Oncogenic gene fusions are important drivers in many cancer types, including carcinomas, with diagnostic and therapeutic implications. Hence, sensitive and rapid methods for parallel profiling in formalin-fixed and paraffin-embedded (FFPE) specimens are needed. In this study we analyzed gene fusions in a cohort of 517 cases where standard treatment options were exhausted. To this end the Archer DX Solid tumor panel (AMP; 285 cases) and the Oncomine Comprehensive Assay v3 (OCA; 232 cases) were employed. Findings were validated by Sanger sequencing, fluorescence in situ hybridization (FISH) or immunohistochemistry. Both assays demonstrated minimal dropout rates (AMP: 2.4%; = 7/292, OCA: 2.1%; = 5/237) with turnaround times of 6-9 working days (median, OCA and AMP, respectively). Hands-on-time for library preparation was 6 h (AMP) and 2 h (OCA). We detected = 40 fusion-positive cases (7.7%) with TMPRSS2::ERG in prostate cancer being most prevalent ( = 9/40; 22.5%), followed by other gene fusions identified in cancers of unknown primary ( = 6/40; 15.0%), adenoid cystic carcinoma ( = 7/40; 17.5%), and pancreatic cancer ( = 7/40; 17.5%). Our results demonstrate that targeted RNA-sequencing of FFPE samples is feasible, and a well-suited approach for the detection of gene fusions in a routine clinical setting.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6769558PMC
http://dx.doi.org/10.3390/cancers11091309DOI Listing

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