All the DNA samples were screened for germline mutations using the On-Demand Research Assay on the Ion S5 system (both ThermoFisher Scientific, Waltham, MA, USA). Each DNA sample was checked for concentration using a Qubit 3.0 Fluorometer (Thermo Fisher Scientific). The concentration of input DNA was then adjusted to 50 pmol.
The library and template preparations were performed using the automated Ion Chef System, then sequenced in Ion S5 with Ion 520 Chip (all Thermo Fisher Scientific) according to the manufacturer’s instructions.
Sequencing results were aligned to the hg19 human reference genome and analyzed using the Ion Reporter Software Version 5.10 (Thermo Fisher Scientific).
The variant frequency cut-off for the detection of gene germline mutation was defined as 20%, as recommended by a previous study [7 (link)].
The On-Demand Research Assay showed 99.85% sensitivity, 100% specificity, 0% false-positive rate and 99.99% accuracy in detecting single nucleotide variations (SNVs) and small deletions.
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