TY - JOUR A1 - Nachmanson, Daniela A1 - Lian, Shenyi A1 - Schmidt, Elizabeth K. A1 - Hipp, Michael J. A1 - Baker, Kathryn T. A1 - Zhang, Yuezheng A1 - Tretiakova, Maria A1 - Loubet-Senear, Kaitlyn A1 - Kohrn, Brendan F. A1 - Salk, Jesse J. A1 - Kennedy, Scott R. A1 - Risques, Rosa Ana T1 - Targeted genome fragmentation with CRISPR/Cas9 enables fast and efficient enrichment of small genomic regions and ultra-accurate sequencing with low DNA input (CRISPR-DS) Y1 - 2018/10/01 JF - Genome Research JO - Genome Research SP - 1589 EP - 1599 DO - 10.1101/gr.235291.118 VL - 28 IS - 10 UR - http://genome.cshlp.org/content/28/10/1589.abstract N2 - Next-generation sequencing methods suffer from low recovery, uneven coverage, and false mutations. DNA fragmentation by sonication is a major contributor to these problems because it produces randomly sized fragments, PCR amplification bias, and end artifacts. In addition, oligonucleotide-based hybridization capture, a common target enrichment method, has limited efficiency for small genomic regions, contributing to low recovery. This becomes a critical problem in clinical applications, which value cost-effective approaches focused on the sequencing of small gene panels. To address these issues, we developed a targeted genome fragmentation approach based on CRISPR/Cas9 digestion that produces DNA fragments of similar length. These fragments can be enriched by a simple size selection, resulting in targeted enrichment of up to approximately 49,000-fold. Additionally, homogenous length fragments significantly reduce PCR amplification bias and maximize read usability. We combined this novel target enrichment approach with Duplex Sequencing, which uses double-strand molecular tagging to correct for sequencing errors. The approach, termed CRISPR-DS, enables efficient target enrichment of small genomic regions, even coverage, ultra-accurate sequencing, and reduced DNA input. As proof of principle, we applied CRISPR-DS to the sequencing of the exonic regions of TP53 and performed side-by-side comparisons with standard Duplex Sequencing. CRISPR-DS detected previously reported pathogenic TP53 mutations present as low as 0.1% in peritoneal fluid of women with ovarian cancer, while using 10- to 100-fold less DNA than standard Duplex Sequencing. Whether used as standalone enrichment or coupled with high-accuracy sequencing methods, CRISPR-based fragmentation offers a simple solution for fast and efficient small target enrichment. ER -