Genetic Sex Validation for Sample Tracking in Clinical Testing

Author:

Hu Jianhong1,Korchina Viktoriya1,Zouk Hana2,Harden Maegan V.3,Murdock David1,Macbeth Alyssa3,Harrison Steven M.2,Lennon Niall3,Kovar Christie1,Balasubramanian Adithya1,Zhang Lan1,Chandanavelli Gauthami1,Pasham Divya1,Rowley Robb4,Wiley Ken4,Smith Maureen E.5,Gordon Adam5,Jarvik Gail P.6,Sleiman Patrick7,Kelly Melissa A8,Bland Harris T.9,Murugan Mullai1,Venner Eric1,Boerwinkle Eric1,Prows Cynthia10,Mahanta Lisa2,Rehm Heidi L.3,Gibbs Richard A.1,Muzny Donna M.1

Affiliation:

1. Baylor College of Medicine, Human Genome Sequencing Center (HGSC)

2. Laboratory for Molecular Medicine (LMM), Mass General Brigham

3. Broad Institute of MIT and Harvard

4. National Human Genome Research Institute

5. Northwestern University Feinberg School of Medicine

6. University of Washington Medical Center

7. Children's Hospital of Philadelphia

8. Genomic Medicine Institute, Geisinger

9. Vanderbilt University Medical Center

10. Cincinnati Children's Hospital Medical Center

Abstract

Abstract Objective Data from DNA genotyping via a 96-SNP panel in a study of 25,015 clinical samples were utilized for quality control and tracking of sample identity in a clinical sequencing network. The study aimed to demonstrate the value of both the precise SNP tracking and the utility of the panel for predicting the sex-by-genotype of the participants, to identify possible sample mix-ups. Results Precise SNP tracking showed no sample swap errors within the clinical testing laboratories. In contrast, when comparing predicted sex-by-genotype to the provided sex on the test requisition, we identified 110 inconsistencies from 25,015 clinical samples (0.44%), that had occurred during sample collection or accessioning. The genetic sex predictions were confirmed using additional SNP sites in the sequencing data or high-density genotyping arrays. It was determined that discrepancies resulted from clerical errors, samples from transgender participants and stem cell or bone marrow transplant patients along with undetermined sample mix-ups.

Publisher

Research Square Platform LLC

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