TY - JOUR A1 - Potter, Nicola E. A1 - Ermini, Luca A1 - Papaemmanuil, Elli A1 - Cazzaniga, Giovanni A1 - Vijayaraghavan, Gowri A1 - Titley, Ian A1 - Ford, Anthony A1 - Campbell, Peter A1 - Kearney, Lyndal A1 - Greaves, Mel T1 - Single-cell mutational profiling and clonal phylogeny in cancer Y1 - 2013/12/01 JF - Genome Research JO - Genome Research SP - 2115 EP - 2125 DO - 10.1101/gr.159913.113 VL - 23 IS - 12 UR - http://genome.cshlp.org/content/23/12/2115.abstract N2 - The development of cancer is a dynamic evolutionary process in which intraclonal, genetic diversity provides a substrate for clonal selection and a source of therapeutic escape. The complexity and topography of intraclonal genetic architectures have major implications for biopsy-based prognosis and for targeted therapy. High-depth, next-generation sequencing (NGS) efficiently captures the mutational load of individual tumors or biopsies. But, being a snapshot portrait of total DNA, it disguises the fundamental features of subclonal variegation of genetic lesions and of clonal phylogeny. Single-cell genetic profiling provides a potential resolution to this problem, but methods developed to date all have limitations. We present a novel solution to this challenge using leukemic cells with known mutational spectra as a tractable model. DNA from flow-sorted single cells is screened using multiplex targeted Q-PCR within a microfluidic platform allowing unbiased single-cell selection, high-throughput, and comprehensive analysis for all main varieties of genetic abnormalities: chimeric gene fusions, copy number alterations, and single-nucleotide variants. We show, in this proof-of-principle study, that the method has a low error rate and can provide detailed subclonal genetic architectures and phylogenies. ER -