Detecting ultralow-frequency mutations by Duplex Sequencing
Open accessAbstract
Duplex Sequencing (DS) is a next-generation sequencing methodology capable of detecting a single mutation among >1 × 10(7) wild-type nucleotides, thereby enabling the study of heterogeneous populations and very-low-frequency genetic alterations. DS can be applied to any double-stranded DNA sample, but it is ideal for small genomic regions of <1 Mb in size. The method relies on the ligation of sequencing adapters harboring random yet complementary double-stranded nucleotide sequences to the sample DNA of interest. Individually labeled strands are then PCR-amplified, creating sequence 'families' that share a common tag sequence derived from the two original complementary strands. Mutations are scored only if the variant is present in the PCR families arising from both of the two DNA strands. Here we provide a detailed protocol for efficient DS adapter synthesis, library preparation and target enrichment, as well as an overview of the data analysis workflow. The protocol typically takes 1-3 d.
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Duplex sequencing enables the detection of mutations as low as 1 in 10^8 nucleotides sequenced.
“duplex sequencing enables the detection of mutations as low as 1 in 10 8 nucleotides sequenced (17, 18).”
From Why Cockayne syndrome patients do not get cancer despite their DNA repair deficiency (2016) · cites this paper as [18]
The Introduction ('The concept of DS'; page not available) says Duplex Sequencing can detect a single mutation among more than 10^7 sequenced bases. That supports ultralow-frequency detection, but the copy does not establish the specific sensitivity of 1 in 10^8 claimed here. (LLM, conf=0.88)
Experimental — accuracy not yet measuredDuplex sequencing is a highly accurate next-generation sequencing methodology that enables the detection of rare mutagenic effects.
“we used duplex sequencing, a highly accurate next-generation sequencing methodology that enables the detection of rare mutagenic effects (18)”
From Why Cockayne syndrome patients do not get cancer despite their DNA repair deficiency (2016) · cites this paper as [18]
Use of duplex sequencing enabled study of the mutagenic consequences of UV damage independent of selective pressures and in far greater detail than previously possible.
“In contrast to previous methods, our use of duplex sequencing (18) enabled us to study the mutagenic consequences of UV damage independent of selective pressures and in far greater detail than previously possible.”
From Why Cockayne syndrome patients do not get cancer despite their DNA repair deficiency (2016) · cites this paper as [18]
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“, 2018), which uses double-stranded molecular barcodes for error correction and decreases the error rate of sequencing from 10 3 to <10 7 (Kennedy et al., 2014; Schmitt et al., 2012).”
BackgroundSelf-citationSelfish mutations dysregulating RAS-MAPK signaling are pervasive in aged human testes
Maher, G. J., Ralph, H. K., Ding, Z., Koelling, N., Mlcochova, H., Giannoulatou, E., Dhami, P., Paul, D. S., Stricker, S. H., Beck, S., et al. (2018) · Genome Research · doi:10.1101/gr.239186.118 · Cited by 85 · see citing works
“Broad-scale approaches that target both DNA strands and use unique molecular indexes such as Duplex sequencing (Kennedy et al. 2014) or smMIPs (Hiatt et al. 2013) (used here to validate a subset of variants) represent valuable alternatives to direct PCR amplification in future studies to reduce…”
MethodAge-related accumulation of de novo mitochondrial mutations in mammalian oocytes and somatic tissues
Arbeithuber, B., Hester, J., Cremona, M., Stoler, N., Zaidi, A. A., Higgins, B., Anthony, K., Chiaromonte, F., Diaz, F., & Makova, K. (2020) · PLoS Biology · doi:10.1371/journal.pbio.3000745 · Cited by 89 · see citing works
“The amount of mtDNA in a single oocyte (<5 pg) is several orders of magnitude lower than the minimal amount of DNA required for library preparation in a published duplex sequencing protocol (approximately 100 ng) [48].”
BackgroundMethodInfluentialMapping the Evolutionary Potential of RNA Viruses
Dolan, P., Whitfield, Z. J., & Andino, R. (2018) · Cell Host & Microbe · doi:10.1016/j.chom.2018.03.012 · Cited by 91 · see citing works
“…of sitespecific negative selection through the observation of dynamics of low frequency alleles in naturally evolving populations (Acevedo et al., 2014; Jabara et al., 2011; Kennedy et al., 2014; Kosik et al., 2018) and the high-resolution screening of mutant libraries before and after selection.”
BackgroundCost-effective methylome sequencing of cell-free DNA for accurately detecting and locating cancer
Stackpole, M. L., Zeng, W., Li, S., Liu, C.-C., Zhou, Y., He, S., Yeh, A., Wang, Z., Sun, F., Li, Q., et al. (2022) · Nature Communications · doi:10.1038/s41467-022-32995-6 · Cited by 108 · see citing works
“…HC T4 DNA ligase (30 Weiss Unit/ µ l), 5 ng home-made duplex UMI adapter with all the cytosines methylated (protocol adopted from Kennedy et al 25 PCR ampli fi cation was done using the NEBNext Multiplex Oligos for Illumina (2.5 µ l of universal and index primer each) and 25 µ l KAPA HiFi…”
MethodInfluentialA critical spotlight on the paradigms of FFPE-DNA sequencing
Steiert, T., Parra, G., Gut, M., Arnold, N., Trotta, J., Tonda, R., Moussy, A., Gerber, Z., Abuja, P., Zatloukal, K., et al. (2023) · Nucleic Acids Research · doi:10.1093/nar/gkad519 · Cited by 87 · see citing works
Anderson, K., Auclair, D., Kelloff, G., Sigman, C., Avet-Loiseau, H., Farrell, A., Gormley, N., Kumar, S. K., Landgren, O., Munshi, N., et al. (2017) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-16-2895 · Cited by 86 · see citing works
“To detect MRD will require integration of molecular barcoding techniques to enable error suppression at levels <10 (49, 50) as well as expansion of the targeted genomic regions”
BackgroundLauer, E. M., Mutter, J., & Scherer, F. (2022) · Leukemia · doi:10.1038/s41375-022-01618-w · Cited by 91 · see citing works
Salk, J. J., & Kennedy, S. R. (2019) · Environmental and Molecular Mutagenesis · doi:10.1002/em.22342 · Cited by 89 · see citing works
“Duplex Sequencing was the first method to use double-stranded consensuses to remove both sequencer and early PCR derived errors (Schmitt et al. 2012; Kennedy et al. 2014; Fig.”
MethodSelf-citationCirculating-tumor DNA as an early detection and diagnostic tool
Butler, T. M., Spellman, P. T., & Gray, J. W. (2017) · Current Opinion in Genetics & Development · doi:10.1016/j.gde.2016.12.003 · Cited by 88 · see citing works
The potential of cerebrospinal fluid-based liquid biopsy approaches in CNS tumors.
Mattox, A., Yan, H., & Bettegowda, C. (2019) · Neuro-Oncology · doi:10.1093/neuonc/noz156 · Cited by 79 · see citing works
When Tissue is an Issue the Liquid Biopsy is Nonissue: A Review
Rodríguez, J. K., Ávila, J., Rolfo, C. D., Ruíz-Patiño, A., Russo, A., Ricaurte, L., Ordóñez‐Reyes, C., Arrieta, O. G., Zatarain-Barrón, Z. L., Recondo, G., et al. (2021) · Oncology and Therapy · doi:10.1007/s40487-021-00144-6 · Cited by 89 · see citing works
Wright, C. F., Prigmore, E., Rajan, D., Handsaker, J., McRae, J. F., Kaplanis, J., Fitzgerald, T. W., FitzPatrick, D. R., Firth, H. V., & Hurles, M. E. (2019) · Nature Communications · doi:10.1038/s41467-019-11059-2 · Cited by 86 · see citing works
High-throughput sequencing for noninvasive disease detection in hematologic malignancies
Scherer, F., Kurtz, D. M., Diehn, M., & Alizadeh, A. A. (2017) · Blood · doi:10.1182/blood-2017-03-735639 · Cited by 80 · see citing works
“0001% (Figure 2).(16,19,20) Furthermore, HTS-based assays facilitate assessmentof intra- and intertumorheterogeneity, allowing individualized detection of clonal evolution.”
BackgroundPécuchet, N., Rozenholc, Y., Zonta, E., Pietrasz, D., Didelot, A., Combe, P., Gibault, L., Bachet, J., Taly, V., Fabre, E., et al. (2016) · Clinical Chemistry · doi:10.1373/clinchem.2016.258236 · Cited by 87 · see citing works
Patel, M. R., Miriyala, G., Littleton, A. J., Yang, H.-K., Trịnh, K., Young, J. M., Kennedy, S. R., Yamashita, Y. M., Pallanck, L., & Malik, H. S. (2016) · eLife · doi:10.7554/elife.16923 · Cited by 75 · see citing works
Self-citationDetection of low-frequency DNA variants by targeted sequencing of the Watson and Crick strands
Cohen, J., Douville, C., Dudley, J., Mog, B., Popoli, M., Ptak, J., Dobbyn, L., Silliman, N., Schaefer, J., Tie, J., et al. (2021) · Nature Biotechnology · doi:10.1038/s41587-021-00900-z · Cited by 74 · see citing works
Sanchez-Contreras, M., Sweetwyne, M. T., Tsantilas, K. A., Whitson, J. A., Campbell, M. D., Kohrn, B. F., Kim, H. J., Hipp, M. J., Fredrickson, J., Nguyen, M. M., et al. (2023) · eLife · doi:10.7554/elife.83395 · Cited by 71 · see citing works
Self-citationNoyes, N. R., Weinroth, M. D., Parker, J. K., Dean, C. J., Lakin, S. M., Raymond, R., Rovira, P., Doster, E., Abdo, Z., Martin, J. N., et al. (2017) · Microbiome · doi:10.1186/s40168-017-0361-8 · Cited by 97 · see citing works
“The ResistomeUMI and Metagenome-UMI libraries were created using a protocol that incorporated dual-indexed UMI adapters (see Additional file 13) into sequence libraries [23], with modifications to allow for integration with Agilent SureSelect protocols (see Additional file 1: Supplementary Methods for details).”
Chen, S.-F., Zhou, Y., Chen, Y., Huang, T., Liao, W., Xu, Y., Li, Z., & Gu, J. (2018) · BMC Bioinformatics · doi:10.1186/s12859-019-3280-9 · Cited by 69
Wang, P., Song, Q., Ren, J., Zhang, W., Wang, Y., Zhou, L., Wang, D., Chen, K., Jiang, L., Zhang, B., et al. (2022) · Science Translational Medicine · doi:10.1126/scitranslmed.abp8704 · Cited by 79 · see citing works
Somatic mutation and selection at population scale
Lawson, A. R. J., Abascal, F., Nicola, P. A., Lensing, S. V., Roberts, A. L., Kalantzis, G., Baez‐Ortega, A., Brzozowska, N., Moustafa, J. S. E.-S., Vaitkute, D., et al. (2025) · Nature · doi:10.1038/s41586-025-09584-w · Cited by 72 · see citing works
cfDNA Sequencing: Technological Approaches and Bioinformatic Issues
Bohers, E., Viailly, P., & Jardin, F. (2021) · Pharmaceuticals · doi:10.3390/ph14060596 · Cited by 67 · see citing works
“Duplex sequencing is an improvement of the Safe-SeqS technique [77,78].”
BackgroundMethodThe present and future of measurable residual disease testing in acute myeloid leukemia
Blachly, J., Walter, R., & Hourigan, C. (2022) · Haematologica · doi:10.3324/haematol.2022.282034 · Cited by 66 · see citing works
Liquid biopsy in pancreatic cancer: the beginning of a new era
Yadav, D. K., Bai, X., Yadav, R. K., Singh, A., Li, G., Ma, T., Chen, W., & Liang, T. (2018) · Oncotarget · doi:10.18632/oncotarget.24809 · Cited by 60 · see citing works
“com PCR (dPCR) [289], droplet digital PCR (ddPCR) [290], BEAMing [291, 292], cancer personalized profiling by deep sequencing (CAPP-Seq) [293], tagged amplicon deep sequencing (TAM-Seq) [276], safe-sequencing (SafeSeq) [294], duplex sequencing [295], integrated digital error suppression (iDES)-enhanced CAPP-Seq [296],…”
MethodDetecting rare mutations and DNA damage with sequencing-based methods
Sloan, D. B., Broz, A. K., Sharbrough, J., & Wu, Z.-Q. (2018) · Trends in Biotechnology · doi:10.1016/j.tibtech.2018.02.009 · Cited by 63 · see citing works
Reinert, T., Petersen, L. M. S., Henriksen, T. V., Larsen, M. Ø., Rasmussen, M. H., Johansen, A. F. B., Øgaard, N., Knudsen, M., Nordentoft, I., Vang, S., et al. (2022) · International Journal of Cancer · doi:10.1002/ijc.33924 · Cited by 62 · see citing works
“some minor adjustments.(23) In brief, libraries were generated using KAPA Hyper Library Preparation Kit (KAPA Biosystems).”
MethodSobesky, S., Mammadova, L., Cirillo, M., Drees, E. E. E., Mattlener, J., Dörr, H., Altmüller, J., Shi, Z., Bröckelmann, P. J., Weiss, J. M., et al. (2021) · Med · doi:10.1016/j.medj.2021.09.002 · Cited by 78 · see citing works
Bioinformatics Analysis for Circulating Cell-Free DNA in Cancer
Huang, C., Du, M., & Wang, L. (2019) · Cancers · doi:10.3390/cancers11060805 · Cited by 64 · see citing works
Arbeithuber, B., Makova, K. D., & Tiemann‐Boege, I. (2016) · DNA Research · doi:10.1093/dnares/dsw038 · Cited by 55 · see citing works
“One attomole of adapter-ligated DNA was used for the generation of amplified tag families, and the optimal cycle number for amplification was evaluated by real-time PCR, as suggested by Kennedy et al.45 Purifications of DNA between the different steps of library preparation were performed with Agencourt AMPure XP bead…”
MethodInfluentialHigh efficiency error suppression for accurate detection of low-frequency variants
Wang, T.-T., Abelson, S., Zou, J., Li, T.-T., Zhao, Z., Dick, J., Shlush, L., Pugh, T. J., & Bratman, S. (2019) · Nucleic Acids Research · doi:10.1093/nar/gkz474 · Cited by 61 · see citing works
“7––based on previous literature (9)), otherwise an N was assigned.”
BackgroundMethodBronkhorst, A. J., & Holdenrieder, S. (2023) · Medizinische Genetik · doi:10.1515/medgen-2023-2065 · Cited by 47 · see citing works
“It reportedly outperforms existing duplex sequencing methods [126,133,134,139,141–143] with significant input recovery improvements (5-to 75-fold) and achieves over a 100-fold enhancement in error correction compared to standard PCR and ligation-based approaches using strand-agnostic molecular…”
BackgroundMethodWaters, M., Warren, S., Hughes, C., Lewis, P., & Zhang, F.-Y. (2021) · Environmental and Molecular Mutagenesis · doi:10.1002/em.22471 · Cited by 59 · see citing works
“(Kennedy et al., 2014; Valentine et al., 2020).”
Polymerase specific error rates and profiles identified by single molecule sequencing
Hestand, M. S., Houdt, J. V., Cristofoli, F., & Vermeesch, J. R. (2016) · Mutation research. Fundamental and molecular mechanisms of mutagenesis · doi:10.1016/j.mrfmmm.2016.01.003 · Cited by 58 · see citing works
Hellwig, S., Nix, D. A., Gligorich, K. M., O'Shea, J. M., Thomas, A., Fuertes, C. L., Bhetariya, P., Marth, G., Bronner, M., & Underhill, H. (2018) · PLoS ONE · doi:10.1371/journal.pone.0197333 · Cited by 57 · see citing works
“Although duplex molecular barcoding, the assignment of unique molecular identifiers to both strands of DNA, has the greatest theoretical potential to reduce sequencing and PCR errors [25], the associated low ligation efficiency (10±20%) has limited applications seeking to detect very low frequency ctDNA variants due t…”
BackgroundHighly heterogeneous mutation rates in the hepatitis C virus genome
Geller, R., Estada, Ú., Peris, J. B., Andreu, I., Bou, J.-V., Garijo, R., Cuevas, J., Sabariegos, R., Mas, A., & Sanjuán, R. (2016) · Nature Microbiology · doi:10.1038/nmicrobiol.2016.45 · Cited by 57
Optimized targeted sequencing of cell-free plasma DNA from bladder cancer patients
Christensen, E., Nordentoft, I., Vang, S., Birkenkamp-Demtröder, K., Jensen, J. B., Agerbæk, M., Pedersen, J. S., & Dyrskjøt, L. (2018) · Scientific Reports · doi:10.1038/s41598-018-20282-8 · Cited by 56 · see citing works
Genomic mosaicism in paternal sperm and multiple parental tissues in a Dravet syndrome cohort
Yang, X., Liu, A., Xu, X., Yang, X., Zeng, Q., Ye, A. Y., Yu, Z., Wang, S., Huang, A. Y., Wu, X., et al. (2017) · Scientific Reports · doi:10.1038/s41598-017-15814-7 · Cited by 57 · see citing works
Ng, S. B. H., Chua, C., Ng, M., Gan, A., Poon, P., Teo, M., Fu, C., Leow, W., Lim, K., Chung, A., et al. (2017) · Scientific Reports · doi:10.1038/srep40737 · Cited by 55 · see citing works
Why Cockayne syndrome patients do not get cancer despite their DNA repair deficiency
Reid-Bayliss, K. S., Arron, S. T., Loeb, L. A., Bezrookove, V., & Cleaver, J. E. (2016) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1610020113 · Cited by 55 · see citing works
“Therefore, to determine definitively whether CS cells show an elevated frequency of UV-induced mutations, we used duplex sequencing, a highly accurate next-generation sequencing methodology that enables the detection of rare mutagenic effects (18), to study UV-induced mutagenesis in primary cells derived from normal p…”
BackgroundMethodInfluentialSelf-citationClonal selection of hematopoietic stem cells after gene therapy for sickle cell disease
Chapman, M. S., Cull, A. H., Ciuculescu, M. F., Esrick, E. B., Mitchell, E., Jung, H., O’Neill, L., Roberts, K., Fabre, M. A., Williams, N., et al. (2023) · Nature Medicine · doi:10.1038/s41591-023-02636-6 · Cited by 65 · see citing works
“To examine the acquisition of additional driver mutations in more detail, we performed targeted high-depth duplex sequencing 38,39 on pre-GT and at least two post-GT bulk myeloid cell samples from each patient.”
Comprehensive identification of somatic nucleotide variants in human brain tissue
Brain Somatic Mosaicism Network, Wang, Y., Bae, T., Thorpe, J., Sherman, M. A., Jones, A., Cho, S., Daily, K., Dou, Y., Ganz, J., et al. (2021) · Genome biology · doi:10.1186/s13059-021-02285-3 · Cited by 49 · see citing works
Nachmanson, D., Lian, S.-Y., Schmidt, E. K., Hipp, M. J., Baker, K. T., Zhang, Y.-Z., Tretiakova, M., Loubet-Senear, K. J., Kohrn, B. F., Salk, J., et al. (2018) · Genome Research · doi:10.1101/gr.235291.118 · Cited by 54 · see citing works
“1C; Kennedy et al. 2014).”
InfluentialSelf-citationMansukhani, S., Barber, L. J., Kleftogiannis, D., Moorcraft, S. Y., Davidson, M., Woolston, A., Proszek, P., Griffiths, B. L., Fenwick, K., Herman, B., et al. (2018) · Clinical Chemistry · doi:10.1373/clinchem.2018.289629 · Cited by 55 · see citing works
“Consensus families 193 contained a median of 8 to 15 supporting reads in samples sequenced with the 194 optimized protocol (online Supplemental Figure 4), which was within the optimal 195 range for barcode error correction [21].”
MethodLeBlanc, D., Meier, M., Lo, F. Y., Schmidt, E. K., Valentine, C., Williams, A., Salk, J., Yauk, C., & Marchetti, F. (2022) · BMC Genomics · doi:10.1186/s12864-022-08752-w · Cited by 53 · see citing works
“Duplex Sequencing (DS) is one such error-corrected NGS (ecNGS) method that is able to resolve spontaneous and chemically-induced mutations at ultra-low frequencies directly from extracted DNA [17, 19].”
BackgroundSelf-citationExtensive subclonal mutational diversity in human colorectal cancer and its significance
Loeb, L. A., Kohrn, B. F., Loubet-Senear, K. J., Dunn, Y. J., Ahn, E. H., O'Sullivan, J. N., Salk, J. J., Bronner, M. P., & Beckman, R. A. (2019) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1910301116 · Cited by 66 · see citing works
“Sequencing library preparation was carried out as previously described with minor modifications (6, 46, 47).”
Self-citationCirculating tumour cells and DNA as liquid biopsies in gastrointestinal cancer
Nordgård, O., Tjensvoll, K., Gilje, B., & Søreide, K. (2018) · British journal of surgery · doi:10.1002/bjs.10782 · Cited by 55 · see citing works
Applying next-generation sequencing to unravel the mutational landscape in viral quasispecies
Lu, I., Muller, C. P., & HeFeng, F. Q. (2020) · Virus Research · doi:10.1016/j.virusres.2020.197963 · Cited by 56 · see citing works
“Characterization of variants of double-strand RNA viruses that only account for a small fraction of pathological viruses could benefit from particular approaches, such as DupSeq, which has been reported to detect ultralow-frequency variants from double-strand DNA samples (Kennedy et al., 2014; Schmitt et al., 2012).”
Filges, S., Yamada, E., Ståhlberg, A., & Godfrey, T. (2019) · Scientific Reports · doi:10.1038/s41598-019-39762-6 · Cited by 51 · see citing works
Sánchez, R., Ayala, R., & Martínez-López, J. (2019) · International Journal of Molecular Sciences · doi:10.3390/ijms20112832 · Cited by 50
“Thol et al. also reported the use of UMI sequences during library preparation and duplex sequencing data analysis for ECS [77].”
MethodPatient monitoring through liquid biopsies using circulating tumor DNA
Ulz, P., Heitzer, E., Geigl, J., & Speicher, M. (2017) · International Journal of Cancer · doi:10.1002/ijc.30759 · Cited by 49 · see citing works
“In addition PCR efficiency is relatively inefficient when limited amounts of input DNA are used—as it is most likely the case for cfDNA—resulting in primer/adapter dimers.(73) To sum up, in order to correctly identify MAF for specific mutations, tremendous technological efforts, for example, digital PCR systems employ…”
BackgroundNext-generation sequencing methodologies to detect low-frequency mutations: “Catch me if you can”
Menon, V., & Brash, D. E. (2023) · Mutation Research - Reviews in Mutation Research · doi:10.1016/j.mrrev.2023.108471 · Cited by 48 · see citing works
- Authors
- Kennedy, S. R., Schmitt, M. W., Fox, E. J., Kohrn, B. F., Salk, J. J., Ahn, E. H., Prindle, M. J., Kuong, K. J., Shen, J.-C., Risques, R.-A., & Loeb, L. A.
- Affiliations
- University of Washington (US)
- Portland State University (US)
- Corresponding author
- Loeb, Lawrence A
- Venue
- Nature Protocols
- Published
- 2014-10-09
- Volume
- 9
- Issue
- 11
- Pages
- 2586-2606
- ISSN
- 1750-2799 (ISSN-L)
- 1754-2189
- PMC
- PMC4271547
- OpenAlex
- W2011645981
- Cited by
- 503
- References
- 40
- Citations by year
- 2026: 43 · 2025: 62 · 2024: 60 · 2023: 36 · 2022: 52 · 2021: 48 · 2020: 34 · 2019: 43 · 2018: 46 · 2017: 40 · 2016: 29 · 2015: 8 · 2014: 2
- FWCI
- 10.80
- Type
- journal article
- Language
- en
- Update notices
- erratum (2014-11-20)
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Nature Protocols (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (T32AG000057, P01AG001751)
- National Cancer Institute (R01CA160674, R01CA102029, P01 CA77852, R33CA181771, P01CA077852)
- National Institute of General Medical Sciences (T32GM007266)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Genomics and Phylogenetic Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer Genomics and Diagnostics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
- Keywords
- duplex sequencing, single nucleotide variant detection, sequencing error rate, adapter ligation, library preparation, target enrichment, data analysis pipeline
- MeSH terms
- DNA Mutational Analysis, DNA, Mitochondrial, Humans, Gene Library, Polymerase Chain Reaction, Workflow, High-Throughput Nucleotide Sequencing, Mutation Rate
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