METHOD FOR DETECTING GENE REARRANGEMENT BY USING NEXT GENERATION SEQUENCING

Abstract

The present invention relates to a method for detecting a gene rearrangement on the basis of next generation sequencing (NGS) and, more specifically, to a method for arranging and extracting read data generated by NGS, analyzing the sequence similarity of the extracted read data so as to detect a gene rearrangement present in a cancer sample and, further, detecting the direction of the gene rearrangement, micro-homology sequences and external insertion sequences and positions. According to the method for detecting a gene rearrangement by using NGS, a gene rearrangement can be detected and the direction of the gene rearrangement, micro-homology sequences, external insertion sequences and the position of gene rearrangement can be accurately differentiated into units of base pairs through the reads obtained from the NGS. In addition, a search can be performed even in concordant read pairs, which have not been searched for by a conventional method, such that accuracy is high, and the time required for the detection can be reduced because only regions of genes related to a specific cancer or tumor can be searched for as the priority. Therefore, the method of the present invention is useful for effectively detecting a gene rearrangement in a cancer sample.

Claims

1. A method of detecting a gene rearrangement in a sample comprising: (a) acquiring a library including a plurality of nucleic acid molecules from a sample of a subject; (b) bringing the library into contact with a plurality of bait sets to enrich the library with respect to a preselected sequence to provide a selected nucleic acid molecule and thereby provide a library catch; (c) acquiring reads from the nucleic acid molecules of the library catch through next-generation sequencing; (d) arranging the reads by an alignment method; and (e) analyzing the arranged reads to detect a gene rearrangement, wherein the analysis method comprises extracting the arranged reads to analyze sequence similarity.

2. The method according to claim 1, wherein the step of extracting the reads comprises extracting the reads with information of a region of interest.

3. The method according to claim 1, wherein step (e) comprises extracting the reads and then separating into discordant read pairs and concordant read pairs.

4. The method according to claim 3, wherein the separation of the discordant read pairs and the concordant read pairs is carried out by matching reference gene information to the reads.

5. The method according to claim 3, further comprising, after separation of the discordant read pairs in step (e), finding a matching region of a second read that forms a pair using a soft-clip segment portion of a first read as a query, or finding a matching region of the first read that forms a pair using a soft-clip segment portion of the second read as a query.

6. The method according to claim 3, further comprising, after the separation of the concordant read pairs in step (e), finding a matching region of a second read that forms a pair using a soft-clip segment portion of a first read as a query, or finding a matching region ofthe first read that forms a pair using a soft-clip segment portion of the second read as a query, while assuming, as a virtual second read, a secondary mapping region obtained by determining whether or not there is mapping to other genes with reference to secondary alignment tag information of the first read.

7. The method according to claim 5, further comprising deriving the read, the matching region of which is found, as a gene rearrangement candidate group to determine a supporting pair count.

8. The method according to claim 6, further comprising deriving the read, the matching region of which is found, as a gene rearrangement candidate group to determine a supporting pair count.

9. The method according to claim 3, further comprising (i) performing the steps of at least one of (A) or (B): (A) after separation of the discordant read pairs in step (e), finding a matching region of a second read that forms a pair using a soft-clip segment portion of a first read as a query, or finding a matching region of the first read that forms a pair using a soft-clip segment portion of the second read as a query, and deriving the read, the matching region of which is found, as a gene rearrangement candidate group to determine a supporting pair count; (B) after the separation of the concordant read pairs in step (e), finding a matching region of a second read that forms a pair using a soft-clip segment portion of a first read as a query, or fmding a matching region of the first read that forms a pair using a soft-clip segment portion of the second read as a query, while assuming, as a virtual second read, a secondary mapping region obtained by determining whether or not there is mapping to other genes with reference to secondary alignment tag information of the first read, and deriving the read, the matching region of which is found, as a gene rearrangement candidate group to determine a supporting pair count and (ii) integrating the supporting pair count(s).

10. The method according to claim 9, wherein the step of integrating the supporting pair count comprises increasing the supporting pair count when the supporting pair counts are simultaneously determined for the discordant read pair and the concordant read pair.

11. The method according to any one of claims 5 to 10, wherein the supporting pair count is determined to be different when a position of the gene rearrangement is different, although a type of the gene rearrangement is identical.

12. The method according to claim 3, wherein step (e) further comprises arranging the reads not extracted as gene rearrangement candidate reads for further analysis.

13. The method according to claim 3, wherein step (e) further comprises arranging the reads not extracted as gene rearrangement candidate reads for further analysis, and producing a gene rearrangement template based on a gene rearrangement candidate group derived by performing the steps of at least one of (A) or (B): (A) after separation of the discordant read pairs in step (e), finding a matching region of a second read that forms a pair using a soft-clip segment portion of a first read as a query, or finding a matching region of the first read that forms a pair using a soft-clip segment portion of the second read as a query; (B) after the separation of the concordant read pairs in step (e), finding a matching region of a second read that forms a pair using a soft-clip segment portion of a first read as a query, or fmding a matching region of the first read that forms a pair using a soft-clip segment portion of the second read as a query, while assuming, as a virtual second read, a secondary mapping region obtained by determining whether or not there is mapping to other genes with reference to secondary alignment tag information of the first read.

14. The method according to claim 1, wherein step (e) further comprises arranging the reads not extracted as gene rearrangement candidate reads for further analysis, and analyzing sequence similarity of the arranged reads to determine a supporting read count.

15. The method according to claim 14, wherein the supporting read count is determined as a number of reads that are mapped while passing a breakpoint of the gene rearrangement in the gene rearrangement template after performing blast using the arranged reads as blastdb and using a gene rearrangement template as a query, wherein the gene rearrangement template is based on a gene rearrangement candidate group derived by performing the steps of at least one of (A) or (B): (A) after separation of the discordant read pairs in step (e), finding a matching region of a second read that forms a pair using a soft-clip segment portion of a first read as a query, or finding a matching region of the first read that forms a pair using a soft-clip segment portion of the second read as a query; (B) after the separation of the concordant read pairs in step (e), finding a matching region of a second read that forms a pair using a soft-clip segment portion of a first read as a query, or fmding a matching region of the first read that forms a pair using a soft-clip segment portion of the second read as a query, while assuming, as a virtual second read, a secondary mapping region obtained by determining whether or not there is mapping to other genes with reference to secondary alignment tag information of the first read.

16. The method according to claim 12, wherein a read unextracted in step (e) is a read present within 500 bp in a 5 direction and a 3 direction from a position of the gene rearrangement candidate group.

17. The method according to claim 16, wherein the read has a soft-clip segment.

18. The method according to claim 1, wherein the step of detecting the gene rearrangement comprises determining, as a gene rearrangement, when the supporting read count is 5 or more.

19. A computer system comprising a computer-readable medium encoded with a plurality of instructions for controlling a computing system to perform a method of detecting a gene rearrangement using next-generation sequencing (NGS), wherein the method comprises: (a) acquiring a library including a plurality of nucleic acid molecules from a sample of a subject; (b) bringing the library into contact with a plurality of bait sets to enrich the library with respect to a preselected sequence to provide a selected nucleic acid molecule and thereby provide a library catch; (c) acquiring reads from the nucleic acid molecules of the library catch through next-generation sequencing; (d) arranging the reads by an alignment method; and (e) analyzing the arranged reads to detecting a gene rearrangement, wherein the analysis method includes extracting the arranged reads to analyze sequence similarity.

20. The method according to claim 1, wherein the sample is selected from the group consisting of: one or more premalignant or malignant cells; cells selected from solid tumors, soft tissue tumors or metastatic lesions; tissue or cells from surgical resections; histologically normal tissue; at least one blood tumor cell (CTC); and blood samples from the same subject having or at risk of developing a normal adjacent tumor (NAT) and a tumor.

Description

DESCRIPTION OF DRAWINGS

[0013] FIG. 1 is a schematic diagram illustrating a gene rearrangement detection mechanism of the present invention.

[0014] FIG. 2 is a schematic diagram illustrating the type of read extracted in an embodiment of the present invention.

[0015] FIG. 3 is a schematic diagram illustrating a method of analyzing concordant pairs and discordant pairs in an embodiment of the present invention.

[0016] FIG. 4 is a schematic diagram illustrating a method of detecting a gene rearrangement in an embodiment of the present invention.

[0017] FIG. 5 is a flowchart illustrating the overall process of a fusion gene detection method according to the present invention.

[0018] FIG. 6 is a flowchart illustrating each process of gene rearrangement according to an embodiment of the present invention.

BEST MODE

[0019] Unless defined otherwise, all technical and scientific terms used herein have the same meanings as appreciated by those skilled in the field to which the present invention pertains. In general, the nomenclature used herein is well-known in the art and is ordinarily used.

[0020] As used herein, the term next-generation sequencing or NGS refers to a sequencing method that determines the nucleotide sequence of one of proxies expanded with clones for an individual nucleic acid molecule in an individual nucleic acid molecule mode (e.g., in single-molecule sequencing) or in high-speed bulk mode (e.g., when sequencing 10, 100, 1000 or more molecules simultaneously). In one embodiment, the relative abundance of nucleic acid species in the library can be estimated by measuring, in the data generated by the sequencing experiments, the relative number of occurrences of cognate sequences thereof. Next-generation sequencing methods are known in the art and are described, for example, in [Metzker, M. (2010) Nature Biotechnology Reviews 11:31-46]. Next-generation sequencing can detect variants present in less than 5% of nucleic acids in a sample.

[0021] The next-generation sequencing process in the present invention can be divided into the following three steps.

[0022] (1) Capture of Target

[0023] Next-generation sequencing can be used to sequence the whole genome, to sequence only exome regions (targeted sequencing), or to sequence only specific genes in order to find genes causative of diseases. Sequencing only exome regions or specific target genes is advantageous in terms of cost or efficiency. In addition, since variations of genes are often directly caused by diseases such as cancer, detecting the change in the nucleotide sequence in the exome region or the target gene may be effective in finding genes causative of diseases. In order to sequence only exomes or target genes, a library capable of capturing only the exomes or target genes is required.

[0024] The library mainly used for capturing exome regions includes SureSelect Human All Exon Kits (http://www.genomics.agilent.com), but is not limited thereto. SureSelect Human All Exon Kits are designed on the basis of exons of gene sets of the human genome defined by CCDS (consensus CDS, NCBI, EBI, UCSC and Wellcome trust Sanger Institute) and include an area corresponding to 1.22% of the human genome.

[0025] In order to capture only target genes, probes or baits specific to the certain target genes may be used.

[0026] (2) Large-Capacity Parallel DNA Sequencing

[0027] Next-generation sequencing (NGS) has advantages of simultaneously identifying a greater amount of sequences more quickly at once than conventional capillary sequencing, and of omitting a process of amplifying the sample, thus avoiding experimental error occurring in this process.

[0028] NGS systems produced by three companies are mainly used. 454 GS FLX of Roche AG launched in 2004 was the first NGS instrument capable of performing sequencing using pyrosequencing and emulsion polymerase chain reactions and determining specific bases depending on the intensity of light emitted during the final stage of the experiment. When operated for 7 hours, the 454 GS FLX can identify a sequence of about 100 Mb, which is much higher than a conventional ABI 3730 device, which can identify a sequence of 440 kb within the same time.

[0029] The Illumina genome analyzer produced by Illumina, Inc. is based on the concept of sequencing by synthesis. After attaching single-stranded DNA fragments onto a glass plate, the fragments are polymerized and clustered. During this process, sequence analysis is performed while determining the type of bases attached to the DNA fragments to be tested. After operation for about four days, about 40 to 50 million fragments having a base length of 32 to 40 are produced.

[0030] The SOLiD (sequencing by oligo ligation) apparatus produced by Life Technologies Inc. is designed to perform sequencing using an emulsifier-polymerase chain reaction after attaching a DNA fragment to be tested to a 1 m magnetic bead. Sequencing is carried out by repeatedly attaching 8-mer fragments to each other. The bases used for actual sequencing are positioned at the 4.sup.th and 5.sup.th 8-mer fragments. A fluorescent material is linked to the remainder behind them to mark the base that complementarily binds to the DNA fragment to be tested. By attaching all 8-mers five times in one binding cycle and performing the same operation five times, a sequence of DNA fragments consisting of a total of 25 bases can be identified. The SOLiD instrument is characterized by sequencing using two-base encoding. This method identifies the same region through double sequencing when determining the sequence of one base. Sequencing is performed while shifting the sequence by one base in one binding cycle toward the adaptor attached to the magnetic bead. This process has the advantage of eliminating errors that occur in sequencing experiments.

[0031] (3) Analysis of Base Sequence Data

[0032] In order to find genes causative of diseases, it is necessary to investigate what changes have been made from the original gene sequence. Thus, an operation of comparing nucleotide data (sequence reads) of an individual (patient) with the reference genome is performed. This operation is called mapping. Differences between the individual sequence and the reference sequence are identified through mapping, appropriate selection criteria are set based on the differences, and only reliable sequence variant information is extracted (variant calling). This variation information is structural variation (SV) that includes single nucleotide variation (SNV), short indel, copy number variation (CNV), fusion genes and the like. Then, the nucleotide variation information is compared with the existing database to determine whether it is a known or newly discovered variation. Also, whether or not the variation will result in a change in amino acids and how it affects protein structure is predicted. This process is called annotation. Information associated with extracted single-nucleotide sequence variations and short indel may be listed in the database so as to improve the quality of the information, or research to find variations causative of diseases can be conducted through studies integrated with the genome wild association study (GWAS).

[0033] However, a conventional method is capable of highly accurately extracting, as variation information for calling, variation information such as SNV, Indel or CNV, but has a disadvantage of low accuracy of the structural variation. In particular, according to the method, a method of extracting a structural variation, in particular, variation information of fusion genes, with high accuracy is developed.

[0034] The terms cancer and tumor are used interchangeably herein. These terms refer to the presence of cells possessing typical features of cancer-causing cells such as uncontrolled proliferation, immortality, the potential of metastasis, rapid growth and proliferation rates, and certain characteristic morphological features. Cancer cells are often in the form of tumors, but such cells may be present alone in an animal, or may be non-tumor cancer cells such as leukemia cells. These terms include solid tumors, soft-tissue tumors or metastatic lesions. As used herein, the term cancer includes both premalignant cancer and malignant cancer.

[0035] As used herein, the term sample, tissue sample, cancer sample, patient sample, patient cell or tissue sample or specimen refers to a collection of similar cells obtained from tissue or circulating cells of a subject or patient, respectively. Sources of the tissue sample include: solid tissue from fresh, frozen and/or preserved organs, tissue samples, biopsies or inhalations; blood or any blood ingredient; body fluids such as cerebrospinal fluid, amniotic fluid, peritoneal fluid or interstitial fluid; or cells from any point in pregnancy or development of a subject. The tissue sample may include compounds that are not naturally admixed with tissue in nature, such as preservatives, anticoagulants, buffers, fixatives, nutrients and antibiotics. In one embodiment, the sample is prepared as a frozen sample or as a formaldehyde- or paraformaldehyde-fixed paraffin-embedded (FFPE) tissue preparation. For example, the sample may be embedded in a matrix such as an FFPE block, or may be a frozen sample.

[0036] In one embodiment, the sample is a cancer sample, e.g., includes one or more precancerous or malignant cells. In certain embodiments, the sample, e.g., a tumor sample, is acquired from a solid tumor, soft-tissue tumor, or metastatic lesion. In other embodiments, the sample, e.g., a tumor sample, includes tissue or cells from a surgical resection. In other embodiments, the sample, e.g., a tumor sample, includes one or more circulating tumor cells (CTCs) (e.g., CTCs acquired from blood samples).

[0037] As used herein, the term acquire or acquiring refers to possessing a physical entity or value, such as a numerical value, by directly acquiring or indirectly acquiring a physical entity or value. Indirectly acquiring means performing a process to acquire a physical entity or value (e.g., performing a synthetic or analytical method). Indirectly acquiring refers to receiving a physical entity or value from another party or source (e.g., a third-party laboratory that directly acquired the physical entity or value).

[0038] Indirectly acquiring a physical entity involves performing a process involving a physical change from a physical material, for example, a starting material. Representative changes include performing chemical reactions involving forming physical entities from two or more starting materials, shearing or fragmenting materials, separating or purifying materials, combining two or more separate entities into a mixture, and breaking or forming a covalent or non-covalent bond. Indirectly acquiring a value includes performing a treatment involving a physical change from a sample or other material, for example, performing an analytical process involving a physical change from a material, for example, a sample, analyte or reagent (often referred to herein as physical analysis), performing an analytical method, e.g., a method including one or more of the following: separating or purifying a material, such as an analyte or fragment or other derivative thereof, from another material; combining an analyte or fragment or other derivative thereof with another material, such as a buffer, solvent or reactant; or changing the structure of an analyte or fragment or other derivative thereof, for example, by breaking or forming a covalent or non-covalent bond between the first and second atoms of the analyte; or changing the structure of a reagent or fragment or other derivative thereof, for example by breaking or forming a covalent or non-covalent bond between the first and second atoms of the reagent.

[0039] As used herein, the term acquiring a sequence or acquiring a read refers to possessing a nucleotide sequence or amino acid sequence by directly acquiring or indirectly acquiring the sequence or read. Directly acquiring a sequence or read refers to performing a process for acquiring the sequence (e.g., performing a synthetic or analytical method), for example, performing a sequencing method (e.g., a next-generation sequencing (NGS) method). Indirectly acquiring a sequence or read refers to receiving a sequence from another party or source (e.g., a third-party laboratory that directly acquired the sequence) or receiving information or knowledge of the sequence. The acquired sequence or read need not be a complete sequence, and acquiring information or knowledge to identify one or more of the alterations disclosed herein, for example, sequencing of at least one nucleotide or presence in a subject, constitutes acquiring a sequence.

[0040] Directly acquiring a sequence or read includes performing a process involving a physical change from a physical material, e.g., a starting material, such as a tissue or cell sample, e.g., a biopsy or an isolated nucleic acid (e.g., DNA or RNA) sample. Representative changes include shearing or fragmenting two or more materials, for example, starting materials, such as producing physical entities from genomic DNA fragments (e.g., separating nucleic acid samples from tissue); performing a chemical reaction including combining two or more separate entities into a mixture, and breaking or forming a covalent or non-covalent bond. Directly acquiring a value includes performing a process involving a physical change from the sample or other material as described above.

[0041] As used herein, the term nucleic acid or polynucleotide refers to a single- or double-stranded deoxyribonucleic acid (DNA) or ribonucleic acid (RNA) and polymers thereof. Unless specifically limited otherwise, the term includes nucleic acids containing known analogues of natural nucleotides that have binding properties similar to those of the reference nucleic acid and are metabolized in a manner similar to natural nucleotides. Unless otherwise stated, certain nucleic acid sequences also include not only clearly disclosed sequences but also implicitly conservatively modified variants thereof (e.g., degenerate codon substitutions), alleles, orthologs, SNPs and complementary sequences. Specifically, degenerate codon substitutions can be carried out by forming a sequence in which position 3 of one or more selected codons (or all codons) is substituted with a mixed base and/or a deoxyinosine residue (Batzer et al., Nucleic Acid Res.19:5081 (1991); Ohtsuka et al., J. Biol. Chem. 260:2605-2608 (1985); and Rossolini et al., MoI. Cell. Probes 8:91-98 (1994)). The term nucleic acid is used interchangeably with a gene, cDNA, mRNA, small non-coding RNA, micro RNA (miRNA), Piwi-interacting RNA and short hairpin RNA (shRNA) encoded by a gene or locus.

[0042] In the present invention, the bait can be used not only to capture a target gene but also to capture a specific region of the target genome in any region of the sample genome (e.g., 5-UTR, intron, microsatellite region, centromere region or telomere region).

[0043] The bait in the present invention may be used as a combination of a variety of baits, but is not limited thereto, and preferably includes two or more of the following:

[0044] a) a first bait set for detecting a variation occurring at a frequency of about 5% or less, wherein the first bait set is capable of detecting a variation requiring a read depth of about 500 or more;

[0045] b) a second bait set for detecting a variation occurring at a frequency of about 10% or more, wherein the second bait set is capable of detecting a variation requiring a read depth of about 200 or more;

[0046] c) a third bait set for detecting drug-metabolism-related SNP, patient-specific (genomic fingerprint) SNP and/or loss of heterozygosity (LOH), wherein the third bait set is capable of detecting a variation requiring a read depth of 10 to 100;

[0047] d) a fourth bait set for detecting a structural variation, wherein the fourth bait set is capable of detecting a variation requiring a read depth of 5 to 50; and

[0048] e) a fifth bait set for detecting a copy number variation, wherein the fifth bait set is capable of detecting a variation requiring a read depth of 0.1 to 300.

[0049] The values for the efficiency of bait selection in the present invention may be changed by one or more of the following: differential representation of different bait sets, differential overlap of bait subsets, differential bait variables, mixing of different bait sets, and/or the use of different types of bait sets. For example, the change in selection efficiency (e.g., relative sequence coverage of each bait set/target category) can be adjusted by changing one or more of the following:

[0050] (i) differential representation of different bait setsbait sets designed to capture a given target (e.g., target member) may be included in more or less replicas to improve or reduce relative target coverage depths;

[0051] (ii) differential overlap of bait subsetsbait set designed to capture a given target (e.g., target member) include longer or shorter replicas between adjacent baits to improve or reduce relative target coverage depths;

[0052] (iii) differential bait variablesbait set designed to capture a given target (e.g., target member) include sequence modifications/shorter lengths to reduce capture efficiency and reduce relative target coverage depths;

[0053] (iv) mixing different bait setsbait sets designed to capture different target sets can be mixed at different molar ratios to improve and reduce relative target coverage depths;

[0054] (v) use of different types of oligonucleotide bait setsin certain embodiments, the bait sets may include the following:

[0055] (a) one or more chemically (e.g., non-enzymatically) synthesized (e.g., individually synthesized) baits,

[0056] (b) one or more baits synthesized in an array,

[0057] (c) one or more enzymatically produced baits, e.g., baits transcribed in vitro;

[0058] (d) any combination of (a), (b) and/or (c),

[0059] (e) one or more DNA oligonucleotides (e.g., naturally or non-naturally occurring DNA oligonucleotides),

[0060] (f) one or more RNA oligonucleotides (e.g., naturally or non-naturally occurring RNA oligonucleotides),

[0061] (g) a combination of (e) and (f), or

[0062] (h) any combination of those described above.

[0063] The combination of different oligonucleotides may be mixed in different ratios, for example, a ratio selected from 1:1, 1:2, 1:3, 1:4, 1:5, 1:10, 1:20, 1:50, 1:100, or 1:1000. In one embodiment, the ratio of chemically synthesized baits to alignment-produced baits is selected from 1:5, 1:10 or 1:20. DNA or RNA oligonucleotides may occur naturally or non-naturally.

[0064] In certain embodiments, the bait includes, for example, one or more non-naturally occurring nucleotides in order to increase the melting point. Representative non-naturally occurring oligonucleotides include modified DNA or RNA nucleotides. Representative modified nucleotides (e.g., modified RNA or DNA nucleotides) are modified by the following, which include, but are not limited to, locked nucleic acid (LNA), wherein the ribose moiety of the LNA nucleotide is an additional bridge linking the 2 oxygen to the 4 carbon; peptide nucleic acid (PNA), for example, PNA consisting of repeating N-(2-aminoethyl)-glycine units linked by peptide bonds; DNA or RNA oligonucleotides modified to capture low GC regions; bicyclic nucleic acid (BNA); crosslinked oligonucleotides; modified 5-methyl deoxycytidine; and 2,6-diaminopurine. Other modified DNA and RNA nucleotides are known in the art.

[0065] In certain embodiments, substantially uniform or equivalent coverage of the target sequence (e.g., target member) is obtained. For example, within each bait set/target category, the uniformity of coverage can be optimized by modifying the bait variable using, for example, one or more of the following:

[0066] (i) an increase/decrease in bait expression or duplication may be used to improve/reduce the coverage of a target (e.g., a target member) that is covered under or over another target within the same category;

[0067] (ii) a targeted area is expanded with a bait set covering adjacent sequences (e.g., fewer GC-rich adjacent sequences) with regard to a low coverage that makes it difficult to capture target sequences (e.g., high GC content sequences);

[0068] (iii) modification of the bait sequence may be designed to reduce the secondary structure of the bait and improve selection efficiency thereof;

[0069] (iv) change in bait length may be used to realize identical melt hybridization kinetics of different baits within the same category. The bait length may be modified directly (by generating baits having various lengths) or indirectly (by generating baits having constant length and replacing the bait ends with arbitrary sequences);

[0070] Modifying baits of different orientations with regard to the same target region (i.e., front and back strands) may cause different binding efficiencies. A bait set that has one of the orientations that provide the optimal coverage for each target may be selected;

[0071] vi) Modification in the amount of a binding entity, for example, a capture tag (e.g., biotin) present in each bait, may affect the binding efficiency thereof. An increasing/decrease in the tag level of the bait targeting a specific target may be used to improve or reduce relative target coverages;

[0072] (vii) modification of the nucleotide type used for different baits may be changed to affect the binding affinity of the target, and can improve or reduce relative target coverages; or

[0073] (viii) For example, the modified oligonucleotide baits having more stable base pairs may be used such that the melt hybridization kinetics between regions of low or normal GC contents are equal for high GC content.

[0074] For example, different types of oligonucleotide bait sets may be used.

[0075] In one embodiment, the value for efficiency of selection is modified by using different types of bait oligonucleotides to include a preselected target region. For example, a first bait set (e.g., an array-based bait set including 10,000 to 50,000 RNA or DNA baits) may be used to cover a large target area (e.g., a total target area of 1 to 2 MB). The first bait set may be spiked with a second bait set (for example, an individually synthesized RNA or DNA bait set including less than 5,000 baits) to cover a pre-selected target region (for example, selected subgenomic intervals of interest, for example, a target area of 250 kb or less) and/or a region of higher secondary structure, for example, higher GC content. The selected subgenomic intervals of interest may correspond to one or more of the genes described herein or gene products or fragments thereof. The second bait set may include about 1 to 5,000, 2 to 5,000, 3 to 5,000, 10 to 5,000, 100 to 5,000, 500 to 5,000, 100 to 5,000, 1000 to 5,000, or 2,000 to 5,000 baits depending on the desired bait overlap. In other embodiments, the second bait set may include selected oligo baits spiked into the first bait set (e.g., less than 400, 200, 100, 50, 40, 30, 20, 10, 5, 4, 3, 2 or 1 bait). The second bait set may be mixed at any ratio of individual oligo baits. For example, the second bait set may include individual baits present at a 1:1 equimolar ratio. Alternatively, the second bait set may include individual baits present at different ratio (for example, 1:5, 1:10, 1:20), for example, to optimize capture of certain targets (e.g., certain targets may have 5-10 of the second bait compared to other targets).

[0076] In other embodiments, the efficiency of selection is adjusted by leveling the efficiency of individual baits within a group (for example, a first, second or third plurality of baits) by adjusting the relative abundance of the baits or the density of the binding entity (for example, the hapten or affinity tag density) with regard to differential sequence capture efficiency observed when using an equimolar mix of baits, and then introducing a differential excess of internally leveled group 1 to the overall bait mix compared to internally leveled group 2.

[0077] In an embodiment, the method includes the use of a plurality of bait sets that includes a bait set that selects a nucleic acid molecule including a target sequence from a tumor member, for example, a tumor cell. The tumor member may be any nucleotide sequence present in a tumor cell, for example, a mutated sequence, a wild-type sequence, a PGx, a reference or an intron nucleotide sequence, as described herein, that is present in a tumor or cancer cell. In one embodiment, the tumor member includes an alteration (for example, at least one mutation) appearing at a low frequency, for example, includes an alteration in about 5% or less of the cell from the tumor sample in the genome thereof. In another embodiment, the tumor member includes an alteration (for example, at least one mutation) appearing at a frequency of about 10% of the cell from the tumor sample.

[0078] In another embodiment, the tumor member includes a target sequence from a PGx gene or gene product, an intron sequence, for example, an intron sequence described herein, and a reference sequence present in a tumor cell.

[0079] In another aspect, the present invention features a bait set described herein and combinations of individual bait sets described herein, for example, combinations described herein. The bait set(s) may be a part of a kit which may optionally include instructions, standards, buffers, enzymes or other reagents.

[0080] Regarding the term paired-end read as used herein, the term paired end refers to two ends of the same DNA molecule. When one end is sequenced and then turned over and the other end is sequenced, these two ends, the base sequence of which is identified, are called paired-end reads. For example, Illumina sequencing generates a read of about 500 bps and reads a nucleotide sequence 75 bps long at each end of the read. At this time, the reading directions of the two reads (the first read and the second read) are 3 and 5, which are opposite each other, respectively, and mutually become paired-end reads.

[0081] As used herein, the terms first read and second read refer to a first read in the 5 direction and a second read in the 3 direction, acquired through paired-end read sequencing.

[0082] As herein used, the term soft-clip, soft-clip segment or soft-clipped read refer to a read in which only a portion of the read acquired through NGS is mapped to the reference genome and the rest thereof is not mapped thereto.

[0083] As herein used, the term discordant read pair refers to a pair of reads (a first read and a second read) acquired by paired-end read sequencing, which are not mapped on the same reference gene, but are mapped at different positions or on different chromosomes.

[0084] As herein used, the term concordant read pair refers to a pair of reads (first read and second read) acquired by paired-end read sequencing, which are mapped to the same gene, but have information in which the soft-clip fragment portion of the read is mapped to different genes.

[0085] As herein used, the term supporting pair count means that, when the number of read pairs matching both the first gene and the second gene of the fusion gene is one or more, the number is increased by one. In this case, the number of read pairs may be two or more, regardless of whether the read pair is a discordant read pair or a concordant read pair.

[0086] In the present invention, the nucleic acid was extracted from the cancer sample, the read was acquired through NGS, and then whether gene rearrangement could be detected using both the discordant read pair and the concordant read pair was determined (FIG. 1).

[0087] That is, in one embodiment of the present invention, a nucleic acid was extracted from a FFPE sample acquired from a lung cancer tissue sample, the read was acquired through NGS and arranged, and then fusion gene candidate reads were extracted to separate discordant read pairs and concordant read pairs (FIG. 2). Then, a fusion gene candidate group was derived from the read pairs through pair-blast search to determine a supporting pair count (FIG. 3). Among the acquire reads, an unextracted read was matched to a fusion gene template produced from the fusion gene candidate group to determine a supporting read count, and then fusion genes were finally detected in consideration of the supporting pair count and the supporting read count (FIG. 4). The result was compared with a conventional well-known program, FACTERA (Fusion gene And Chromosomal Translocation Enumeration and Recovery Algorithm, Aaron M. et al., 2014). The result showed that a fusion gene that could be detected by a well-known program could be detected by the method of the present invention (FIG. 5, Table 1).

[0088] In one aspect, the present invention is directed to a method of detecting a gene rearrangement in a sample including: (a) acquiring a library including a plurality of nucleic acid molecules from a sample of a subject; (b) bringing the library into contact with a plurality of bait sets to enrich the library with respect to a preselected sequence to provide a selected nucleic acid molecule and thereby provide a library catch; (c) acquiring reads from the nucleic acid molecules of the library catch through next-generation sequencing; (d) arranging the reads using an alignment method; and (e) analyzing the arranged reads to detecting a gene rearrangement, wherein the analysis method includes extracting the arranged reads to analyze sequence similarity.

[0089] In the present invention, the cancer is selected from the group consisting of non-Hodgkin lymphoma, Hodgkin lymphoma, acute-myeloid leukemia, acute lymphoid leukemia, multiple myeloma, head and neck cancer, lung cancer, glioblastoma, colon/rectal cancer, pancreatic cancer, breast cancer, ovarian cancer, melanoma, prostate cancer, kidney cancer and mesothelioma, but is not limited thereto.

[0090] In the present invention, the sample includes: one or more premalignant or malignant cells; cells selected from solid tumors, soft tissue tumors or metastatic lesions; tissue or cells from surgical resections; histologically normal tissue; at least one blood tumor cell (CTC); and blood samples from the same subject having or at risk of developing a normal adjacent tumor (NAT) and a tumor, and is preferably a FFPE sample, but is not limited thereto.

[0091] In the present invention, the gene rearrangement means any variation in which the position of the nucleotide sequence is changed relative to the normal genome, regardless of the type thereof, and may be selected from the group consisting of gene fusion, translocation, inversion and deletion, but is not limited thereto.

[0092] In the present invention, the method is applied to DNA NGS analysis or RNA NGS analysis, but is not limited thereto, and it will be obvious to those skilled in the art that the method is applicable to all methods capable of analyzing gene rearrangement by NGS. (content added)

[0093] In the present invention, the arrangement of the reads in step (d) may be performed through any method using a program capable of arranging the reads acquired by next-generation sequencing (NGS) in the genome coordinates, but is preferably performed using BWA (Burrows-Wheeler Aligner), without being limited thereto.

[0094] In the present invention, when using BWA, a mark shorter split hits as secondary (M) option for adding a secondary alignment tag in order to add information about a concordant read pair may be used, but the present invention is not limited thereto.

[0095] In the present invention, the reference genome for performing arrangement of reads in step (d) may be characterized by using the complete (entire) genome of normal cells, for example, hg19, but is not limited thereto.

[0096] In the present invention, the format of the read file arranged in step (d) may be a BAM/SAM file, but is not limited thereto.

[0097] In the present invention, the candidate read extraction in step (d) may be performed by filtering the read acquired in step (a) with information of the region of interest, but is not limited thereto.

[0098] In the present invention, the region of interest may include information on the location of a known fusion gene and information on a target gene region, wherein information of the region of interest includes chromosome information and information of start and end positions on the chromosome.

[0099] In the present invention, the information of the region of interest may include, but is not limited to, the contents disclosed in Table 1 below.

TABLE-US-00001 TABLE 1 Information of region of interest Chromosome Start Position Stop Position Gene Name chr1 156849424 156843751 NTRK1_10 chr1 156843751 156844174 NTRK1_i_01 chr1 156844174 156844192 NTRK1_11 chr1 156844192 156844862 NTRK1_i_02 chr1 156844362 166844418 NTRK1_12 chr1 156844418 158844697 NTRK1_i_03 chr1 156844697 156844800 NTRK1_13 chr1 156844800 156845311 NTRK1_i_04 chr1 156846311 156845488 NTRK1_14 chr1 156845458 156845871 NTRK1_i_06 chr1 156646871 156846002 NTRK1_15 chr2 29446207 29446394 ALK_10 chr2 29446394 29448326 ALK_i_01 chr2 29448326 29448431 ALK_11 chr2 29448431 29440787 ALK_i_02 chr2 29449767 29449940 ALK_12 chr2 29449940 29450489 ALK_i_03 chr2 29450439 29450598 ALK_13 chr2 29450558 29451749 ALK_i_04 chr2 29451749 29451982 ALK_14 chr4 1806272 1808410 FGFR3_16 chr4 1808410 1808555 FGFR3_i_01 chr4 1808555 1809661 FGFR3_17 chr4 1808661 1808842 FGFR3_i_03 chr4 1808842 1808989 FGFR3_18 chr6 117641030 117641193 ROS1_08 chr6 117641183 117642421 ROS1_i_01 chr6 117645421 117642557 ROS1_09 chr6 117642557 117645494 ROS1_i_02 chr6 117645494 117645578 ROS1_10 chr6 117645578 117647886 ROS1_i_03 chr6 117647386 117647577 ROS1_11 chr6 117047577 117650491 ROS1_i_04 chr6 117650491 117650609 ROS1_12 chr6 117650609 117658334 ROS1_i_05 chr6 117658334 117658503 ROS1_13 chr7 55259411 55259667 EGFR_23 chr7 55259567 55260458 EGFR_i_23 chr7 55260458 55260534 EGFR_24 chr7 55260587 55266409 EGFR_i_24 chr7 55266409 55266006 EGFR_25 chr7 55266446 55264008 EGFR_i_25 chr7 55268008 55268106 EGFR_26 chr8 38283639 38283763 FGFR1_13 chr8 38183763 38285438 FGFR1_i_01 chr8 38285438 38285611 FGFR1_14 chr10 43609003 43609123 RET_10 chr10 43509123 43509927 RET_i_01 chr10 43609927 43610184 RET_11 chr10 43610184 43612031 RET_i_02 chr10 43612031 43612179 RET_12 chr10 43612179 43613820 RET_i_03 chr10 43613820 43613928 RET_13 chr10 123239094 123239184 FGFR2_01 chr10 123239184 123239870 FGFR2_i_01 chr10 123239370 123239535 FGFR2_02 chr10 123239535 123241685 FGFR2_i_02 chr10 123241685 123241691 FGFR2_03 chr10 123241691 123243211 FGFR2_i_03 chr10 123243211 123243317 FGFR2_04 chr1 114935399 115053781 TRIM33 chr1 154127780 157164611 TPM3 chr1 156052359 156109880 LNNA chr1 156611740 156629324 BCAN chr1 204797782 204991950 NPASC chr1 205626979 205649630 SLC45A3 chr10 32297936 32345371 KIFSB chr10 51566108 51590784 NCOA4 chr10 60272774 60591194 BICC1 chr10 61548505 61655414 CCDC6 chr10 75757836 75879918 VCL chr10 115438921 115490668 CASP7 chr10 118642868 118886007 KIAA1298 chr11 3022152 3078681 CARS chr11 6263464 62656355 SLCA2 chr12 1100404 1605099 ERC1 chr12 27677045 27848497 FPFIBF1 chr12 59265937 59314319 LRIG3 chr12 122455981 122907179 CLIP1 chr12 122958146 122985543 ZCCHC9 chr14 56046925 56151302 KIN1 chr14 93260576 93306306 GOLGA5 chr14 104095525 104167888 KLC1 chr15 40987327 41024356 RAD51 chr15 52599480 52821247 MYO6A chr17 7571720 7590868 TP53 chr17 16945790 17095962 MPRIP chr17 57697050 57774317 CLTC chr17 66507921 66547457 PRKAR1A chr18 59854806 59974355 KIAA1468 chr19 12178317 16213815 TPM4 chr2 24252206 24270296 C2orf44 chr2 37064841 37193673 STRN chr2 42396490 42559688 EML4 chr2 54663454 54898588 SPTBN1 chr2 74588281 74619214 DCTN1 chr2 100162326 100759037 AFF3 chr2 109335402 109402267 RAMBP2 chr2 216176679 216214496 ATIC chr2 216225177 216300890 PN1 chr20 43953928 43977064 SDC4 chr22 19166966 19279247 CLTCL1 chr3 100428128 100467811 TPG chr4 1723217 1746905 TACC3 chr4 25656853 25630735 SL34A2 chr4 83739814 89812419 SEC31A chr5 149781200 149492643 CD74 chr5 159502889 159548482 chr5 170814652 172687888 NPAL chr5 179233380 179265078 SQSTN1 chr6 26670779 38891768 TRIN27 chr6 2991247 29913661 A-A chr6 117881482 117823706 GPOC chr6 159186773 159246456 EZR chr7 44915892 44924960 FURB chr7 75162619 75368290 HIP1 chr7 97920952 99030427 SAIAP2L1 chr7 101459184 101827250 CUX1 chr7 138145079 138379333 TRIM24 chr8 17780364 1787457 chr8 22462145 22477984 KIAA1987 chr8 37553801 37556396 ZNP703 chr8 37593743 37615319 ERLTR2 chr8 38034105 36070819 BAG4 chr8 42752033 42685582 HOOK3 chr9 125703288 125867147 RABGAP1 chrX 13782549 13787486 OPD1 chrX 64808257 64961793 MSN indicates data missing or illegible when filed

[0100] In the present invention, step (e) may include extracting the reads and then separating the reads into discordant read pairs and concordant read pairs.

[0101] In the present invention, the separating into discordant read pairs and the concordant read pairs may be carried out by matching the reference gene (RefGene) information to the reads.

[0102] In the present invention, any reference genome may be used as long as it has genome information capable of determining whether the read pair (first read and second read) acquired by paired-end read sequencing is discordant read pairs or concordant read pairs, but RefGene information derived from the USCS genome database (http://hgdownload.cse.ucsc.edu/goldenPath/hg19/bigZips/hg1 9.2 bit) is preferably used.

[0103] In the present invention, the discordant read pair may or may not have a soft clip (FIG. 2, type 3, 4), and the concordant read pair has a soft clip, but does not have SA information, or has SA (FIG. 2, type 1, 2).

[0104] In the present invention, the method further, after separation of the discordant read pairs in step (e), includes finding a matching region of the second read that forms a pair using a soft-clip segment portion of the first read as a query, or finding a matching region of the first read that forms a pair using a soft-clip segment portion of the second read as a query.

[0105] In the present invention, the method further includes, after the separation of the concordant read pairs in step (e), finding a matching region of the second read that forms a pair using a soft-clip segment portion of the first read as a query, or finding a matching region of the first read that forms a pair using a soft-clip segment portion of the second read as a query, while assuming, as a virtual second read, the secondary mapping region obtained by determining whether or not there is mapping to other genes with reference to the secondary alignment tag information of the first read (FIG. 3).

[0106] In the present invention, a method of finding a matching region of each read after separating the concordant read pair and the discordant read pair in step (e) may be broadly referred to as a pair-blast search.

[0107] In the present invention, in the step of finding a matching region of the discordant read pair, when a matching region is found, a read including the matching region is derived as a gene rearrangement candidate group to determine a supporting pair count.

[0108] In the present invention, in the step of finding a matching region of the concordant read pair, when a matching region is found, a read including the matching region is derived as a gene rearrangement candidate group to determine a supporting pair count.

[0109] In the present invention, the supporting pair count may be determined by integrating the results determined from the discordant read pair and the concordant read pair.

[0110] In the present invention, the step of integrating the supporting pair count may include increasing the supporting pair count when the supporting pair count is determined even for the discordant read pair, and the supporting pair count is determined even for the concordant read pair. Although the type of the gene rearrangement is identical, when the position thereof is different, it may be determined to be different.

[0111] In the present invention, the step (e) may further include arranging the reads not extracted as candidates for gene rearrangement for further analysis.

[0112] In the present invention, the step (e) further includes producing a gene rearrangement template (FIG. 4, fusion gene template) based on the read information derived as the gene rearrangement candidate group.

[0113] In the present invention, the gene rearrangement template is a base sequence on the reference genome including 300 bp to 500 bp in the 5 direction and 300 bp to 500 bp in the 3 direction from the gene rearrangement position (for example, the breakpoint of the fusion gene when the gene rearrangement is a fusion gene), but is not limited thereto.

[0114] In the present invention, analyzing the sequence similarity in step (e) may further include comparing the unextracted reads for analysis as the gene rearrangement template and the gene rearrangement candidate group to determine a supporting read count.

[0115] In the present invention, the supporting read count is determined as the number of reads that are mapped while passing the breakpoint of the gene rearrangement in the gene rearrangement template after performing blast using the arranged reads as blastdb and using the gene rearrangement template as a query.

[0116] In the present invention, the unextracted read for analysis as the gene rearrangement candidate group may be a read present within 500 bp in the 5 direction and the 3 direction from the position of gene rearrangement candidate group, but is not limited thereto.

[0117] In the present invention, the unextracted read for analysis as the gene rearrangement candidate group may include a soft-clip segment.

[0118] In the present invention, the step of detecting the gene rearrangement may include determining, as a gene rearrangement, when the supporting read count is 5 or more.

[0119] In the present invention, the step of detecting the gene rearrangement may further include a reference value having two or more supporting pair counts, but is not limited thereto.

[0120] In the present invention, the supporting read count and supporting pair count for detecting the gene rearrangement may be determined by the following Equation:

Supporting Pair Score=Discordant Supporting Pair Count+Concordant Supporting Pair Count Equation 1:

Supporting Read Score=Read1 Supporting Read Count+Read2 Supporting Read Count Equation 2:

Cutoff: Supporting Pair Score>=2 AND Supporting Read Score>=5 Equation 2:

[0121] In another embodiment of the present invention, the read obtained through NGS from a FFPE sample of a lung cancer patient is arranged in the HG19 reference genome using the M option of BWA, and then the read is extracted based on the information on the region of interest and matched to the genome information of the UCSC genome database to separate concordant read pairs and discordant read pairs. Then, in the case of the discordant read pair, the soft-clip fragments of the first read and the second read are matched to each other to find a matching part, and in the case of the concordant read pair, a virtual second read is produced and matched to the first read to find a matching part and determine the same as a supporting pair count. Then, a gene rearrangement template is produced using the gene rearrangement candidate group determined in the step, and the read not extracted in the step is matched to a gene rearrangement template to determine a supporting read count, and when the supporting read count is more than one in each of the first and second reads, a computer system that determines the supporting read count as a gene rearrangement is designed and tested. The result showed that it is possible to find a gene rearrangement that cannot be found using a conventional published program.

[0122] In another aspect, the present invention is directed to a computer system including a computer-readable medium encoded with a plurality of instructions for controlling a computing system to perform a method of detecting a gene rearrangement using next-generation sequencing (NGS), wherein the method includes: (a) acquiring a library including a plurality of nucleic acid molecules from a sample of a subject; (b) bringing the library into contact with a plurality of bait sets to enrich the library with respect to a preselected sequence to provide a selected nucleic acid molecule and thereby provide a library catch; (c) acquiring reads from the nucleic acid molecules of the library catch through next-generation sequencing; (d) arranging the reads using an alignment method; and (e) analyzing the arranged reads to detecting a gene rearrangement, wherein the analysis method includes extracting the arranged reads to analyze sequence similarity.

[0123] Hereinafter, the present invention will be described in more detail with reference to examples. However, it will be obvious to those skilled in the art that these examples are provided only for illustration of the present invention and should not be construed as limiting the scope of the present invention.

EXAMPLE 1

Step of Performing Next-Generation Sequencing from Lung Cancer Sample

[0124] DNA was extracted from a FFPE sample acquired from a lung cancer tissue sample having known fusion genes present therein through fluorescence in-situ hybridization (FISH) to produce a library, and NGS reads were acquired using Illumina's MiSeq.

[0125] Baits were designed to include all of the positions on the chromosome including the information on the region of interest in Table 1.

EXAMPLE 2

Arrangement of Sequenced Sequences In Reference Genome and Read Sorting

[0126] The reads acquired in Example 1 were arranged with BWA in the Hg19 reference genome, and the analysis was performed by adding the option (M) to add a secondary alignment tag in the arrangement program (BWA) for analysis of concordant read pairs.

[0127] The discordant and concordant read pairs were separated by inputting reads based on UCSC RefGene information (HCSC hg 19), and then the filtered reads were arranged in ascending order to make it easier to sequentially extract first and second reads.

EXAMPLE 3

Pair-Blast Search and Determination of Supporting Pair Counts

[0128] In the case of the discordant read pair sorted (separated) in Example 2, the soft-clip segment portion of the first read (read1) was extracted to form a query, and the matching segment portion of the second read (read2), constituting a mate, is used as a subject to perform blastn search local alignment. The strands of reads aligned through this process were identified to determine the direction of read1 (gene1) and read2 (gene2), and a blastn search was performed in the same manner as above using the soft-clip segment of read2 as a query and using a matching segment part of read1 as a subject.

[0129] As a result, since match and mismatch information at the nucleotide level can be obtained, micro-homology sequences present in both fusion genes can be identified, and externally inserted sequences can be identified.

[0130] In the case of concordant read pairs, since read1 and read2 were mapped to the same gene, it was identified again whether or not they are secondarily mapped to genes other than read2 with reference to SA (secondary alignment) tag information, having additional information in read1. Sequencing was performed in the same manner as in the discordant read pair, assuming that the second mapping region is virtual read2.

[0131] The result showed that the fusion break point can be determined with the nucleotide base-pair resolution using fusion gene orientation, micro-homology and inserted-sequence information (Table 2) based on the following criteria: when integrating the fusion gene candidate groups derived from discordant and concordant read pairs, respectively, and determining supporting pair counts, in the case where a fusion gene candidate group is simultaneously determined from respective read pairs, a fusion gene, in which the supporting pair count is increased but the breakpoint differs by more than the number of micro-homology sequences, although the type of gene is identical, is not integrated into one fusion gene, but is recorded as another fusion gene.

TABLE-US-00002 TABLE 2 (Partial) Result until supporting pair count is determined fusion fusion gene1 gene1 gene1 gene1 gene1 gene2 gene nt gene1 transcript strand hr breakpoint gene2 transcript S C14A2 2 NM_ chr4 25679213 > ROS NM_0 844 G EGFR NM_00 chr 5 6 < P NM_0024553 R1 O5 R NM_0158 chr 282 3 S NM_00125 31 4 RE NM_0178 2 ch 425617 > RE NM_02097 4 A AFF3 ACO _ 0 4.3 chr1 chr1 A NM_0 A A A NM_002 5 chr2 77189 NM_ 7 A P A NM_ chr2 32 2 NM_ 8 fusion gene2 gene2 gene2 gene2 support new gene1 gene2 discordant gene strand hr breakpoint fusion gene query size query size ogy S C14A2 ch 76 10 S C 3 0 0 G hr7 4478 > EGFR <> T 00 2 7 0 R1 O5 chr1 046874 4 R BD 00 2 0 4 RE ch 10 436 7 5 3 RE 00 30 0 0 A AFF3 chr2 0 63 9 2 A A 30 30 0 A A ch 1 62 AFF3 00 2 33 0 A P chr20 14 2 A W 00 1 indicates data missing or illegible when filed

EXAMPLE 4

Determination of Supporting Read Count

[0132] The remaining reads excluding the reads extracted in Example 2 were mapped to the fusion gene template by BLAST search to determine a supporting read count. First, the remaining reads excluding the reads used for the analysis of Example 3 were extracted to form a blastdb, and 300 bp were extracted in each of the 5 direction and the 3 direction, based on the fusion gene candidate group obtained in Example 3, to produce a fusion gene template. Then, blastn search was performed using the fusion gene template as a query.

[0133] In the above process, instead of extracting all of the remaining reads, only the reads present within 500 base pairs of the fusion gene breakpoint in 5 and 3 directions were extracted, and only the reads having soft-clip segments were extracted and used for analysis. The number of reads mapped while passing through the fusion breakpoint of the fusion gene template was filtered and recorded as a fusion gene supporting read count.

[0134] The result showed that the supporting read counts were determined in the first and second reads, respectively.

TABLE-US-00003 TABLE 3 (Partial) result until supporting pair count is determined fusion_gene fusion_ nt gene1 gene1_tx gene1_strand gene1_ch gene1_bp gene1_ en _seq gene2 H P A H 1 NM_0053 chr7 75172169 K N F RK3 NM_0025 chr15 5 728 9 FN1 MET MET NM_0002 chr 116340231 MF P S XL2 NM_0 2 7 chr3 358244 A RO 2 EGFR A2 EGFP NM_ 52 chr7 55266 57 CT GATGAT LC 4A2 AGACGCAG ATAGTCG C AA AK KIA 7 NM_0211 4 chr8 224767 8 AT AATG A A T 3 XDM6A NM_ chr 44790 19 TGCTCAGAT TP53 A C AT EGFR WHA EGFR NM_00 2 chr7 5 59563 G WHA FAM A RO 1 FAM A NM_0175 3 chr 7 6 39 15 G OS SLC EGFR SLC34A2 NM_008424.2 chr4 25 8 33 AT EGF TSC SLC TSC2 NM_000542.3 chr18 2 0899 G L A2 ROS A F ROS NM_00294 .2 chr 277 0745 AAAATGCA A F3 GACC TCCA ACT CTCC TTTG TTC Supporting Resin Count fusion_gene gene2_ gene2_strand gene2_ gene2_bp gene2_ ent Count new_fusion_gene (BLAST) H P A NM_00 4.4 chr2 2944 93 130 H P ALK 22 N NM_00202 .1 chr2 2 6245 3 5 NTRK2 N MET NM_015 34.3 chr17 170 542 5 MET M R P 5 S NM_002944. chr5 7 4 5 8 4 F X RO EGFR A2 NM_005424.2 chr4 2 6798 3 EGFR C 4A 00 AA AK NM_002227. chr1 534916 3 IAA1967 4 6 A T 3 NM_00 26 2 chr17 7578 50 3 M6A TP 22 EGFR WHA NM_0 479.3 chr7 59 4 2 3 EGFR HA 6 FAM A RO 1 NM_002944.2 chr5 768 2 9 3 AM A RO 6 SLC EGFR NM_005228.3 chr7 55 8 3 LC A2 EG 6 TSC SLC NM_00 424.2 chr4 25 7 27 3 TS SL A2 6 ROS A F NM_002295.2 chr2 10070 23 2 RO A F3 0 indicates data missing or illegible when filed

EXAMPLE 5

Final Fusion Gene Determination

[0135] The fusion gene template was produced based on reads having a supporting pair count of 2 or more, derived from Example 3. Based on this, the supporting read count was determined, and then the fusion gene candidate group having a supporting read count of 5 or more in the first read and/or the second read was finally determined as a fusion gene.

[0136] As can be seen from Table 4, the result showed that fusion genes that cannot be detected by the conventional well-known program can be detected.

TABLE-US-00004 TABLE 4 Comparison in gene detection result between present invention and conventional program Fusion gene Fusion gene Finding (by FISH) (by program) Sample Fusion FACTERA ROS1 SLC34A:ROS1 FFPE6 HSF2:ROS1/ FFPE9 ROS1:VOLL2 RET KIF5B:RET FFPE22 X CCDC6:RET FFPE24 X CCDC6:RET FFPE46 ALK EML4:ALK FFPE17 EML4:ALK FFPE28 EML4:ALK FFPE29 EML4:ALK FFPE37 EML4:ALK FFPE45 EML4:ALK FFPE50 EML4:ALK FFPE52 EML4:ALK FFPE53 EML4:ALK FFPE54 HIP:ALK FFPE56

[0137] Although specific configurations of the present invention have been described in detail, those skilled in the art will appreciate that this description is provided to set forth preferred embodiments for illustrative purposes and should not be construed as limiting the scope of the present invention. Therefore, the substantial scope of the present invention is defined by the accompanying claims and equivalents thereto.

INDUSTRIAL APPLICABILITY

[0138] The method of detecting a gene rearrangement through NGS according to the present invention is advantageously capable not only of detecting a gene rearrangement through reads obtained using NGS, but also of accurately identifying even the directions of gene rearrangement, and the positions of microhomology sequences, externally inserted sequences and the gene rearrangement in base-pair units, performing detection with high accuracy on concordant read pairs, which cannot be detected by conventional methods, and reducing the time taken for detection owing to the possibility of detection only in certain cancer- or tumor-associated genes. Thus, the method of the present invention is useful for effectively detecting gene rearrangements in cancer samples.