1. DNA SEQUENCING
HNL Genomics (CTGT) performs DNA sequencing tests for hundreds of disorders. Years of experience with DNA sequencing for molecular diagnostics ensures very high test sensitivity. All coding exons and exon boundaries of the targeted genes are covered. Coverage typically extends from 40 nucleotides prior to the start of an exon (-40) to 20 nucleotides past the end of an exon (+20). Minimum coverage is -3 to +6.
Next Generation Sequencing
HNL Genomics (CTGT) also offers Next Generation Sequencing (NGS) panels using the SureSelect and Illumina MiSeq platforms. NGS provides high throughput sequencing of many genes simultaneously and is useful for disorders associated with multiple genes.
HNL Genomics (CTGT) utilizes advanced technology and innovative, custom-designed software to perform next generation sequencing tests. Our next generation sequencing panels provide Sanger quality data with a rapid turn-around time at reduced cost. HNL Genomics (CTGT) offers 100% coverage of targeted exons and exon boundaries, for the detection of insertions and deletions, and complete selectivity in the presence of pseudogenes.
All coding exons and exon boundaries of the genes on the panel are captured using SureSelect target enrichment. The products are sequenced on an Illumina MiSeq and proprietary, custom designed software is used to identify sequence variants. Exons that are not completely covered by at least 40 NGS reads are sequenced using Sanger sequencing. Additionally, all potentially pathogenic sequence variants identified by NGS are confirmed by Sanger sequencing. Similar to Sanger sequencing, this method will detect point mutations, splice site mutations, and small insertions and deletions.
2. DELETION / DUPLICATION ANALYSIS
NGS based methodology is used for copy number variation (CNV) analysis. The methodology has a high resolution, and an extremely high degree of specificity and sensitivity. CNV detection limit is typically a single exon.
CTGT remains actively involved in evaluating new methodologies for mutation detection. These methodologies will be considered for introduction if they are proven to be reliable, accurate and superior or complementary to existing technology.