Table 2.

Considerations for identifying somatic variants in GEI

Sample sequencing
Genome sequencing (∼30×): Identifies coding, non-coding, and structural variants 
Exome sequencing (∼200×): Focuses on coding regions 
Targeted sequencing (>500×): Allows for deep sequencing of genes of interest for disease pathogenesis 
Single-cell sequencing: Used to pair variant identification with additional data (i.e., scRNA-seq, ATAC-seq) 
Variant caller considerations 
Controls: Does the caller require a matched normal (are there other tissues from a patient that could be used)? What samples are being used as a “panel of normals?” 
Types of variants: What does the caller perform best with (e.g., SNVs, insertion/deletions, structural variants)? 
Consensus calling: What algorithms complement each other the best? How many callers need to agree on a variant? 
Sequencing method: Are there specific callers designed for the method of sequencing used that can help extend the limit of detection? 
Limit of detection: What is the lowest VAF that a caller can reliably call? 
Variant validation methods 
Sanger sequencing of cell type enriched for variant 
ddPCR 
Resequencing with an independent library 
Alternative NGS method (e.g., long-read sequencing) 
Evaluate other sequencing data 
Sample sequencing
Genome sequencing (∼30×): Identifies coding, non-coding, and structural variants 
Exome sequencing (∼200×): Focuses on coding regions 
Targeted sequencing (>500×): Allows for deep sequencing of genes of interest for disease pathogenesis 
Single-cell sequencing: Used to pair variant identification with additional data (i.e., scRNA-seq, ATAC-seq) 
Variant caller considerations 
Controls: Does the caller require a matched normal (are there other tissues from a patient that could be used)? What samples are being used as a “panel of normals?” 
Types of variants: What does the caller perform best with (e.g., SNVs, insertion/deletions, structural variants)? 
Consensus calling: What algorithms complement each other the best? How many callers need to agree on a variant? 
Sequencing method: Are there specific callers designed for the method of sequencing used that can help extend the limit of detection? 
Limit of detection: What is the lowest VAF that a caller can reliably call? 
Variant validation methods 
Sanger sequencing of cell type enriched for variant 
ddPCR 
Resequencing with an independent library 
Alternative NGS method (e.g., long-read sequencing) 
Evaluate other sequencing data 

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