from matched flash-frozen and FFPE samples is demonstrated.


The technology described utilizes oligonucleotide-mediated genomic capture without the need for double stranded template and the reliance on exiting restriction sites. It also alleviates the need to synthesize the complementary stranded of the template DNA, which can result in significant limits such as the target size.


Another novel aspect of this capture process is its ability to add desired sequences (such as the adapter sequences required for cluster generation on the Illumina® sequencing system) to DNA fragments without the need for the multi-step process normally associated with such manipulation. This can greatly simplify and accelerate the construction of sequencing libraries. That is, the original



FIGS. 1A and 1B outline the key materials, intermediates and steps of the capture reaction. As shown in these figures, a number of capture probes 101 and a sample containing numerous fragments of single stranded DNA 102 are mixed in a single tube (Step 1). The term “tube” is used for convenience, in that the reaction area could also be a well in a microtiter plate, a chamber in a microfluidic device, etc. The entire reaction occurs in the single tube and this substantially reduces the complexity of the capture assay process. The capture probes and single stranded DNA fragments are mixed in the presence of Ampligase, TaqPol, and ExoI. The capture probes 101 have capture arms that are different in sequence as between capture probes and are complementary to the ends of the portion of sample DNA 102 to be studied.


Denatured single-stranded genomic DNA 102 having a 5′ end and a 3′ end is combined with a pool of polynucleotides, termed “capture probes,” that mediate targeted circularization of the regions of interest. Since the size of DNA 102 is unknown and variable (“random”), portions of the DNA 102 will extend 5′ and 3′ from the hybridization sites, as shown in step 1. The capture probes are single stranded DNA molecules that may be e.g. 80 bases long, or in the range of 40 to 300 bases long. A single capture probe will have 5′ capture arm 104, a middle portion 105 (“universal probe sequence”) and a 3′ capture arm 106 (FIG. 1B). The capture arms 104, 106 are typically on the order of 20 bases long, and have a sequence selected for an individual capture probe to target a pre-determined complementary region on the nucleic acid sample. This complementarity is designed to be 100% complementarity. The region targeted will typically be longer than the capture probe; it may, for example, be an exon of a gene. The middle portion 105 of the capture probe (“universal probe sequence”) is selected to have a sequence that will not hybridize to the nucleic acid sample, and its length is chosen depending on the size of the region of the sample (e.g. genomic DNA) being targeted, and in accordance with the size of the universal oligo. While there are many different capture probe sequences, the middle portion of each capture probe will be essentially the same in each capture probe, in order to hybridize to the universal polynucleotides, as explained below.


Genomic DNA in the sample can come from either flash-frozen or FFPE processed tissue samples. Each capture arm 104, 106 from a single capture probe anneals to a predetermined sequence in a specific genomic DNA fragment 102 containing the complementary sequences. After hybridization, a single-stranded target-specific structure is formed which has 5′ single stranded extension 111 and 3′ single stranded extension 112 of the original genomic target single stranded DNA (FIG. 1B). These extensions 111, 112 of single stranded genomic DNA (that extend past the ends of the targeting arms of the capture probe) are removed or degraded by enzymes. For example 5′ and 3′ extensions (“flaps”) may be removed, respectively, by the 5′ nucleolytic activity of Taq polymerase (activity as disclosed, e.g. in Lyamichev, V., Brow, M. A. & Dahlberg, J. E. (1993) Science 260, 778-783) and the 3′ to 5′ exonucleolytic activity of ExoI [12]. To complete the capture reaction, a universal vector oligonucleotide 108 anneals to the general sequence motif in the middle portion 105 of every capture probe oligonucleotide. Ampligase® thermostable ligase present in the same reaction mix forms covalently closed circles using the universal vector sequence (Step 2). Ampligase® Thermostable DNA Ligase catalyzes NAD-dependent ligation of adjacent 3′-hydroxylated and 5′-phosphorylated termini in duplex DNA structures that are stable at high temperatures.


Once the circle is complete, universal PCR primers 110 can be used to amplify the intervening target genomic DNA fragment, creating a pool of linear amplicons that can be sequenced (Step 3). The primers are oriented, as shown in FIG. 1B, to amplify the target oligonucleotide; they can be amplified either as an intact circle, or after cleavage of the circle. The resulting double stranded linear DNA population that results from amplification of the set of circles created is then submitted to adapter ligation following the standard Illumina library preparation protocol (Step 4). The primers hybridize to sequences within the universal sequences, so that one set of primers may be used to amplify the entire plurality of different capture probe structures.


As shown by arrows 110 in FIG. 1B, the PCR amplification can proceed from the primers through part of the general sequence motif in the middle portion 105 of the capture probe. This allows sequences from this motif to be added to and become part of the 5′ and/or 3′ end of the amplified product. For example, bar codes or ligation adapters can be added by including such sequences in the middle portion 105 of the capture probe. A variety of sequencing methods may be used on the amplified products, including massively parallel methods commercially available from Illumina, Roche 454, Life Technologies, Pacific Biosciences, Helicos, etc. The sequencing aspect of the present methods can be used for SNP analysis as well as SNVs that are associated with disease. The sequencing libraries prepared by the present method can be used for paired-end sequencing to obtain greater information from a ssDNA fragment in the sample.


A variety of buffers can be used with the present compositions. They can contain, e.g. 100 mM Tris-Cl, 500 mM KCl; 600 mM Tris-Cl, 170 mM (NH4)2SO4, 0.1% Tween-20; 375 mM Tris-Cl, 200 mM (NH4)2SO4, 0.1% Tween-20, etc.


DEFINITIONS

Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by those of ordinary skill in the art to which this invention belongs. Although any methods and materials similar or equivalent to those described herein can be used in the practice or testing of the present invention, the preferred methods and materials are described. Generally, nomenclatures utilized in connection with, and techniques of, cell and molecular biology and chemistry are those well-known and commonly used in the art. Certain experimental techniques, not specifically defined, are generally performed according to conventional methods well known in the art and as described in various general and more specific references that are cited and discussed throughout the present specification. For purposes of clarity, the following terms are defined below.


Ranges:


For conciseness, any range set forth is intended to include any sub-range within the stated range, unless otherwise stated. A sub-range is to be included within a range even though no sub-range is explicitly stated in connection with the range. As a nonlimiting example, a range of 120 to 250 includes a range of 120-121, 120-130, 200-225, 121-250 etc. The term “about” has its ordinary meaning of approximately and may be determined in context by experimental variability. In case of doubt, “about” means a variation within 5% of a stated numerical value.


The term “polynucleotide” corresponds to either double-stranded or single-stranded cDNA or genomic DNA or RNA, containing at least 10 contiguous nucleotides. Single stranded polynucleic acid sequences are always represented in the current invention from the 5′ end to the 3′ end. Polynucleic acids according to the invention may be prepared by any method known in the art for preparing polynucleic acids (e.g. the phosphodiester method for synthesizing oligonucleotides as described by Agarwal et al. (1972), the phosphotriester method of Hsiung et al. (1979), or the automated diethylphosphoroamidite method of Baeucage et al. (1981)). Alternatively, the polynucleic acids of the invention may be isolated fragments of naturally occurring or cloned DNA or RNA.


The term “oligonucleotide” refers to a single stranded nucleic acid comprising two or more nucleotides, and less than 300 nucleotides. The exact size of an oligonucleotide depends on the ultimate function or use of said oligonucleotide. For use as a probe or primer the oligonucleotides are preferably about 5-50 nucleotides long.


The oligonucleotides and polynucleotides according to the present invention can be formed by cloning of recombinant plasmids containing inserts including the corresponding nucleotide sequences, if need be by cleaving the latter out from the cloned plasmids upon using the adequate nucleases and recovering them, e.g. by fractionation according to molecular weight. The probes according to the present invention can also be synthesized chemically, e.g. by automatic synthesis on commercial instruments sold by a variety of manufacturers.


The nucleotides as used in the present invention may, in certain aspects, be ribonucleotides, deoxyribonucleotides and modified nucleotides such as inosine or nucleotides containing modified groups which do not essentially alter their hybridisation characteristics. Moreover, it is obvious to the man skilled in the art that any of the below-specified probes can be used as such, or in their complementary form, or in their RNA form (wherein T is replaced by U).


The oligonucleotides used as primers or probes may also comprise or consist of nucleotide analogues such as phosphorothioates (Matsukura et al., 1987). alkylphosphorothioiates (Miller et al., 1979) or peptide nucleic acids (Nielsen et al., 1991; Nielsen et al., 1993) or may contain intercalating agents (Asseline et al., 1984).


The term “probe” refers to single stranded sequencespecific oligonucleotides which have a sequence which is sufficiently complementary to hybridize to the target sequence to be detected. Preferably said probes are 70%, 80%, 90%, or more than 95% homologous to the exact complement of the target sequence to be detected. These target sequences are either genomic DNA or messenger RNA, or amplified versions thereof. Preferably, these probes are about 5 to 50 nucleotides long, more preferably from about 10 to 30 nucleotides.


The term “hybridizes to” refers to preferably stringent hybridizations conditions, allowing hybridisation between complementary nucleic acid sequences showing at least 90%, 95% or more homology with each other.


The term “primer” refers to a single stranded DNA oligonucleotide sequence capable of acting as a point of initiation for synthesis of a primer extension product which 5 is complementary to the nucleic acid strand to be copied. The length and the sequence of the primer must be such that they allow to prime the synthesis of the extension products. Preferably the primer is about 5-50 nucleotides long. Specific length and sequence will depend on the complexity of the required DNA or RNA targets, as well as on the conditions of primer use such as temperature and ionic strength. The fact that amplification primers do not have to match exactly with the corresponding template sequence to warrant proper amplification is amply documented in the literature. The amplification method used can be either polymerase chain reaction, target polynucleotide amplification methods such as self-sustained sequence replication (3SR) and strand-displacement amplification (SDA); methods based on amplification of a signal attached to the target polynucleotide, such as “branched chain” DNA amplification; methods based on amplification of probe DNA, such as ligase chain reaction (LCR) and QB replicase amplification (QBR); transcription-based methods, such as ligation activated transcription (LAT), nucleic acid sequence-based amplification (NASBA), amplification under the trade name INVADER, and transcription-mediated amplification (TMA); and various other amplification methods, such as repair chain reaction (RCR) and cycling probe reaction (CPR). Preferred methods can be multiplexed, i.e. a number of amplifications of different sequences can be run in the same reaction mixture at the same time.


The term “complementary” nucleic acids as used in the current invention means that the nucleic acid sequences can form a perfect base paired double helix with each other.


The term “FFPE” refers to formalin-fixed, paraffin-embedded (FFPE) tissue samples. Commercial solutions of formadehyde in water are commonly called formalin. Formalin preserves or fixes tissue or cells by reversibly cross-linking primary amino groups in proteins with other nearby nitrogen atoms in protein or DNA through a —CH2— linkage.


Tissue samples are typically placed into molds along with liquid embedding material (such as agar, gelatine, or wax) which is then hardened. This is achieved by cooling in the case of paraffin wax and heating (curing) in the case of the epoxy resins. The acrylic resins are polymerised by heat, ultraviolet light, or chemical catalysts. The hardened blocks containing the tissue samples are then ready to be sectioned.


Another aldehyde that can be used for fixation is glutaraldehyde. It operates in a similar way to formaldehyde by causing deformation of the alpha-helix structures in proteins. However, glutaraldehyde is a larger molecule, and so its rate of diffusion across membranes is slower than formaldehyde.


Samples that may be used in the present invention include medical samples, forensic samples, museum or archeological samples, and other archival collections, which need not be FFPE preserved. There are many preservation methods that have been applied to tissues, including alcohol preservation, formalin treatment, freezing and sequestration in waxes and other materials. In addition, forensic or archeological samples may contain degraded ssDNA that has not been consciously preserved at all.


The term “5′ exonuclease” or “5′ end nuclease” refers to an enzyme that has activity 5′ to 3′ direction to remove a single stranded DNA having a 5′ end. It may do this through exonuclease or endonuclease activity, i.e. cleavage at a point where the ssDNA separates from its complementary strand. The 5′ exonuclease enzymes used herein preferably degrade single stranded DNA, not double stranded DNA. The preferred 5′ exonuclease is a DNA polymerase that has the ability to cleave a DNA hairpin where a 5′ end of DNA to be cleaved is a single strand adjacent to a double strand, which may result from formation of an exogenous duplex, such as hybridization to a primer. For details, see Lyamichev et al. “Structure-Specific Endonucleolytic Cleavage of Nucleic Acids by Eubacterial DNA Polymerases,” Science 260:778-783 (1993), describing this activity in DNAP-Ecl and DNAP-Taq (from Thermus aquaticus) polymerases.


The term “3′ exonuclease” or “3′ end nuclease” refers to an enzyme having activity in the 3′ to 5′ direction to remove a single stranded DNA portion having a 3′ end. As with the 5′ exonuclease, the enzyme will only act on ssDNA and may do this by either exonuclease or endonuclease activity. This activity is found as DNA proofreading in certain DNA polymerases. It allows the enzyme to check each nucleotide during DNA synthesis, and excise mismatched nucleotides in the 3′ to 5′ direction. The proofreading domain also enables a polymerase to remove unpaired 3′ overhanging nucleotides to create blunt ends. Protocols such as high-fidelity PCR, 3′ overhang polishing and high-fidelity second strand synthesis require the presence of a 3′→5′ exonuclease.


The preferred 3′ exonuclease is Exo I. Exonuclease I (Exo I), the product of the sbcB gene of E. coli, is an exodeoxyribonuclease that hydrolyzes single-stranded (ss)DNA stepwise in a 3′ to 5′ direction. 1-3 Hydrolysis generates deoxyribonucleoside 5′-monophosphates and a terminal dinucleotide diphosphate. The enzyme requires magnesium (optimal Mg++ concentration is 10 mM) and the presence of a free 3′-hydroxyl terminus. Exonuclease I is active under a wide variety of buffer conditions, allowing addition of the enzyme directly into most reaction mixes. Heat inactivation results from incubation at 80° C. for 15 minutes.


The term “ligase” refers to an enzyme that catalyzes formation of a phosphodiester bond between the 5′ phosphate of one strand of DNA and the 3′ hydroxyl of the other. This enzyme is used to covalently link or ligate fragments of DNA together. An example of a DNA ligase is one derived from the T4 bacteriophage. T4 DNA ligase requires ATP as a cofactor. The presently preferred ligase is Ampligase® ligase (registered trademark of Epicentre Technologies), a thermostable DNA ligase that catalyzes NAD-dependent ligation of adjacent 3′-hydroxylated and 5′-phosphorylated termini in duplex DNA structures that are stable at high temperatures.


For convenience, certain polynucleotides are referred to herein as “capture probes,” meaning single stranded polynucleotides of relatively small size, e.g. 40-4000 bases, which are prepared (e.g. synthetically) to contain defined features. These include certain “universal” sequences, which are so designated because they are essentially identical as between different polynucleotides designed for the stated purpose, whereas other sequences in the capture probes will vary among a number of different possibilities to capture different targets. That is, the capture probes contain a “universal probe sequence” which contains a single sequence common to all capture probes. In this way, the “universal polynucleotides” may have a single sequence that is complementary to the universal sequence in the capture probes.


EXAMPLES
Example 1
Oligonucleotide Design, Target DNA Capture, and Sequencing
Samples

Genomic DNA from NA18507 was obtained from Corriel Cell Repositories. Intestinal tissue samples were obtained from under an IRB protocol approved by Stanford University. These samples were either immediately snap frozen in liquid nitrogen and stored at −80° C. or preserved as formalin-fixed, paraffin-embedded (FFPE) blocks. Total nucleic acids were extracted from the flash-frozen tissue using the SQ DNA/RNA/Protein Kit from Omega Bio-Tek. Following complete RNase A digestion, the DNA (herein referred as dsDNA) was analyzed by argarose gel electrophoresis and quantified by a fluorescence assay using SYBR Gold (Invitrogen). For FFPE samples, DNA was isolated using the BiOstic® FFPE Tissue DNA Isolation Kit from Mo Bio Laboratories. The quantity and quality of the preparations were by OD260 and qPCR analysis across 3 different genomic loci. Only single stranded DNA (ssDNA) samples with a difference in Ct values of equal or less than 4.0 or approximately 15% genome equivalence between the flash-frozen and FFPE samples were used for subsequent analysis.


Capture Polynucleotides and Sequence Listing

Capture polynucleotides with the properties optimal for FFPE capture were chosen from a larger, previously described set (Natsoulis et al. 2011, Ref. 9). As disclosed there, the oligonucleotide sequences can be downloaded from the Human OligoExome, a database which provides gene exons annotated by the Consensus Coding Sequencing Project (CCDS). The database is available at oligoexome.Stanford.edu. 628 capture oligonucleotides resulting in amplicons ranging from 150 to 250 bp were chosen from this set. 2,512 sequences containing sequences of the 5′ targeting arm, 3′ targeting arm, amplicon, and target oligonucleotide for each of the 628 capture oligonucleotides were compiled. Targeting arms were positioned in regions without SNPs per dbSNP. Details on the design parameters and on the capture characteristics of the targeting arms are provided by Natsoulis et al. [9].


The accompanying sequence listing sets forth the sequences of the 5′ targeting arm, the 3′ targeting arm, the amplicon sequence and the universal oligonucleotide used, including uridine substitutions for the 628 capture probes used in the examples. In the table below, Column 1 is the chromosome number targeted; column 2 is the position of the 5′ end of the targeted sequence; col. 3 is the polarity of the targeted strand; column 4 (SEQ ID NOs) is sequence of the 20 bp 5′ targeting arm; column 5 (SEQ ID NOs) is the sequence of the 3′ 20 bp selector; column 6 (SEQ ID NOs) lists the sequences of the amplicons and column 7 (SEQ ID NOs) lists the sequences of the targeting oligonucleotides (“universal probes”) including uridine substitutions; and column 8 is the identifier (which may also be checked at the Stanford OligoExome web site).






















Col. 4
Col. 5
Col. 6
Col. 7



Col. 1
Col. 2
Col. 3
SEQ ID NO:
SEQ ID NO:
SEQ ID NO:
SEQ ID NO:
Col. 8






















2
197978441
minus
1
2
3
4
SF3B1_ROI_10


7
81531606
minus
5
6
7
8
CACNA2D1_ROI_9


3
73516265
minus
9
10
11
12
PDZRN3_ROI_10


18
32189513
minus
13
14
15
16
FHOD3_ROI_2


7
81481731
minus
17
18
19
20
CACNA2D1_ROI_13


4
1777300
minus
21
22
23
24
FGFR3_ROI_8


6
3022048
plus
25
26
27
28
RIPK1_ROI_1


1
56934140
minus
29
30
31
32
PRKAA2_ROI_6


22
28364929
plus
33
34
35
36
NF2_ROI_3


15
20512084
plus
37
38
39
40
CYFIP1_ROI_15


7
98397711
plus
41
42
43
44
TRRAP_ROI_41


7
98401105
plus
45
46
47
48
TRRAP_ROI_43


6
3049527
minus
49
50
51
52
RIPK1_ROI_7


18
57318446
plus
53
54
55
56
CDH20_ROI_3


20
61808885
minus
57
58
59
60
ARFRP1_ROI_1


19
10959598
minus
61
62
63
64
SMARCA4_ROI_5


2
106813126
minus
65
66
67
68
ST6GAL2_ROI_4


15
65266899
minus
69
70
71
72
SMAD3_ROI_8


18
51168635
minus
73
74
75
76
TCF4_ROI_7


12
50666736
minus
77
78
79
80
ACVR1B_ROI_7


3
89472909
minus
81
82
83
84
EPHA3_ROI_4


23
69635044
minus
85
86
87
88
DLG3_ROI_17


7
148157809
minus
89
90
91
92
EZH2_ROI_4


7
98391555
plus
93
94
95
96
TRRAP_ROI_37


8
113461681
minus
97
98
99
100
CSMD3_ROI_39


10
55296258
plus
101
102
103
104
PCDH15_ROI_26


4
1778491
plus
105
106
107
108
FGFR3_ROI_12


1
6117503
minus
109
110
111
112
CHD5_ROI_16


22
28400927
minus
113
114
115
116
NF2_ROI_13


11
85666939
plus
117
118
119
120
EED_ROI_12


19
10982204
minus
121
122
123
124
SMARCA4_ROI_14


5
112129928
minus
125
126
127
128
APC_ROI_2


15
65269671
minus
129
130
131
132
SMAD3_ROI_9


1
11115574
plus
133
134
135
136
FRAP1_ROI_35


19
35000025
minus
137
138
139
140
CCNE1_ROI_4


20
35461947
minus
141
142
143
144
SRC_ROI_7


11
107633539
minus
145
146
147
148
ATM_ROI_13


1
173603051
minus
149
150
151
152
TNR_ROI_8


1
6093131
minus
153
154
155
156
CHD5_ROI_34


7
140124110
plus
157
158
159
160
BRAF_ROI_12


18
46838465
minus
161
162
163
164
SMAD4_ROI_5


23
85954365
plus
165
166
167
168
DACH2_ROI_8


3
132282116
minus
169
170
171
172
NEK11_ROI_2


23
69638588
plus
173
174
175
176
DLG3_ROI_22


15
20487399
minus
177
178
179
180
CYFIP1_ROI_6


15
20479945
minus
181
182
183
184
CYFIP1_ROI_3


6
80806019
minus
185
186
187
188
TTK_ROI_17


2
197966150
minus
189
190
191
192
SF3B1_ROI_21


12
77093105
minus
193
194
195
196
NAV3_ROI_25


4
55260662
minus
197
198
199
200
KIT_ROI_4


1
11110373
minus
201
202
203
204
FRAP1_ROI_41


23
122364376
plus
205
206
207
208
GRIA3_ROI_8


8
113771268
minus
209
210
211
212
CSMD3_ROI_15


3
89604424
minus
213
214
215
216
EPHA3_ROI_16


2
179352082
minus
217
218
219
220
TTN_ROI_22


5
24524011
minus
221
222
223
224
CDH10_ROI_11


11
64331720
minus
225
226
227
228
MEN1_ROI_3


19
11013228
minus
229
230
231
232
SMARCA4_ROI_29


23
69585530
minus
233
234
235
236
DLG3_ROI_2


11
107619747
minus
237
238
239
240
ATM_ROI_4


1
74782245
minus
241
242
243
244
TNNI3K_ROI_23


10
42922016
minus
245
246
247
248
RET_ROI_5


2
79990425
minus
249
250
251
252
CTNNA2_ROI_6


2
197978280
plus
253
254
255
256
SF3B1_ROI_10


10
89714874
plus
257
258
259
260
PTEN_ROI_9


7
55234021
minus
261
262
263
264
EGFR_ROI_24


16
23629188
plus
265
266
267
268
ERN2_ROI_3


15
20542653
minus
269
270
271
272
CYFIP1_ROI_22


18
41921446
minus
273
274
275
276
ATP5A1_ROI_6


23
69590881
minus
277
278
279
280
DLG3_ROI_10


5
24628976
plus
281
282
283
284
CDH10_ROI_1


18
49086077
minus
285
286
287
288
DCC_ROI_13


19
10999310
plus
289
290
291
292
SMARCA4_ROI_23


17
10377190
minus
293
294
295
296
MYH2_ROI_13


2
179372871
minus
297
298
299
300
TTN_ROI_4


13
31804798
plus
301
302
303
304
BRCA2_ROI_8


7
151467266
minus
305
306
307
308
MLL3_ROI_56


1
173559224
minus
309
310
311
312
TNR_ROI_21


18
32189350
plus
313
314
315
316
FHOD3_ROI_2


10
55332859
plus
317
318
319
320
PCDH15_ROI_25


11
107723290
minus
321
322
323
324
ATM_ROI_56


8
113392559
minus
325
326
327
328
CSMD3_ROI_51


8
37809872
minus
329
330
331
332
GPR124_ROI_9


19
10993251
plus
333
334
335
336
SMARCA4_ROI_18


23
47309470
minus
337
338
339
340
ARAF_ROI_3


13
31810986
plus
341
342
343
344
BRCA2_ROI_9


12
77039778
minus
345
346
347
348
NAV3_ROI_16


12
130056498
minus
349
350
351
352
GPR133_ROI_11


2
197980963
minus
353
354
355
356
SF3B1_ROI_9


6
3056175
minus
357
358
359
360
RIPK1_ROI_9


12
119918586
minus
361
362
363
364
HNF1A_ROI_5


7
81479256
plus
365
366
367
368
CACNA2D1_ROI_15


23
85856366
minus
369
370
371
372
DACH2_ROI_6


20
35461782
plus
373
374
375
376
SRC_ROI_7


17
7518320
minus
377
378
379
380
TP53_ROI_5


20
35464392
minus
381
382
383
384
SRC_ROI_9


7
148157603
plus
385
386
387
388
EZH2_ROI_4


7
113346109
minus
389
390
391
392
PPP1R3A_ROI_1


4
55286630
plus
393
394
395
396
KIT_ROI_9


10
55257300
minus
397
398
399
400
PCDH15_ROI_31


1
6092590
minus
401
402
403
404
CHD5_ROI_35


2
1405894
minus
405
406
407
408
TPO_ROI_2


13
31842389
plus
409
410
411
412
BRCA2_ROI_17


1
173639039
minus
413
414
415
416
TNR_ROI_2


18
20896668
minus
417
418
419
420
ZNF521_ROI_7


7
81533723
minus
421
422
423
424
CACNA2D1_ROI_8


4
1777450
minus
425
426
427
428
FGFR3_ROI_8


1
173598272
plus
429
430
431
432
TNR_ROI_12


5
112182432
plus
433
434
435
436
APC_ROI_9


20
29589493
plus
437
438
439
440
HM13_ROI_3


1
74569805
minus
441
442
443
444
TNNI3K_ROI_6


4
138672620
minus
445
446
447
448
PCDH18_ROI_1


3
180405054
minus
449
450
451
452
PIK3CA_ROI_5


6
80778400
minus
453
454
455
456
TTK_ROI_6


12
130037831
minus
457
458
459
460
GPR133_ROI_5


2
179332128
minus
461
462
463
464
TTN_ROI_37


6
3028510
minus
465
466
467
468
RIPK1_ROI_4


8
113881663
minus
469
470
471
472
CSMD3_ROI_14


7
98327833
plus
473
474
475
476
TRRAP_ROI_4


20
29566181
minus
477
478
479
480
HM13_ROI_1


8
113368401
minus
481
482
483
484
CSMD3_ROI_59


19
1002034
minus
485
486
487
488
ABCA7_ROI_14


23
122366090
plus
489
490
491
492
GRIA3_ROI_10


13
31798088
plus
493
494
495
496
BRCA2_ROI_4


19
10967739
plus
497
498
499
500
SMARCA4_ROI_9


15
20487151
plus
501
502
503
504
CYFIP1_ROI_6


23
122426247
plus
505
506
507
508
GRIA3_ROI_13


15
20512312
minus
509
510
511
512
CYFIP1_ROI_15


11
107633350
minus
513
514
515
516
ATM_ROI_13


3
49874078
plus
517
518
519
520
CAMKV_ROI_3


17
35134965
minus
521
522
523
524
ERBB2_ROI_18


1
173615171
minus
525
526
527
528
TNR_ROI_7


23
122215055
minus
529
530
531
532
GRIA3_ROI_3


19
998634
minus
533
534
535
536
ABCA7_ROI_11


19
10990483
plus
537
538
539
540
SMARCA4_ROI_16


18
49102265
plus
541
542
543
544
DCC_ROI_14


5
14540423
plus
545
546
547
548
TRIO_ROI_47


6
3022200
minus
549
550
551
552
RIPK1_ROI_1


4
55260490
plus
553
554
555
556
KIT_ROI_4


7
98371213
minus
557
558
559
560
TRRAP_ROI_26


6
70138988
plus
561
562
563
564
BAI3_ROI_28


2
47863727
plus
565
566
567
568
MSH6_ROI_1


15
20542423
plus
569
570
571
572
CYFIP1_ROI_22


20
35465175
minus
573
574
575
576
SRC_ROI_11


19
11030314
plus
577
578
579
580
SMARCA4_ROI_31


12
76939508
plus
581
582
583
584
NAV3_ROI_9


2
179374960
plus
585
586
587
588
TTN_ROI_2


17
10375909
minus
589
590
591
592
MYH2_ROI_14


5
14452158
minus
593
594
595
596
TRIO_ROI_29


18
32410317
minus
597
598
599
600
FHOD3_ROI_6


3
132430096
minus
601
602
603
604
NEK11_ROI_12


8
113654983
minus
605
606
607
608
CSMD3_ROI_25


7
98440747
minus
609
610
611
612
TRRAP_ROI_63


6
3030397
minus
613
614
615
616
RIPK1_ROI_5


19
1008764
plus
617
618
619
620
ABCA7_ROI_27


17
26687327
plus
621
622
623
624
NF1_ROI_41


23
69582111
minus
625
626
627
628
DLG3_ROI_1


7
151480573
plus
629
630
631
632
MLL3_ROI_48


1
58744170
plus
633
634
635
636
OMA1_ROI_6


8
113306238
plus
637
638
639
640
CSMD3_ROI_72


17
26688035
minus
641
642
643
644
NF1_ROI_42


5
24545302
plus
645
646
647
648
CDH10_ROI_6


19
10325887
minus
649
650
651
652
TYK2_ROI_13


6
41663548
minus
653
654
655
656
FOXP4_ROI_7


1
6092956
plus
657
658
659
660
CHD5_ROI_34


23
70600532
minus
661
662
663
664
TAF1_ROI_36


1
6089133
minus
665
666
667
668
CHD5_ROI_37


18
51087922
minus
669
670
671
672
TCF4_ROI_10


1
173598457
plus
673
674
675
676
TNR_ROI_12


15
20549735
plus
677
678
679
680
CYFIP1_ROI_25


19
1004178
plus
681
682
683
684
ABCA7_ROI_18


6
41663374
minus
685
686
687
688
FOXP4_ROI_7


22
28384229
minus
689
690
691
692
NF2_ROI_7


8
113335653
minus
693
694
695
696
CSMD3_ROI_64


1
6110543
plus
697
698
699
700
CHD5_ROI_22


8
114457993
plus
701
702
703
704
CSMD3_ROI_2


17
26532904
minus
705
706
707
708
NF1_ROI_7


11
107626580
plus
709
710
711
712
ATM_ROI_8


8
113598298
minus
713
714
715
716
CSMD3_ROI_29


3
73535839
plus
717
718
719
720
PDZRN3_ROI_4


12
130056320
plus
721
722
723
724
GPR133_ROI_11


14
102504422
minus
725
726
727
728
CDC42BPB_ROI_15


10
55370482
plus
729
730
731
732
PCDH15_ROI_23


11
85638836
plus
733
734
735
736
EED_ROI_2


16
67406769
plus
737
738
739
740
CDH1_ROI_10


5
14431209
minus
741
742
743
744
TRIO_ROI_20


2
179365142
minus
745
746
747
748
TTN_ROI_8


2
179377374
plus
749
750
751
752
TTN_ROI_1


12
130186634
minus
753
754
755
756
GPR133_ROI_21


2
179363060
minus
757
758
759
760
TTN_ROI_10


4
1771021
minus
761
762
763
764
FGFR3_ROI_2


2
80669895
minus
765
766
767
768
CTNNA2_ROI_14


7
113307388
minus
769
770
771
772
PPP1R3A_ROI_3


23
70246581
plus
773
774
775
776
IL2RG_ROI_4


19
10325294
minus
777
778
779
780
TYK2_ROI_14


12
119911190
minus
781
782
783
784
HNF1A_ROI_2


18
48121006
plus
785
786
787
788
DCC_ROI_1


5
112144471
minus
789
790
791
792
APC_ROI_5


1
6106725
minus
793
794
795
796
CHD5_ROI_28


4
107373641
minus
797
798
799
800
MGC16169_ROI_14


14
102480548
minus
801
802
803
804
CDC42BPB_ROI_29


2
179347763
plus
805
806
807
808
TTN_ROI_26


6
69741756
minus
809
810
811
812
BAI3_ROI_8


1
58777086
minus
813
814
815
816
OMA1_ROI_1


1
6125223
minus
817
818
819
820
CHD5_ROI_13


8
114458170
minus
821
822
823
824
CSMD3_ROI_2


12
130004814
plus
825
826
827
828
GPR133_ROI_1


8
113771425
minus
829
830
831
832
CSMD3_ROI_15


19
10991347
minus
833
834
835
836
SMARCA4_ROI_17


19
10984475
plus
837
838
839
840
SMARCA4_ROI_15


2
106789533
minus
841
842
843
844
ST6GAL2_ROI_5


19
10956019
minus
845
846
847
848
SMARCA4_ROI_1


11
85665798
minus
849
850
851
852
EED_ROI_10


6
3055886
plus
853
854
855
856
RIPK1_ROI_9


12
25253986
minus
857
858
859
860
KRAS_ROI_5


9
93528815
minus
861
862
863
864
ROR2_ROI_8


1
64415549
plus
865
866
867
868
ROR1_ROI_9


7
98412584
minus
869
870
871
872
TRRAP_ROI_50


6
3028223
minus
873
874
875
876
RIPK1_ROI_4


17
35134678
plus
877
878
879
880
ERBB2_ROI_18


3
132429912
plus
881
882
883
884
NEK11_ROI_12


15
20506689
minus
885
886
887
888
CYFIP1_ROI_12


11
107708549
plus
889
890
891
892
ATM_ROI_50


6
41664415
minus
893
894
895
896
FOXP4_ROI_8


12
119921304
plus
897
898
899
900
HNF1A_ROI_8


18
32578121
minus
901
902
903
904
FHOD3_ROI_20


11
107701845
plus
905
906
907
908
ATM_ROI_44


5
14422333
plus
909
910
911
912
TRIO_ROI_18


7
98345465
plus
913
914
915
916
TRRAP_ROI_14


15
20498252
plus
917
918
919
920
CYFIP1_ROI_10


15
20479614
minus
921
922
923
924
CYFIP1_ROI_2


15
20492019
plus
925
926
927
928
CYFIP1_ROI_8


15
20554394
minus
929
930
931
932
CYFIP1_ROI_28


12
25269940
minus
933
934
935
936
KRAS_ROI_3


3
49874248
minus
937
938
939
940
CAMKV_ROI_3


1
64397295
minus
941
942
943
944
ROR1_ROI_8


17
10379373
minus
945
946
947
948
MYH2_ROI_12


7
151486731
plus
949
950
951
952
MLL3_ROI_43


16
23628844
plus
953
954
955
956
ERN2_ROI_4


17
26604010
minus
957
958
959
960
NF1_ROI_31


23
70518168
plus
961
962
963
964
TAF1_ROI_9


7
151533118
minus
965
966
967
968
MLL3_ROI_25


8
114360074
minus
969
970
971
972
CSMD3_ROI_4


3
41252069
plus
973
974
975
976
CTNNB1_ROI_8


10
42924641
minus
977
978
979
980
RET_ROI_6


1
74473574
plus
981
982
983
984
TNNI3K_ROI_1


17
26681290
plus
985
986
987
988
NF1_ROI_39


5
14560333
minus
989
990
991
992
TRIO_ROI_55


8
113385976
plus
993
994
995
996
CSMD3_ROI_53


8
113940635
minus
997
998
999
1000
CSMD3_ROI_12


10
42943416
plus
1001
1002
1003
1004
RET_ROI_20


20
35463459
minus
1005
1006
1007
1008
SRC_ROI_8


1
64288796
plus
1009
1010
1011
1012
ROR1_ROI_4


11
107646851
plus
1013
1014
1015
1016
ATM_ROI_17


6
41664210
plus
1017
1018
1019
1020
FOXP4_ROI_8


12
77108036
plus
1021
1022
1023
1024
NAV3_ROI_33


16
23629030
minus
1025
1026
1027
1028
ERN2_ROI_4


11
107695741
plus
1029
1030
1031
1032
ATM_ROI_41


7
98316772
minus
1033
1034
1035
1036
TRRAP_ROI_1


22
28381453
plus
1037
1038
1039
1040
NF2_ROI_6


1
6114357
minus
1041
1042
1043
1044
CHD5_ROI_18


18
49177776
minus
1045
1046
1047
1048
DCC_ROI_18


20
35463269
plus
1049
1050
1051
1052
SRC_ROI_8


2
80728470
minus
1053
1054
1055
1056
CTNNA2_ROI_17


7
151499189
minus
1057
1058
1059
1060
MLL3_ROI_39


6
3023129
minus
1061
1062
1063
1064
RIPK1_ROI_2


3
41241299
plus
1065
1066
1067
1068
CTNNB1_ROI_3


19
10324452
plus
1069
1070
1071
1072
TYK2_ROI_15


1
11097989
plus
1073
1074
1075
1076
FRAP1_ROI_48


10
55391619
minus
1077
1078
1079
1080
PCDH15_ROI_21


6
69842612
minus
1081
1082
1083
1084
BAI3_ROI_15


17
26686136
minus
1085
1086
1087
1088
NF1_ROI_40


19
1014393
plus
1089
1090
1091
1092
ABCA7_ROI_31


12
76886518
minus
1093
1094
1095
1096
NAV3_ROI_5


4
107376846
plus
1097
1098
1099
1100
MGC16169_ROI_11


7
140147531
plus
1101
1102
1103
1104
BRAF_ROI_6


23
69585338
plus
1105
1106
1107
1108
DLG3_ROI_2


20
61808645
plus
1109
1110
1111
1112
ARFRP1_ROI_1


20
29596459
minus
1113
1114
1115
1116
HM13_ROI_4


13
31811217
plus
1117
1118
1119
1120
BRCA2_ROI_9


17
26708193
minus
1121
1122
1123
1124
NF1_ROI_53


1
64397102
plus
1125
1126
1127
1128
ROR1_ROI_8


18
20923277
plus
1129
1130
1131
1132
ZNF521_ROI_6


12
130168789
minus
1133
1134
1135
1136
GPR133_ROI_18


18
46858794
minus
1137
1138
1139
1140
SMAD4_ROI_10


7
148160509
plus
1141
1142
1143
1144
EZH2_ROI_3


19
10334291
minus
1145
1146
1147
1148
TYK2_ROI_6


12
130186385
plus
1149
1150
1151
1152
GPR133_ROI_21


22
28362823
minus
1153
1154
1155
1156
NF2_ROI_2


15
20479420
plus
1157
1158
1159
1160
CYFIP1_ROI_2


7
151511132
minus
1161
1162
1163
1164
MLL3_ROI_34


1
11230696
minus
1165
1166
1167
1168
FRAP1_ROI_6


8
113306026
plus
1169
1170
1171
1172
CSMD3_ROI_72


12
119918298
plus
1173
1174
1175
1176
HNF1A_ROI_5


13
31810046
minus
1177
1178
1179
1180
BRCA2_ROI_9


5
24527639
minus
1181
1182
1183
1184
CDH10_ROI_10


17
26700268
minus
1185
1186
1187
1188
NF1_ROI_49


17
26709723
minus
1189
1190
1191
1192
NF1_ROI_55


12
130187321
plus
1193
1194
1195
1196
GPR133_ROI_22


10
42921680
plus
1197
1198
1199
1200
RET_ROI_5


7
98440554
minus
1201
1202
1203
1204
TRRAP_ROI_63


16
67404719
minus
1205
1206
1207
1208
CDH1_ROI_9


12
130022035
minus
1209
1210
1211
1212
GPR133_ROI_3


23
85655898
minus
1213
1214
1215
1216
DACH2_ROI_3


13
31791419
minus
1217
1218
1219
1220
BRCA2_ROI_2


1
74607813
minus
1221
1222
1223
1224
TNNI3K_ROI_14


15
20544316
plus
1225
1226
1227
1228
CYFIP1_ROI_23


19
11029801
plus
1229
1230
1231
1232
SMARCA4_ROI_30


1
115052754
minus
1233
1234
1235
1236
NRAS_ROI_4


3
132363792
plus
1237
1238
1239
1240
NEK11_ROI_8


18
49267015
plus
1241
1242
1243
1244
DCC_ROI_26


1
11109744
minus
1245
1246
1247
1248
FRAP1_ROI_42


17
26506977
plus
1249
1250
1251
1252
NF1_ROI_2


5
112203353
minus
1253
1254
1255
1256
APC_ROI_15


11
107707231
plus
1257
1258
1259
1260
ATM_ROI_48


7
98417178
plus
1261
1262
1263
1264
TRRAP_ROI_53


18
32515347
minus
1265
1266
1267
1268
FHOD3_ROI_12


11
107695930
minus
1269
1270
1271
1272
ATM_ROI_41


19
10990654
minus
1273
1274
1275
1276
SMARCA4_ROI_16


2
179356542
plus
1277
1278
1279
1280
TTN_ROI_15


1
11239670
plus
1281
1282
1283
1284
FRAP1_ROI_3


7
140100425
plus
1285
1286
1287
1288
BRAF_ROI_14


18
57318669
minus
1289
1290
1291
1292
CDH20_ROI_3


20
29596261
plus
1293
1294
1295
1296
HM13_ROI_4


16
86302192
plus
1297
1298
1299
1300
KLHDC4_ROI_9


1
11127352
minus
1301
1302
1303
1304
FRAP1_ROI_32


15
20551387
plus
1305
1306
1307
1308
CYFIP1_ROI_27


7
81450528
minus
1309
1310
1311
1312
CACNA2D1_ROI_23


15
20496331
plus
1313
1314
1315
1316
CYFIP1_ROI_9


7
81531406
plus
1317
1318
1319
1320
CACNA2D1_ROI_9


11
69165113
plus
1321
1322
1323
1324
CCND1_ROI_1


2
179377566
minus
1325
1326
1327
1328
TTN_ROI_1


7
113305967
plus
1329
1330
1331
1332
PPP1R3A_ROI_3


1
115060096
plus
1333
1334
1335
1336
NRAS_ROI_1


12
119915696
plus
1337
1338
1339
1340
HNF1A_ROI_3


2
80670072
minus
1341
1342
1343
1344
CTNNA2_ROI_14


7
148175057
plus
1345
1346
1347
1348
EZH2_ROI_1


22
28384028
plus
1349
1350
1351
1352
NF2_ROI_7


11
85639014
minus
1353
1354
1355
1356
EED_ROI_2


5
14534677
minus
1357
1358
1359
1360
TRIO_ROI_44


3
132551250
minus
1361
1362
1363
1364
NEK11_ROI_15


7
148154607
minus
1365
1366
1367
1368
EZH2_ROI_7


15
20551586
minus
1369
1370
1371
1372
CYFIP1_ROI_27


19
7882884
plus
1373
1374
1375
1376
MAP2K7_ROI_8


2
179350505
minus
1377
1378
1379
1380
TTN_ROI_24


7
151510170
minus
1381
1382
1383
1384
MLL3_ROI_35


15
20477147
minus
1385
1386
1387
1388
CYFIP1_ROI_1


8
37810214
plus
1389
1390
1391
1392
GPR124_ROI_10


3
89544938
minus
1393
1394
1395
1396
EPHA3_ROI_10


18
32428598
plus
1397
1398
1399
1400
FHOD3_ROI_7


4
1773252
minus
1401
1402
1403
1404
FGFR3_ROI_4


19
10991137
plus
1405
1406
1407
1408
SMARCA4_ROI_17


5
14534193
plus
1409
1410
1411
1412
TRIO_ROI_43


4
1777921
plus
1413
1414
1415
1416
FGFR3_ROI_10


4
107435699
minus
1417
1418
1419
1420
MGC16169_ROI_2


9
21958177
plus
1421
1422
1423
1424
CDKN2A_ROI_4


8
113315829
minus
1425
1426
1427
1428
CSMD3_ROI_69


3
36755101
minus
1429
1430
1431
1432
DCLK3_ROI_1


14
102539967
plus
1433
1434
1435
1436
CDC42BPB_ROI_4


18
49102472
minus
1437
1438
1439
1440
DCC_ROI_14


11
64330363
minus
1441
1442
1443
1444
MEN1_ROI_5


1
74606037
minus
1445
1446
1447
1448
TNNI3K_ROI_12


1
115052549
plus
1449
1450
1451
1452
NRAS_ROI_4


15
20520454
plus
1453
1454
1455
1456
CYFIP1_ROI_19


10
42926511
plus
1457
1458
1459
1460
RET_ROI_7


19
14936119
minus
1461
1462
1463
1464
SLC1A6_ROI_4


15
20498473
minus
1465
1466
1467
1468
CYFIP1_ROI_10


5
112205714
minus
1469
1470
1471
1472
APC_ROI_15


18
32552476
minus
1473
1474
1475
1476
FHOD3_ROI_16


19
14940264
minus
1477
1478
1479
1480
SLC1A6_ROI_3


15
20554187
plus
1481
1482
1483
1484
CYFIP1_ROI_28


19
14943631
minus
1485
1486
1487
1488
SLC1A6_ROI_2


7
98393449
minus
1489
1490
1491
1492
TRRAP_ROI_38


1
11115766
minus
1493
1494
1495
1496
FRAP1_ROI_35


2
179340824
minus
1497
1498
1499
1500
TTN_ROI_33


4
107335174
plus
1501
1502
1503
1504
MGC16169_ROI_18


8
113315623
minus
1505
1506
1507
1508
CSMD3_ROI_69


18
51168953
plus
1509
1510
1511
1512
TCF4_ROI_6


2
197972874
plus
1513
1514
1515
1516
SF3B1_ROI_17


1
6104065
minus
1517
1518
1519
1520
CHD5_ROI_29


3
89342303
minus
1521
1522
1523
1524
EPHA3_ROI_3


18
41925496
plus
1525
1526
1527
1528
ATP5A1_ROI_3


2
1467225
plus
1529
1530
1531
1532
TPO_ROI_8


17
35137269
minus
1533
1534
1535
1536
ERBB2_ROI_23


1
150591471
minus
1537
1538
1539
1540
FLG2_ROI_2


19
10333117
minus
1541
1542
1543
1544
TYK2_ROI_8


1
74608410
plus
1545
1546
1547
1548
TNNI3K_ROI_15


14
102486426
plus
1549
1550
1551
1552
CDC42BPB_ROI_24


1
11127142
plus
1553
1554
1555
1556
FRAP1_ROI_32


12
76924180
plus
1557
1558
1559
1560
NAV3_ROI_8


6
3022903
minus
1561
1562
1563
1564
RIPK1_ROI_2


22
28380595
plus
1565
1566
1567
1568
NF2_ROI_5


1
11090085
minus
1569
1570
1571
1572
FRAP1_ROI_55


6
80777822
minus
1573
1574
1575
1576
TTK_ROI_5


7
151467054
plus
1577
1578
1579
1580
MLL3_ROI_56


7
98388576
plus
1581
1582
1583
1584
TRRAP_ROI_35


19
14943419
plus
1585
1586
1587
1588
SLC1A6_ROI_2


13
31818814
plus
1589
1590
1591
1592
BRCA2_ROI_11


2
79954787
minus
1593
1594
1595
1596
CTNNA2_ROI_5


7
98316560
plus
1597
1598
1599
1600
TRRAP_ROI_1


18
43650694
plus
1601
1602
1603
1604
SMAD2_ROI_2


10
55368431
plus
1605
1606
1607
1608
PCDH15_ROI_24


22
28408859
plus
1609
1610
1611
1612
NF2_ROI_16


2
197973321
minus
1613
1614
1615
1616
SF3B1_ROI_17


19
11002256
plus
1617
1618
1619
1620
SMARCA4_ROI_24


7
151477108
minus
1621
1622
1623
1624
MLL3_ROI_51


17
10381125
plus
1625
1626
1627
1628
MYH2_ROI_10


17
26583963
minus
1629
1630
1631
1632
NF1_ROI_26


8
113416808
minus
1633
1634
1635
1636
CSMD3_ROI_46


1
173573323
minus
1637
1638
1639
1640
TNR_ROI_17


1
11225881
minus
1641
1642
1643
1644
FRAP1_ROI_7


8
114036082
minus
1645
1646
1647
1648
CSMD3_ROI_9


17
26711481
plus
1649
1650
1651
1652
NF1_ROI_57


2
47871703
minus
1653
1654
1655
1656
MSH6_ROI_2


8
113726546
minus
1657
1658
1659
1660
CSMD3_ROI_21


1
11236444
minus
1661
1662
1663
1664
FRAP1_ROI_5


5
24573476
minus
1665
1666
1667
1668
CDH10_ROI_2


12
76939708
minus
1669
1670
1671
1672
NAV3_ROI_9


17
27344847
plus
1673
1674
1675
1676
SUZ12_ROI_11


8
114100420
minus
1677
1678
1679
1680
CSMD3_ROI_7


7
148175258
minus
1681
1682
1683
1684
EZH2_ROI_1


2
197969232
minus
1685
1686
1687
1688
SF3B1_ROI_20


11
107707428
minus
1689
1690
1691
1692
ATM_ROI_48


3
10158382
plus
1693
1694
1695
1696
VHL_ROI_1


7
55236476
minus
1697
1698
1699
1700
EGFR_ROI_26


8
37807513
minus
1701
1702
1703
1704
GPR124_ROI_7


7
98388926
minus
1705
1706
1707
1708
TRRAP_ROI_35


6
69722583
minus
1709
1710
1711
1712
BAI3_ROI_5


3
180404835
plus
1713
1714
1715
1716
PIK3CA_ROI_5


19
997079
plus
1717
1718
1719
1720
ABCA7_ROI_9


6
3049308
plus
1721
1722
1723
1724
RIPK1_ROI_7


17
26707974
plus
1725
1726
1727
1728
NF1_ROI_53


19
7880798
plus
1729
1730
1731
1732
MAP2K7_ROI_3


1
6138197
minus
1733
1734
1735
1736
CHD5_ROI_4


12
77107745
plus
1737
1738
1739
1740
NAV3_ROI_33


2
1405674
plus
1741
1742
1743
1744
TPO_ROI_2


17
26586978
minus
1745
1746
1747
1748
NF1_ROI_29


14
102479831
plus
1749
1750
1751
1752
CDC42BPB_ROI_29


5
112179021
minus
1753
1754
1755
1756
APC_ROI_8


1
11099597
plus
1757
1758
1759
1760
FRAP1_ROI_47


19
14928434
minus
1761
1762
1763
1764
SLC1A6_ROI_6


8
114057092
plus
1765
1766
1767
1768
CSMD3_ROI_8


7
98347703
minus
1769
1770
1771
1772
TRRAP_ROI_16


17
35129416
plus
1773
1774
1775
1776
ERBB2_ROI_14


18
51088122
minus
1777
1778
1779
1780
TCF4_ROI_10


7
98336132
plus
1781
1782
1783
1784
TRRAP_ROI_10


18
48843523
plus
1785
1786
1787
1788
DCC_ROI_6


4
107391014
minus
1789
1790
1791
1792
MGC16169_ROI_4


15
20496531
minus
1793
1794
1795
1796
CYFIP1_ROI_9


20
29600343
plus
1797
1798
1799
1800
HM13_ROI_5


19
35004385
minus
1801
1802
1803
1804
CCNE1_ROI_7


18
41921923
plus
1805
1806
1807
1808
ATP5A1_ROI_5


7
81437897
minus
1809
1810
1811
1812
CACNA2D1_ROI_27


8
113416584
plus
1813
1814
1815
1816
CSMD3_ROI_46


18
41928966
plus
1817
1818
1819
1820
ATP5A1_ROI_2


7
148160703
minus
1821
1822
1823
1824
EZH2_ROI_3


18
20923470
minus
1825
1826
1827
1828
ZNF521_ROI_6


6
41665436
plus
1829
1830
1831
1832
FOXP4_ROI_9


7
151495042
minus
1833
1834
1835
1836
MLL3_ROI_41


7
98368670
plus
1837
1838
1839
1840
TRRAP_ROI_25


2
79938497
plus
1841
1842
1843
1844
CTNNA2_ROI_3


18
48959180
plus
1845
1846
1847
1848
DCC_ROI_9


6
3030568
minus
1849
1850
1851
1852
RIPK1_ROI_5


7
98370988
plus
1853
1854
1855
1856
TRRAP_ROI_26


1
64247415
plus
1857
1858
1859
1860
ROR1_ROI_2


2
79824871
plus
1861
1862
1863
1864
CTNNA2_ROI_2


7
128630340
minus
1865
1866
1867
1868
SMO_ROI_2


23
85856143
minus
1869
1870
1871
1872
DACH2_ROI_6


3
49873941
minus
1873
1874
1875
1876
CAMKV_ROI_4


1
11239427
plus
1877
1878
1879
1880
FRAP1_ROI_3


7
81479421
minus
1881
1882
1883
1884
CACNA2D1_ROI_15


8
113417907
plus
1885
1886
1887
1888
CSMD3_ROI_45


17
11983731
plus
1889
1890
1891
1892
MAP2K4_ROI_10


23
69631833
plus
1893
1894
1895
1896
DLG3_ROI_15


23
70504023
plus
1897
1898
1899
1900
TAF1_ROI_2


7
98353085
minus
1901
1902
1903
1904
TRRAP_ROI_18


3
180410107
minus
1905
1906
1907
1908
PIK3CA_ROI_6


8
114359847
plus
1909
1910
1911
1912
CSMD3_ROI_4


1
11112232
plus
1913
1914
1915
1916
FRAP1_ROI_37


8
113654756
plus
1917
1918
1919
1920
CSMD3_ROI_25


2
79954560
plus
1921
1922
1923
1924
CTNNA2_ROI_5


5
14427278
minus
1925
1926
1927
1928
TRIO_ROI_19


6
69710445
minus
1929
1930
1931
1932
BAI3_ROI_4


7
81449768
plus
1933
1934
1935
1936
CACNA2D1_ROI_24


11
107628773
minus
1937
1938
1939
1940
ATM_ROI_10


7
140124267
minus
1941
1942
1943
1944
BRAF_ROI_12


10
55368644
minus
1945
1946
1947
1948
PCDH15_ROI_24


2
197971473
minus
1949
1950
1951
1952
SF3B1_ROI_18


12
50663900
plus
1953
1954
1955
1956
ACVR1B_ROI_5


10
42920569
minus
1957
1958
1959
1960
RET_ROI_4


12
25271285
plus
1961
1962
1963
1964
KRAS_ROI_2


3
132335313
plus
1965
1966
1967
1968
NEK11_ROI_5


4
107392376
minus
1969
1970
1971
1972
MGC16169_ROI_3


5
112191375
plus
1973
1974
1975
1976
APC_ROI_12


6
70005740
minus
1977
1978
1979
1980
BAI3_ROI_18


18
48959405
minus
1981
1982
1983
1984
DCC_ROI_9


2
179348985
minus
1985
1986
1987
1988
TTN_ROI_25


3
41240871
plus
1989
1990
1991
1992
CTNNB1_ROI_2


7
151523874
plus
1993
1994
1995
1996
MLL3_ROI_28


18
46847475
minus
1997
1998
1999
2000
SMAD4_ROI_8


17
26691499
plus
2001
2002
2003
2004
NF1_ROI_47


13
31811428
plus
2005
2006
2007
2008
BRCA2_ROI_9


12
77118234
plus
2009
2010
2011
2012
NAV3_ROI_37


10
55370660
minus
2013
2014
2015
2016
PCDH15_ROI_23


22
28362590
plus
2017
2018
2019
2020
NF2_ROI_2


11
64330130
plus
2021
2022
2023
2024
MEN1_ROI_5


15
20492205
minus
2025
2026
2027
2028
CYFIP1_ROI_8


1
11238642
minus
2029
2030
2031
2032
FRAP1_ROI_4


7
128632130
plus
2033
2034
2035
2036
SMO_ROI_3


18
21059225
minus
2037
2038
2039
2040
ZNF521_ROI_3


9
93533046
minus
2041
2042
2043
2044
ROR2_ROI_7


23
47307518
plus
2045
2046
2047
2048
ARAF_ROI_2


7
81451882
minus
2049
2050
2051
2052
CACNA2D1_ROI_22


18
48843745
minus
2053
2054
2055
2056
DCC_ROI_6


20
61803515
minus
2057
2058
2059
2060
ARFRP1_ROI_5


6
80804253
plus
2061
2062
2063
2064
TTK_ROI_16


2
80473697
plus
2065
2066
2067
2068
CTNNA2_ROI_7


3
41252256
minus
2069
2070
2071
2072
CTNNB1_ROI_8


23
69637323
plus
2073
2074
2075
2076
DLG3_ROI_21


18
21059954
minus
2077
2078
2079
2080
ZNF521_ROI_3


1
173602817
plus
2081
2082
2083
2084
TNR_ROI_8


8
113940400
plus
2085
2086
2087
2088
CSMD3_ROI_12


10
42920256
plus
2089
2090
2091
2092
RET_ROI_4


5
112144236
plus
2093
2094
2095
2096
APC_ROI_5


10
89707440
plus
2097
2098
2099
2100
PTEN_ROI_7


18
41931986
plus
2101
2102
2103
2104
ATP5A1_ROI_1


2
179346305
minus
2105
2106
2107
2108
TTN_ROI_28


11
107708733
minus
2109
2110
2111
2112
ATM_ROI_50


23
85290131
plus
2113
2114
2115
2116
DACH2_ROI_1


3
180401622
plus
2117
2118
2119
2120
PIK3CA_ROI_3


20
35455582
plus
2121
2122
2123
2124
SRC_ROI_3


18
32576663
minus
2125
2126
2127
2128
FHOD3_ROI_19


1
11198675
minus
2129
2130
2131
2132
FRAP1_ROI_18


8
37818947
minus
2133
2134
2135
2136
GPR124_ROI_19


7
98412348
plus
2137
2138
2139
2140
TRRAP_ROI_50


11
64330909
plus
2141
2142
2143
2144
MEN1_ROI_4


1
74677809
minus
2145
2146
2147
2148
TNNI3K_ROI_18


7
148137330
minus
2149
2150
2151
2152
EZH2_ROI_17


7
55236884
minus
2153
2154
2155
2156
EGFR_ROI_27


1
173560193
minus
2157
2158
2159
2160
TNR_ROI_20


12
130041431
minus
2161
2162
2163
2164
GPR133_ROI_6


23
70246761
minus
2165
2166
2167
2168
IL2RG_ROI_4


16
23614616
minus
2169
2170
2171
2172
ERN2_ROI_13


18
49267211
minus
2173
2174
2175
2176
DCC_ROI_26


1
11111110
minus
2177
2178
2179
2180
FRAP1_ROI_39


18
46847237
plus
2181
2182
2183
2184
SMAD4_ROI_8


16
86321665
minus
2185
2186
2187
2188
KLHDC4_ROI_6


1
74591546
minus
2189
2190
2191
2192
TNNI3K_ROI_9


2
179355950
minus
2193
2194
2195
2196
TTN_ROI_16


6
80806482
plus
2197
2198
2199
2200
TTK_ROI_18


3
132366810
plus
2201
2202
2203
2204
NEK11_ROI_9


12
76886280
plus
2205
2206
2207
2208
NAV3_ROI_5


1
11095346
plus
2209
2210
2211
2212
FRAP1_ROI_51


2
1436343
plus
2213
2214
2215
2216
TPO_ROI_5


3
41253051
plus
2217
2218
2219
2220
CTNNB1_ROI_9


2
1476451
plus
2221
2222
2223
2224
TPO_ROI_10


17
11954366
plus
2225
2226
2227
2228
MAP2K4_ROI_6


8
113310011
plus
2229
2230
2231
2232
CSMD3_ROI_71


1
11109504
plus
2233
2234
2235
2236
FRAP1_ROI_42


1
74605378
plus
2237
2238
2239
2240
TNNI3K_ROI_11


23
70559641
plus
2241
2242
2243
2244
TAF1_ROI_29


18
32335743
plus
2245
2246
2247
2248
FHOD3_ROI_4


23
70247537
minus
2249
2250
2251
2252
IL2RG_ROI_2


12
50664129
minus
2253
2254
2255
2256
ACVR1B_ROI_5


1
6088892
plus
2257
2258
2259
2260
CHD5_ROI_37


1
64378230
plus
2261
2262
2263
2264
ROR1_ROI_6


3
89539856
plus
2265
2266
2267
2268
EPHA3_ROI_9


10
89643757
minus
2269
2270
2271
2272
PTEN_ROI_2


3
180410518
plus
2273
2274
2275
2276
PIK3CA_ROI_7


12
50673985
plus
2277
2278
2279
2280
ACVR1B_ROI_9


1
11193308
plus
2281
2282
2283
2284
FRAP1_ROI_22


2
179340581
plus
2285
2286
2287
2288
TTN_ROI_33


1
74487581
plus
2289
2290
2291
2292
TNNI3K_ROI_3


1
56934290
minus
2293
2294
2295
2296
PRKAA2_ROI_6


2
197973813
minus
2297
2298
2299
2300
SF3B1_ROI_16


17
26688932
minus
2301
2302
2303
2304
NF1_ROI_44


19
1005248
minus
2305
2306
2307
2308
ABCA7_ROI_20


19
34995286
plus
2309
2310
2311
2312
CCNE1_ROI_2


2
148400008
minus
2313
2314
2315
2316
ACVR2A_ROI_10


18
49171873
plus
2317
2318
2319
2320
DCC_ROI_17


7
55178342
plus
2321
2322
2323
2324
EGFR_ROI_3


7
98414370
minus
2325
2326
2327
2328
TRRAP_ROI_52


15
20479700
plus
2329
2330
2331
2332
CYFIP1_ROI_3


23
85290367
minus
2333
2334
2335
2336
DACH2_ROI_1


23
69586693
plus
2337
2338
2339
2340
DLG3_ROI_5


8
113881417
plus
2341
2342
2343
2344
CSMD3_ROI_14


2
106789743
minus
2345
2346
2347
2348
ST6GAL2_ROI_5


18
19028260
plus
2349
2350
2351
2352
CABLES1_ROI_4


7
148137084
plus
2353
2354
2355
2356
EZH2_ROI_18


23
122364535
minus
2357
2358
2359
2360
GRIA3_ROI_8


19
11005347
minus
2361
2362
2363
2364
SMARCA4_ROI_26


23
122426549
minus
2365
2366
2367
2368
GRIA3_ROI_13


7
55226966
minus
2369
2370
2371
2372
EGFR_ROI_22


1
58774623
plus
2373
2374
2375
2376
OMA1_ROI_2


4
107373394
plus
2377
2378
2379
2380
MGC16169_ROI_14


12
76858850
minus
2381
2382
2383
2384
NAV3_ROI_3


5
112204035
minus
2385
2386
2387
2388
APC_ROI_15


2
179355478
minus
2389
2390
2391
2392
TTN_ROI_17


4
1773454
minus
2393
2394
2395
2396
FGFR3_ROI_4


2
179364894
plus
2397
2398
2399
2400
TTN_ROI_8


8
37810417
minus
2401
2402
2403
2404
GPR124_ROI_10


2
80688784
minus
2405
2406
2407
2408
CTNNA2_ROI_16


8
113328275
plus
2409
2410
2411
2412
CSMD3_ROI_65


18
49215480
minus
2413
2414
2415
2416
DCC_ROI_22


8
113432430
plus
2417
2418
2419
2420
CSMD3_ROI_41


17
26709474
plus
2421
2422
2423
2424
NF1_ROI_55


17
26507173
minus
2425
2426
2427
2428
NF1_ROI_2


23
70596178
minus
2429
2430
2431
2432
TAF1_ROI_34


5
14346046
minus
2433
2434
2435
2436
TRIO_ROI_6


23
69638746
minus
2437
2438
2439
2440
DLG3_ROI_22


18
51079664
minus
2441
2442
2443
2444
TCF4_ROI_11


3
89239439
plus
2445
2446
2447
2448
EPHA3_ROI_1


18
49177526
plus
2449
2450
2451
2452
DCC_ROI_18


3
73522858
minus
2453
2454
2455
2456
PDZRN3_ROI_6


12
77103362
plus
2457
2458
2459
2460
NAV3_ROI_30


19
10996015
minus
2461
2462
2463
2464
SMARCA4_ROI_20


10
55391368
plus
2465
2466
2467
2468
PCDH15_ROI_21


7
148142888
plus
2469
2470
2471
2472
EZH2_ROI_13


19
11002470
minus
2473
2474
2475
2476
SMARCA4_ROI_24


7
55236225
plus
2477
2478
2479
2480
EGFR_ROI_26


19
1005419
plus
2481
2482
2483
2484
ABCA7_ROI_21


17
35136191
plus
2485
2486
2487
2488
ERBB2_ROI_21


1
74574232
plus
2489
2490
2491
2492
TNNI3K_ROI_7


1
74674202
plus
2493
2494
2495
2496
TNNI3K_ROI_16


17
26616383
minus
2497
2498
2499
2500
NF1_ROI_36


22
28400675
plus
2501
2502
2503
2504
NF2_ROI_13


4
1776295
minus
2505
2506
2507
2508
FGFR3_ROI_7


5
14560081
plus
2509
2510
2511
2512
TRIO_ROI_55









The 5′ end and the 3′ end of the capture oliogonucleotides were blocked and did not contain phosphate or hydroxyl groups and 10 thymines were substituted with uracils to facilitate fragmentation and purification of the splint oligonucleotides after circularization. All oligonucleotides were synthesized at the Stanford Genome Technology Center (Stanford, Calif.). In an alternative design we substituted the central 40 bp of the capture oligonucleotide with a sequence comprising the Illlumina® sequencer adapter sequence. This has the advantage of creating amplicons ready for sequencing in a single amplification reaction, thus greatly facilitating the workflow. IIlumina® adapter sequences are available to anyone using their products; any approximately 35 bases, designed to allow attachment of the DNA to be sequenced to the surface of the flow cells used. Other sequencing systems would use other adapters.


Targeted Genomic Circularization

High quality genomic DNA from flash-frozen tissues was first sonicated for 10 minutes in the Bioruptor to a size of 500-1000 bps. The hybridication reactions contained 0.5 μg dsDNA or 3-4 μg ddDNA and 50 pM of each of the capture oligonucleotides. After a brief denaturation step, the mixture was incubated in the PCR machine using a touchdown protocol ranging from 70-50° C. and 30-60 minutes for each step. Then a mixture of the cleavage enzymes (ExoI and Taq) and circularization enzyme (Ampligase or Taq ligase) were added to each tube and the reactions were incubated for 1 hour at 37° C. followed by a touchup protocol from 50-72° C. for 30 minute at each step. Excess oligonucleotides in the reactions were cleaved by uracil excision. After a brief purification using the Spin-20 columns, the captured DNA fragments were amplified using the high-fidelity Phusion polymerase and either the generic primer (e.g. ID 102) [9] or IIlumina PE-primers for 38-39 cycles. The PCR products were purified using the Fermentas kit.


Sequencing Library Construction

The captured target DNA amplified with the generic PCR primers were ligated to PE-adapters after “A-tailing” and gel purified. They were then amplified for 10-12 cycles using the PE primers and re-purified from agarose gel. For DNA fragments captured with built-in PE primer sites, they were first purified away from the primer-dimers by gel electrophoresis and re-amplified for 5 cycles using the short PE primers. After quantitation by the SYBR based fluorescence assay, the libraries were sequenced on Illumina HiSeq or GAIIx using standard conditions.


Sequencing

10 pM of PCR amplified library and 1.5 pM of circularized DNA were sequenced using the Illumina Genome Analyzer IIx. Circular library obtained from 1 μg of starting material was introduced to the sequencing experiment. After sample dilution using hybridization buffer, 20% of the prepared sample (representing 200 ng of starting material) was hybridized in the flow cell.


Data Analysis

Sequence reads were aligned to the human genome version hg19 using ELAND software. The target regions were defined as the ranges from each target specific site to 41 bases upstream or downstream of it (depending on the orientation of the capture oligonucleotide). The interval of 41 bases was selected because the read length in these experiments was 42. In a paired-end experiment the target region contained both ends of the circularized fragments, while single-read sequencing targeted only 3′ ends of the circularized fragments. To assess the specificity of the capture, the numbers of sequence reads mapping inside and outside the target region were compared. To illustrate the uniformity of the assay, the reads that aligned perfectly with the specific capture sequences were counted. Read counts were then sorted and normalized using the median sequence yield value from each experiment. The genomic distance between the target specific sites indicates the circle size. In addition, guanine and cytosine proportions within the target sites were determined. The present capture oligonucleotide contains two target specific sites and each site was analyzed separately. To analyze the annealing properties during circularization-hybridization reaction, target specific sites within a single capture oligonucleotide as high or low G+C were classified. Circle sizes and G+C proportions with the sequence yields for each oligonucleotide were then plotted.


Example 2
Assessment of Overall Capture Coverage

In a proof of principle experiment, we used a set of previously described capture oligonucleotides [9]. Because we had determined that amplicon size was an important parameter for this type of selective circularization, we chose a subset of 628 capture oligonucleotides, each targeting a 150-250 base region. The assay targets a total of 123,982 bases. We compared the yield and the reproducibility of targeting reactions using DNA extracted from either fresh frozen tissue or FFPE blocks of three individuals. Both fresh frozen and FFPE samples are derived from normal colon according to the pathology reports.


The resulting capture amplicons from matched genomic DNA samples derived from either flash-frozen or FFPE material were concatenated using T4 DNA ligase and mechanically fragmented prior to library preparation. Replicate sequencing was conducted in triplicate to identify sequencing specific errors. The fragmented amplicons ligated to a 4-plex paired-end indexing adapters for two samples from individuals 751 and 761 [13]. The four libraries were combined and sequenced in three separate lanes of an Illlumina GAIIx sequencer. For matched samples from individual 780, paired end sequencing was conducted on both the flash tissue and FFPE derived material in separate full sized lanes. Sequence reads were aligned to the human genome reference. Given the replicate sequencing and matched samples, there were a total of 14 separate sequencing data sets. Each was analyzed separately (Table 1).









TABLE 1







Capture yield comparison


total bases targeted: 123982












Coverage greater than:
cov >=

lane
















patient
sample
replicate
1
10
20
10(%)
average
median
fraction



















751
ffpe
rep1
109560
104038
100403
84
2513.8
368
0.25




rep2
110086
104274
100193
84
2485.6
367
0.25




rep3
109981
104458
100223
84
2555.4
373
0.25



fresh
rep1
115336
109041
104225
88
2251
439
0.25




rep2
115330
108512
103312
88
2190.8
427
0.25




rep3
115308
108457
103683
87
2217
432
0.25


761
ffpe
rep1
103859
97964
94008
79
2613.7
288
0.25




rep2
104590
97536
93888
79
2594.2
288
0.25




rep3
104374
97666
94077
79
2672.2
296
0.25



fresh
rep1
118489
111115
106580
90
3107.7
613
0.25




rep2
118553
110841
106306
89
3083.3
612
0.25




rep3
118632
111387
106717
90
3167.4
627
0.25


780
ffpe
rep1
110890
104523
102638
84
14712.2
1748
1



fresh
rep1
118687
113881
110414
92
3414.13
691
1









Overall, the sequence coverage is very reproducible among the replicates for each individual's samples. As noted in Table 1 the sequence coverage at 10× coverage ranges from 79% to 92% and is 5 to 10% lower for the FFPE derived than for the flash tissue derived samples. The uniformity of capture between the two types of starting material and for all three patient's DNA was compared (FIG. 2). Approximately 5-10% fewer regions are captured with a sequence coverage greater than 10× in FFPE relative to flash-frozen tissue.


It was determined that the sensitivity of detection of heterozygote SNVs in the targeted resequencing from FFPE versus flash-frozen derived DNA. As described previously, SNV calling from each dataset was conducted [9]. The results of previous published analysis were advantageously used, demonstrating that the variant calling accuracy improves when relying on calls that can be established from both the forward or reverse strand (e.g. double-stranded) [9]. Of the 83 heterozygotes in high quality genomic DNA from flash-frozen tissue, 71 were also called from the FFPE-derived DNA for individual 751 (85%). Similar sensitivity values for the other two patients (84% and 85% respectively for individuals 761 and 780) were obtained.


Example 3
Evaluation of Sequencing Errors from the Archival Process

Given that matched samples from normal tissue of the same individual are used, differences between the SNV-calling results between FFPE versus flash-frozen derived DNA is attributable to FFPE-induced damage. Sequencing-related errors were eliminated based on the triplicate resequencing of each sample. As previously published, a straightforward statistical method to identify differences between matched samples which were previously applied to normal tumor pairs [9] was developed. At any given sequence position, the present method imposes that the difference in the second most frequent bases between the two samples exceeds 10% for both forward and reverse strand aligning reads. The 14 datasets were analyzed as seven matched pairs comparing sequence data from matched FFPE versus flash-frozen derived genomic DNA samples. The analysis yielded an average of 10.2 FFPE-specific calls (standard deviation being 4.2) per pair within the 102 Kb target (N=73 total positions for all pairs representing 45 unique positions). This results in one false positive call per every 12 Kb of targeted DNA. The FFPE-specific calls are replicated amongst the datasets that were sequenced in triplicate (patients 751 and 761) indicating that these errors were not attributable to the sequencing chemistry or processing but inherently found in the FFPE-derived DNA. There was no overlap between patients amongst these FFPE specific calls.


The pattern of FFPE-specific substitution errors were examined (Table 2). For substitutions, there are twelve combinations when considering all possibilities. Thirty one changes were transitions and 14 were transversions. Only 4 categories of substitutions among the 12 different substitutions were observed. This represented 44 out of the 45 observed cases. Nearly all of the observed changes obey the consensus G or C→A or T. The C→T and G→A transitions are compatible with cytosine deamination which is a common FFPE processing artifact [10].









TABLE 2







Substitutions specific to targeted resequencing of the FFPE sample









Fresh
FFPE base












base
A
G
C
T














A


0

0
0


G

12


0
8


C
6
0


18



T
0
0

1






Non-bolded: Transversions


Bolded: Transitions


Consensus: G or C → A or T






The above table shows that the chemical treatment involved in the FFPE process causes far fewer single base changes than are normally observed between individuals in the form of SNPs. Further, these chemical modifications are predictable as most likely being G->A or C->T. This means that the present methodology can be useful in an SNP analysis of genomic DNA from an FFPE sample.


It is noted that while just one position per 12 kb of targeted sequence results in an FFPE specific calls that passed a statistical significance cutoff for significance and was found in both the forward and reverse strands of capture sequence. From either FFPE or flash-frozen derived genomic DNA, a number of positions had suggestions of a variant but were typically seen only the forward or the reverse strand. Using the variant calling method which imposes double-stranded representation, these positions were effectively eliminated as false positive calls (FIG. 3).


Example 4
Optimizing Capture Oligonucleotide Parameters

Having obtained promising results from the initial capture oligonucleotides, an improved bioinformatic pipeline for in silico capture oligonucleotide design was developed. The present design process optimizes the placement of the targeting arms according to the following considerations: (1) it attempts to place the 20 bp targeting arms in positions unique over the genome and that have no single mismatch neighbor, (2) identifying capture arms with GC content between 30% and 60%, (3) the size distribution of the target genomic regions approximating 220 bases in length. The new design process was applied to the targeting 80 exons from six cancer genes. A total of 288 capture oligonucleotides were synthesized for this six gene capture assay and these pooled oligonucleotides were used on three matched normal and tumors samples from the same individual. One DNA sample was obtained from flash-frozen tumor tissue, one sample was obtained from an FFPE section and a third normal DNA sample was obtained peripheral lymphocytes. Significantly improved performance metrics were noted using these optimized capture parameters.


Further optimization of the present process was carried out to show amplicon length obtained at different temperatures with the 628 capture oligonucleotides used. Ranges from 50 deg. to 60 deg. annealing temperatures showed no size bias between an amplicon length of 150-250 bp. Annealing temperature of 50 deg. was shown to yield a higher number of amplified targets. Also, consistent coverage across the amplicon lengths between 150 and 250 bp was shown. It was also shown that the process was tolerant of hairpin structures that can form in ssDNA that is being captured by the present capture probes.


As another novel feature, the sequencing library adapter sequences were incorporated into the universal vector sequence. This enabled a sequencing read library with a single amplification step to be generated, thus significantly reducing the complexity of the workflow used for next generation sequencing instruments such as the Illumina HiSeq, GAIIx, MiSeq, Life Sciences Solid, Ion Torrent, Pacific Biosciences system and the Roche 454 sequencer among others.


The present compositions may be provided in kit form, comprising a set of capture probes and universal oligonucleotides. Primers and a polymerase for amplification may also be included in the kit.


CONCLUSION

The above specific description is meant to exemplify and illustrate the invention and should not be seen as limiting the scope of the invention, which is defined by the literal and equivalent scope of the appended claims. Any patents or publications mentioned in this specification are intended to convey details of methods and materials useful in carrying out certain aspects of the invention which may not be explicitly set out but which would be understood by workers in the field. Such patents or publications are hereby incorporated by reference to the same extent as if each was specifically and individually incorporated by reference and contained herein, as needed for the purpose of describing and enabling the method or material referred to.


REFERENCES



  • 1. Albert T J, Molla M N, Muzny D M, Nazareth L, Wheeler D, Song X, Richmond T A, Middle C M, Rodesch M J, Packard C J, et al: Direct selection of human genomic loci by microarray hybridization. Nat Methods 2007, 4:903-905.

  • 2. Hodges E, Xuan Z, Balija V, Kramer M, Molla M N, Smith S W, Middle C M, Rodesch M J, Albert T J, Hannon G J, McCombie W R: Genome-wide in situ exon capture for selective resequencing. Nat Genet. 2007, 39:1522-1527.

  • 3. Okou D T, Steinberg K M, Middle C, Cutler D J, Albert T J, Zwick M E: Microarray-based genomic selection for high-throughput resequencing. Nat Methods 2007, 4:907-909.

  • 4. Gnirke A, Melnikov A, Maguire J, Rogov P, Leproust E, Brockman W, Fennell T, Giannoukos G, Fisher S, Russ C, et al: Solution hybrid selection with ultra-long oligonucleotides for massively parallel targeted sequencing. Nat Biotechnol 2009.

  • 5. Varley K E, Mitra R D: Nested Patch PCR enables highly multiplexed mutation discovery in candidate genes. Genome Res 2008, 18:1844-1850.

  • 6. Tewhey R, Warner J B, Nakano M, Libby B, Medkova M, David P H, Kotsopoulos S K, Samuels M L, Hutchison J B, Larson J W, et al: Microdroplet-based PCR enrichment for large-scale targeted sequencing. Nat Biotechnol 2009, 27:1025-1031.

  • 7. Porreca G J, Zhang K, Li J B, Xie B, Austin D, Vas sallo SL, LeProust E M, Peck B J, Emig C J, Dahl F, et al: Multiplex amplification of large sets of human exons. Nat Methods 2007, 4:931-936.

  • 8. Turner E H, Lee C, Ng S B, Nickerson D A, Shendure J: Massively parallel exon capture and library-free resequencing across 16 genomes. Nat Methods 2009, 6:315-316.

  • 9. Natsoulis G, Bell J M, Xu H, Buenrostro J D, Ordonez H, Grimes S, Newburger D, Jensen M, Zahn J M, Zhang N, Ji H P: A flexible approach for highly multiplexed candidate gene targeted resequencing. PLOS one 2011, 6:e21088.

  • 10. Kerick M, Isau M, Timmermann B, Sultmann H, Herwig R, Krobitsch S, Schaefer G, Verdorfer I, Bartsch G, Klocker H, et al: Targeted high throughput sequencing in clinical cancer Settings: formaldehyde fixed-paraffin embedded (FFPE) tumor tissues, input amount and tumor heterogeneity. BMC Med Genomics 2011, 4:68.

  • 11. Ji H, Welch K: Molecular inversion probe assay for allelic quantitation. Methods Mol Biol 2009, 556:67-87.

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  • 13. Flaherty P, Natsoulis G, Muralidharan O, Winters M, Buenrostro J, Bell J, Brown S, Holodniy M, Zhang N, Ji H P: Ultrasensitive detection of rare mutations using next-generation targeted resequencing. Nucleic Acids Res 2011.

  • 14. Korn J M, Kuruvilla F G, McCarron S A, Wysoker A, Nemesh J, Cawley S, Hubbell E, Veitch J, Collins P J, Darvishi K, et al: Integrated genotype calling and association analysis of SNPs, common copy number polymorphisms and rare CNVs. Nat Genet. 2008, 40:1253-1260.

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MEGA





Claims
  • 1. A composition useful for preparing a population of double stranded DNA molecules from a sample containing single stranded polynucleic acids, comprising: (a) a plurality of polynucleotide capture probes, wherein individual capture probes each contain (i) capture arms at a 3′ end a 5′ end of the probe for hybridizing to specific portions of a single stranded polynucleic acid in the sample and (ii) an invariant sequence between the capture arms, whereby a circular structure comprising a specific capture probe and a polynucleic acid having regions complementary to the capture arms is formed;(b) a plurality of second polynucleotides having a sequence complementary to the invariant sequence;(c) a 5′ exonuclease;(d) a 3′ exonuclease; and(e) a ligase.
  • 2. The composition of claim 1 further comprising at least one of (a) PCR amplification and (b) a DNA polymerase.
  • 3. The composition of claim 1, further comprising a sample comprising single stranded polynucleic acids which are fragments of human genomic DNA.
  • 4. The composition of claim 1, further comprising a sample comprising single stranded polynucleic acids which are fragments of human genomic DNA that have been fixed by crosslinking and embedded in a wax.
  • 5. The composition of claim 1, wherein the polynucleotide capture probes in the composition comprise at least 500 different capture arm sequences.
  • 6. The composition of claim 1, wherein the 5′ exonuclease is Exonuclease I.
  • 7. The composition of claim 1, wherein the 3′ exonuclease is also a DNA polymerase.
  • 8. The composition of claim 1, wherein the 3′ exonuclease is a thermostable DNA polymerase.
  • 9. The composition of claim 1, wherein the ligase is a thermostable DNA ligase and the circular structure is formed by DNA molecules.
  • 10. The composition of claim 1, wherein the second polynucleotide comprises PCR amplification sites and the composition comprises PCR primers complementary thereto.
  • 11. The composition of claim 10, wherein the PCR amplification sites are spaced on the second polynucleotides about 120 to 250 bases apart.
  • 12. A method for analyzing single stranded polynucleotides in a sample, comprising the steps of: (a) adding to the sample a plurality of polynucleotide capture probes, each capture probe containing capture arms complementary to specific portions of a polynucleic acid in the sample and an invariant sequence between the arms, whereby a circular structure comprising a specific capture probe and a polynucleic acid sample molecule is formed;(b) adding to the sample a plurality of second polynucleotides having a sequence complementary to the invariant sequence and having amplification sites for amplification of a polynucleic acid in a circular structure; and(c) adding to the sample containing capture probes and second polynucleotides a mixture of a 5′ exonuclease, a 3′ exonuclease, and a ligase under conditions whereby exonucleases remove bases from the single stranded polynucleotides to form a new 5′ end thereof and a new 3′ end thereof, and the ligase ligates the new 5′ end to the new 3′ end.
  • 13. The method of claim 12 further comprising the step of composition of claim 1 further comprising at least one of amplification primers and a polymerase.
  • 14. The method of claim 12, wherein the single stranded polynucleic acids are fragments of human genomic DNA.
  • 15. The method of claim 12, wherein the single stranded polynucleic acids are fragments of human genomic DNA that have been fixed by crosslinking and embedded in a wax.
  • 16. The method of claim 12 wherein the capture probes comprise at least 500 different probes.
  • 17. The method of claim 12, wherein the 5′ exonuclease is Exonuclease I.
  • 18. The method of claim 12, wherein the 3′ exonuclease is also a polymerase.
  • 19. The method of claim 12, wherein the 3′ exonuclease is a thermostable polymerase.
  • 20. The method of claim 12, wherein the ligase is a thermostable DNA ligase and the circular structure is formed by DNA molecules.
  • 21. A method for analyzing single stranded polynucleotides from a sample, comprising the steps of: (a) adding to the sample a plurality of polynucleotide capture probes, each capture probe containing capture arms complementary to specific portions of a polynucleic acid in the sample and an invariant sequence between the arms, whereby a circular structure comprising a specific capture probe and a polynucleic acid sample molecule is formed in the buffer;(b) adding to the sample a plurality of second polynucleotides having a sequence complementary to the invariant sequence and having amplification sites for amplification of a polynucleic acid in a circular structure; and(c) adding to the sample containing capture probes and second polynucleotides a mixture of a 5′ exonuclease, a 3′ exonuclease, and a ligase under conditions whereby exonucleases remove bases from the single stranded polynucleotides to form a new 5′ end thereof and a new 3′ end thereof, and the ligase ligates the new 5′ end to the new 3′ end;(d) adding to the sample a polymerase and polymerase primers; and(e) conducting a polymerase chain reaction using the polymerase primers for amplification of a portion of a single stranded polynucleotide captured by a corresponding capture probe.
  • 22. The method of claim 21 further comprising the step of sequencing amplified polynucleotides from step (e).
  • 23. The method of claim 21 wherein the polymerase chain reaction utilizes an annealing temperature of between about 45 degrees Celsius and 55 degrees Celsius.
  • 24. The method of claim 21 wherein the analyzing single stranded polynucleotides from a sample comprises analyzing polynucleotides from a preserved tissue sample or analyzing polynucleotides from a preserved tissue sample and analyzing polynucleotides from a fresh sample from the same individual.
  • 25. A kit for preparing a composition according to claim 1 comprising: (a) a plurality of capture probes, each capture probe containing (i) 5′ and 3′ end capture arms complementary to specific portions of a polynucleic acid in the sample and (ii) an invariant sequence between the capture arms, whereby a circular structure comprising a specific capture probe and a polynucleic acid sample molecule having regions complementary to the capture arms is formed in the buffer;(b) a plurality of second polynucleotides having a sequence complementary to the invariant sequence and having amplification sites for amplification of a polynucleic acid in a circular structure; and(c) a 5′ exonuclease, a 3′ exonuclease, and a ligase.
  • 26. The kit according to claim 25, wherein said kit further comprises at least one of amplification primers and a polymerase.
CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims priority from U.S. Provisional Patent Application No. 61/560,412 filed on Nov. 16, 2011, which is hereby incorporated by reference in its entirety.

STATEMENT OF GOVERNMENTAL SUPPORT

This invention was made with government support under contracts 2P01HG000205 and R21CA 140089-01A1 awarded by the National Institutes of Health. The government has certain rights in this invention.

Provisional Applications (1)
Number Date Country
61560412 Nov 2011 US