| CPC C12Q 1/6855 (2013.01) [C12Q 1/6876 (2013.01); C12Q 2563/185 (2013.01)] | 19 Claims |
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1. A method, comprising:
a) amplifying a plurality of adapter-double-stranded cell-free DNA fragments (ADScfDFs) with first and second universal primers,
wherein each of said ADScfDFs comprise: a target Watson strand hybridized to a target Crick strand, a universal 3′ adapter attached to a 3′ end of said target Watson and Crick strands, and a universal 5′ adapter attached to a 5′ end of said target Watson and Crick strands, wherein said universal 3′ adapters each comprise a universal 3′ adapter sequence,
wherein attachment of said universal 3′ adapters followed by annealing and extending the universal 5′ adapters and ligating them to the 5′ ends to form the ADScfDFs provides a double stranded unique identifier (dsUID) sequence and single-stranded non-complementary 3′ and 5′ universal adapter sequences on each end of each of said ADScfDFs, wherein one strand of each dsUID is generated in situ after said universal 3′ adapters are attached to the strands and prior to said amplifying, and further wherein said attachment of said universal adapters comprises
1) attaching 3′ adapters to 3′ ends of a plurality of both Watson and Crick strands of a plurality of double-stranded DNA fragments of an analyte DNA sample obtained from cfDNA, whereby the plurality of Watson and Crick strands are UID labeled and uniquely identified,
wherein a first strand of the 3′ adapters comprises, in the 5′-3′ direction, (i) a first segment, (ii) a single stranded UID (ssUID) sequence from a set of ssUIDs, (iii) an annealing site for the universal 5′ adapter, and (iv) the universal 3′ adapter sequence, and
wherein the second strand of the 3′ adapters comprises, in the 5′ to 3′ direction, (i) a segment complementary to the first segment, and (ii) a 3′ blocking group,
2) annealing the universal 5′ adapters to said annealing site, wherein the universal 5′ adapters comprise, in the 5′ to 3′ direction, (i) a universal 5′ adapter sequence that is not complementary to the universal 3′ adapter sequence, and (ii) a sequence complementary to the annealing site for the universal 5′ adapter;
3) Extending the universal 5′ adapters across said ssUID sequence and said first segment, thereby generating the complement of said ssUID sequence and complement of said first segment to obtain extended universal 5′ adapters; and
4) covalently linking the 3′ end of said complement of said first segment to the 5′ ends of the Watson and Crick strands of the double-stranded cfDNA fragments having 3′ adapters attached to the 3′ ends, thereby attaching extended universal 5′ adapters to said 5′ ends of said Watson and Crick strands to obtain each of the ADScfDFs;
wherein said first universal primer is complementary to said universal 3′ adapter sequence and said second universal primer is complementary to the complement of said universal 5′ adapter sequence,
wherein said amplifying in step a) generates a duplex sequencing library sample comprising: i) a plurality of dsUID-labelled double-stranded templates (dsUID-dsTs);
b) amplifying a first aliquot from said duplex sequencing library sample with a first set of Watson target-selective primer pairs comprising: (i) a first Watson target-selective primer comprising a sequence complementary to the universal 3′ adapter sequence, and (ii) a second Watson target-selective primer comprising a first Watson target-selective sequence, thereby: i) generating dsUID labelled double-stranded target Watson amplification products (dsUID-dsTWAPs) and ii) not generating dsUID labelled double-stranded target Crick amplification products (dsUID-dsTCAPs) in said first aliquot;
c) amplifying said dsUID-dsTWAPs with a second set of Watson target-selective primers comprising: (i) a third Watson target-selective primer comprising: A) a sequence complementary to said universal 3′ adapter sequence, and B) a Watson sample index barcode, and (ii) a fourth Watson target-selective primer comprising a second Watson target-selective sequence that is nested with respect to said first Watson target-selective sequence, thereby creating a first sample comprising a plurality of dsUID-labelled double-stranded target Watson library members (dsUID-dsTWLMs);
d) amplifying a second aliquot from said duplex sequencing library sample with a first set of Crick target-selective primer pairs comprising: (i) a first Crick target-selective primer comprising a sequence complementary to the complement of said universal 5′ adapter sequence, and (ii) a second Crick target-selective primer comprising a first Crick target-selective sequence that comprises the same target-selective sequence as said first Watson target-selective sequence, thereby: i) generating dsUID-dsTCAPs and ii) not generating said dsUID-dsTWAPs in said second aliquot;
e) amplifying said dsUID-dsTCAPs with a second set of Crick target-selective primers comprising: (i) a third Crick target-selective primer comprising: A) a sequence complementary to the complement of said universal 5′ adapter sequence, and B) a Crick sample index barcode, and (ii) a fourth Crick target-selective primer comprising a second Crick target-selective sequence that is nested with respect to said first Crick target-selective sequence and comprises the same target-selective sequence as said second Watson target-selective sequence, thereby creating a second sample comprising a plurality of dsUID-double-stranded target Crick library members (dsUID-dsTCLMs);
f) pooling said first sample and said second sample to generate a combined sample comprising dsUID-dsTWLMs and dsUID-dsTCLMs;
g) sequencing said dsUID-dsTWLMs and dsUID-dsTCLMs to generate:
i) a plurality of UID-labeled Watson strand reads that comprise: A) a target Watson strand read, and B) a Watson sample index barcode read, and
ii) a plurality of UID-labeled Crick strand reads that comprise: A) a target Crick strand read, and B) a Crick sample index barcode read; and
h) processing said plurality of UID-labeled Watson strand reads and said UID-labeled Crick strand reads with a computer system to identify the presence of a mutation in one of said ADScfDFs, and identifying a mutation as present when present in said target Watson strand read and a corresponding mutation is present in said target Crick strand read.
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