RT Journal Article SR Electronic T1 Myeloma immunoglobulin rearrangement and translocation detection through targeted capture sequencing JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202201543 DO 10.26508/lsa.202201543 VO 6 IS 1 A1 Chow, Signy A1 Kis, Olena A1 Mulder, David T A1 Danesh, Arnavaz A1 Bruce, Jeff A1 Wang, Ting Ting A1 Reece, Donna A1 Bhalis, Nizar A1 Neri, Paola A1 Sabatini, Peter JB A1 Keats, Jonathan A1 Trudel, Suzanne A1 Pugh, Trevor J YR 2023 UL http://www.life-science-alliance.org/content/6/1/e202201543.abstract AB Multiple myeloma is a plasma cell neoplasm characterized by clonal immunoglobulin V(D)J signatures and oncogenic immunoglobulin gene translocations. Additional subclonal genomic changes are acquired with myeloma progression and therapeutic selection. PCR-based methods to detect V(D)J rearrangements can have biases introduced by highly multiplexed reactions and primers undermined by somatic hypermutation, and are not readily extended to include mutation detection. Here, we report a hybrid-capture approach (CapIG-seq) targeting the 3′ and 5′ ends of the V and J segments of all immunoglobulin loci that enable the efficient detection of V(D)J rearrangements. We also included baits for oncogenic translocations and mutation detection. We demonstrate complete concordance with matched whole-genome sequencing and/or PCR clonotyping of 24 cell lines and report the clonal sequences for 41 uncharacterized cell lines. We also demonstrate the application to patient specimens, including 29 bone marrow and 39 cell-free DNA samples. CapIG-seq shows concordance between bone marrow and cfDNA blood samples (both contemporaneous and follow-up) with regard to the somatic variant, V(D)J, and translocation detection. CapIG-seq is a novel, efficient approach to examining genomic alterations in myeloma.