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L a rg e -sca le ta rg e te d NGS se quencing m ade easy & a ffordable. BRCA Gene Panel Preface: The most common of all cancers to affect women is breast cancer, with as many as one-in-eight women contracting it during their lifetime. Breast cancer is a complex disease with many causes, however we do know that approximately 10% of all cases are due to an individual’s DNA mutation. These hereditary mutations commonly result in the early-onset of breast cancer, recurrent breast cancer and breast cancer involving both breasts. Approximately 25-50% of hereditary breast and ovarian cancer cases can be explained by mutations in the BRCA1 and BRCA2 genes. A comprehensive hereditary breast and ovarian cancer risk assessment should include germline sequencing of the BRCA1 and BRCA2 genes as well as additional key genes with a known association of breast/ovarian cancer. Individuals with a suspected inherited genetic cancer risk detected in the Breast Cancer Panel will have a clinical advantage to affect patient medical management, guide preventative measures, direct surgical options and estimate personal and familial cancer risk. Methodology: The Otogenetics Breast Cancer Panel is performed by next generation sequencing using custom oligonucleotide-based target capture followed by Illumina HiSeq sequencing of the coding regions of the Breast Cancer panel genes; with >100 fold of average coverage and no gap in the capture of targeted genes. Clinically significant variants are identified and reported. Results: Each Otogenetics Breast Cancer Panel report includes a detailed explanation of all clinically-relevant variants. Breast Cancer gene panel & other disease panel reagent kits also available. Visit www.otogenetics.com to learn more. The Otogenetics Breast Cancer Panel allows the clinician or researcher to sequence 19 genes known to be high-risk breast cancer susceptibility genes (see back for gene list). Testing Rationale: The Otogenetics Breast Cancer Panel allows the identification of the specific risk or cause factor for breast cancer in the patient, thus aid in eliminating unnecessary testing. This is an important part of a comprehensive cancer risk evaluation, and identification of a specific genetic mutation provides important information for at-risk patients, including those with the following: Two primary breast cancers or clustering of breast and ovarian cancer. Early-onset breast cancer (<50 years-of-age) or bilateral breast cancer. Presence of male breast cancer. Ovarian cancer at any age. Test Name: BRCA Turn-Around-Time: Approximately 5-6 weeks Specimen Requirement: 5 mL whole blood, or by saliva collection kit. 4553 Winters Chapel Rd. #100, Atlanta, GA 30360 USA • [email protected] • +1-855-686-4363 • www.otogenetics.com BRCA Gene Panel Gene OMIM Target* Description (Online Mendelian Inheritance in Man) AR Coding regions 313700 Androgen receptor ATM Coding regions 607585 Serine-protein kinase ataxia telangiectasia mutated BARD1 Coding regions 601593 BRCA associated RING domain 1 BRCA1 Coding regions 113705 Breast cancer 1, early onset BRCA2 Coding regions 600185 Breast cancer 2, early onset BRIP1 Coding regions 605882 BRCA1-interacting protein CASP8 Coding regions 601763 Apoptosis-related cysteine protease 8 CDH1 Coding regions 192090 Cadherin 1 CHEK2 Coding regions 604373 Serine/threonine checkpoint kinase 2 DIRAS3 Coding regions 605193 GTP-binding Ras-like protein 3 ERBB2 Coding regions 164870 Avian erythroblastic leukemia viral oncogene homolog 2 NBN Coding regions 602667 Nibrin PALB2 Coding regions 601355 Partner and localizer of BRCA2 PTEN Coding regions 601728 Phosphatase and tensin RAD50 Coding regions 604040 DNA repair protein RAD50 homolog RAD51 Coding regions 179617 DNA repair protein RAD51A homolog STK11 Coding regions 602216 Serine/threonine protein kinase 11 TGFB1 Coding regions 190180 Transforming growth factor β1 TP53 Coding regions 191170 Tumor protein p53 * Flank with 5-10bP 2 hours 2 hours 3 days 2.5 hours 2 hours 2 hours Proceed to Sequencing via Illumina HiSeq/MiSeq Assess Enrichment Using qPCR (Oto-BRCA-Primer) Amplify Captured DNA (Oto-Enrich-001) Wash and Recover Captured DNA (Oto-Enrich-001) Hybridize Samples to Oto-BrCa-Probe (Oto-BRCA-Probe) 4 hours Pooling of Amplified Multiplex DNA Libraries TIME DNA Library Amplification Using LM-PCR (Oto-DLP-001) STEP DNA Fragmentation, End Repair, Tailing, Ligation (Oto-DLP-001) TotSeq™ Targeted Human BRCA Genes Sample Preparation Flowchart 27 hours or 10 days Copyright 2015 by Otogenetics Corporation. Products and specifications are subject to review and change without notice. 4553 Winters Chapel Rd. #100, Atlanta, GA 30360 USA • [email protected] • +1-855-686-4363 • www.otogenetics.com 081315 For Research Use Only