Next-generation sequencing errors due to genetic variation in WRAP53 encoding TCAB1 on chromosome 17

Hum Mutat. 2022 Dec;43(12):1856-1859. doi: 10.1002/humu.24469. Epub 2022 Sep 24.

Abstract

Next-generation sequencing (NGS) is a valuable tool, but has limitations in sequencing through repetitive runs of single nucleotides (homopolymers). Pathogenic germline variants in WRAP53 encoding telomere Cajal body protein 1 (TCAB1) are a known cause of dyskeratosis congenita. We identified a significant NGS error in WRAP53, c.1562dup, p.Ala522Glyfs*8 (rs755116516 G>-/GG/GGG) that did not validate by Sanger sequencing. This error occurs because rs755116516 G>-/GG/GGG (Chr17:7,606,714) is polymorphic, and variants at this site challenge the ability of NGS to accurately call the correct number of nucleotides in a homopolymer run. This was further complicated by the fact that chr17:7,606,721 (rs769202794) is multiallelic G>A, C, T, and that chr17:7,606,722 is also multiallelic (rs7640C>A/G/T and rs373064567C>delC). In addition to the expert interpretation of potentially clinically actionable variants, it recommended that all variants in regions of the genome with homopolymers be validated by Sanger sequencing before clinical action.

Keywords: WRAP53; next-generation sequencing; sequencing errors.

Publication types

  • Research Support, U.S. Gov't, P.H.S.
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, N.I.H., Intramural
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Chromosomes, Human, Pair 17* / genetics
  • Dyskeratosis Congenita* / genetics
  • Genetic Variation
  • Germ-Line Mutation / genetics
  • High-Throughput Nucleotide Sequencing
  • Humans
  • Molecular Chaperones* / genetics
  • Sequence Analysis, DNA
  • Telomerase* / genetics

Substances

  • WRAP53 protein, human
  • Molecular Chaperones
  • Telomerase