Using Ion Torrent PGM semiconductor sequencing (see below) a CNV baseline was established within the Ion Reporter workflow to enable detection of BRCA1 and BRCA2 CNV. Cases with uninformative HISPANEL and BRCA sequencing were further analyzed for CNVs in BRCA1 by MLPA (MRC-Holland, Amsterdam, the Netherlands). For each MLPA reaction, 125 ng of DNA was PCR amplified with probemix P002 according to the manufacturer’s instructions. PCR fragments were size separated on an ABI (Applied Biosystems, Carlsbad, CA) 3130xl capillary sequencer. Dosage calculations and determination of CNV were performed with Coffalyser.Net software v.140701 (MRC-Holland) and/or GeneMarker software (SoftGenetics, State College, PA). CNVs detected by NGS or MLPA, were confirmed with MLPA probe mixes P087 and P045, respectively. BRCA2 was only evaluated for CNV by NGS, in part due to the known 5-fold greater rate of occurrence in BRCA1 relative to BRCA2 of CNVs37 (link).
Free full text: Click here