Linked duplex target capture

Abstract

To provide generally a sequencing library preparation method.SOLUTION: Two or more template nucleic acids are joined together by a linking molecule, such as a PEG derivative. Identical copies of a nucleic acid fragment or both strands of a duplex fragment may be linked together. The linked nucleic acids are amplified, creating linked amplicons. Emulsion PCR with linked primers creates linked template nucleic acids for seeding sequencing clusters, and errors can be readily identified by their presence on only one of the linked fragments.SELECTED DRAWING: None

Description

[Technical field]

[0001] CROSS-REFERENCE TO RELATED APPLICATIONS This application claims priority to and the benefit of U.S. Provisional Application No. 62 / 313,974, filed March 28, 2016, U.S. Provisional Application No. 62 / 359,468, filed July 7, 2016, and U.S. Provisional Application No. 62 / 409,633, filed October 18, 2016, the contents of each of which are incorporated by reference.

[0002] FIELD OF THEINVENTION The present invention relates generally to the capture, amplification and sequencing of nucleic acids. [Background technology]

[0003] background High-throughput genome sequencing platforms produce large amounts of data at affordable prices, but they are not accurate enough. Even the best sequencing techniques have an error rate of about 1 percent. This translates into hundreds of thousands of errors in the sequence of a single human genome. Inaccurate base calling leads to sequence misalignment and misidentification of mutations. Base calling and alignment algorithms are available, but quality is negatively affected by amplification and sequencing errors.

[0004] Although amplification and sequencing techniques have advanced, base calling and alignment are still riddled with errors. For example, in the current major sequencing platforms, DNA fragments are attached to a solid support, such as a channel wall. Once the fragments are attached to the solid support, they are amplified and the amplified products are attached to the solid support in close proximity to the seeding fragment. This process is repeated until a cluster of amplified products is formed that should be identical to the seeding fragment. However, the cluster is seeded with only one fragment. If an error is present in the seeding fragment or in the amplification of the cluster, the error will be repeated in all or part of the cluster. This error leads to misidentification of bases and complicates sequencing alignment.

[0005] To catch these types of errors, standard barcode sequencing methods use tens to hundreds of copies of the same template, or tens to hundreds of clusters, to create a sample pool for comparison. By greatly increasing the number of copies or clusters, errors can be determined. However, this strategy is costly and consumes sequencing bandwidth. Summary of the Invention [Means for solving the problem]

[0006] Abstract The present invention provides a method for increasing the accuracy of base calling by linking two or more fragments derived from the same starting template. The fragments can be the sense and antisense strands of a duplex DNA molecule. Linking multiple templates, including both strands of a duplex molecule, into a single read increases information density and reduces error rates. In duplex embodiments, duplex data allows for immediate distinction between true variants and errors introduced in amplification or sequencing (e.g., errors that may be made in one sense by the polymerase are unlikely to be repeated in both strands, but true variants may be repeated in both strands). Sense-specific barcodes Dedicated sense and antisense sequencing reads can be used to distinguish between introduced errors and true variants.

[0007] In certain embodiments, the present invention provides a method for ligated target capture for double-stranded DNA molecules. Solution-based target capture methods and droplet-based target capture methods are provided. The solution-based and droplet-based methods use ligated target capture probes, including a universal probe and a target-specific probe, and the reaction is performed under conditions that require the target-specific probe to bind in order to allow the universal probe to bind. Multiple binding and extension steps are involved, improving specificity compared to traditional single-ligated target capture. The bound universal probe is then extended using a strand-displacing polymerase to generate copies of the target strand, which can then be amplified using PCR with universal primers. The method of the present invention replaces the PCR-capture-PCR workflow with a single PCR and capture step. If higher specificity and double-stranded information are required, ligated capture probes can be used in one or both senses of DNA. As discussed below, multiple linker types are possible. As with the solution-based target capture methods of the present invention, droplet-based methods are provided that allow users to achieve target capture in droplets, rather than being limited to multiplexed PCR in droplets. The capture method can be combined with the linked primers described herein to generate linked duplex molecules from droplets. In certain embodiments, nanoparticles containing target capture probes and universal primers can be used to capture targeted regions from a pool of 5' linked molecules, and only the targeted molecules can be converted into duplex seeds for sequencing clusters.

[0008] The method of the present invention is applied to sample preparation and sequencing. In the sample preparation method, the present invention allows the same fragment or fragments representing the sense and antisense strands of a nucleic acid to be joined together. The fragments are joined by a linking molecule to create a complex. The complex may include adapters, primers, and binding molecules in addition to the same fragment or double-stranded fragment. Furthermore, in some embodiments, the complex may include multiple identical fragments linked together. In samples with low target DNA content, such as prenatal samples, multiple fragments can be linked together to amplify and sequence the fragments with increased accuracy in sequencing and immediate identification of amplification errors.

[0009] The linked fragments can be created by amplifying the nucleic acid fragments with linked amplification primers. In certain embodiments, universal priming sites can be ligated onto the target fragments to create the template molecules. The methods can include droplet and non-droplet workflows, resulting in linked molecules representing both strands at a rate of approximately at least 50%. In droplet amplification methods, the template molecules can be added to droplets along with multiplex amplification primers and linked universal primers. The primers can be multiplexed gene-specific forward and reverse amplification primers. The droplets can then be subjected to emulsion PCR amplification or digital PCR amplification. The amplification products should be linked copies of the original nucleic acid fragments or the sense and antisense strands of the original nucleic acid fragments depending on the application. Two or more primers or nucleic acid fragments can be linked by polyethylene glycol derivatives, oligosaccharides, lipids, carbohydrates, polymers or proteins. In certain embodiments, four or more biotinylated primers or nucleic acid fragments can be linked using streptavidin molecules or functionalized nanoparticles. The linking primers of the invention may also contain a unique cluster identifier sequence to ensure that all cluster reads originate from the same linked template molecule.

[0010] The method of the present invention improves base calling when it is incorporated into amplification techniques. In conventional amplification methods, amplicons are created from a single template. If there is an error in a fragment, the error will propagate through the amplification product. Instead of using a single template, multiple identical templates or templates that include the sense and antisense strands of a double-stranded DNA molecule are used to create the amplification product. If an error occurs in one of the template strands, the use of multiple templates, in contrast to a single template, allows such errors to be identified in the sequencing step. When both strands of a double-stranded DNA fragment are used as templates, errors can be distinguished from true variants that should be found in both strands.

[0011] In certain techniques of the present invention, by seeding multiple templates, errors can be distinguished from true variants through the degradation of sequencing quality in single reads at positions where the base is not the same (true variants will be present on all reads, thereby resulting in a strong signal).In some embodiments, by seeding clusters with sense and antisense strands, true variants and errors can be identified by comparing the results of the first sense read with the results of the second antisense read to confirm the presence of variants in both template strands.

[0012] The methods of the invention involve creating linked nucleic acid fragments from a single starting molecule. By preparing linked cluster seeding complexes from a single nucleic acid fragment (e.g., using the emulsion PCR methods described herein), the risk of creating hybrid complexes derived from two different nucleic acid fragments is eliminated.

[0013] Additional methods relate to reducing the crosstalk between clusters in high-density sequencing runs.The methods may include ligating two or more different adapters to different primer sequences, allowing the differentiation of clusters by using different sequencing primers that correspond to the different adapter primer sequences.

[0014] The method of the present invention includes a duplex identification strategy for the linked duplex molecules formed by droplets. As described, the droplet-based method of the present invention can result in the formation of linked duplex fragments (linked molecules containing representations from each side of the DNA duplex) at a rate of at least 50%, so the identification of these products is important to obtain accuracy that eliminates data from non-duplex products and increases the advantage of duplex products. Duplex identification methods can include, for example, a two-step PCR approach using two sets of primers with different annealing temperatures, where the first cycles are performed at low temperature with gene-specific barcoding primers to amplify and identify each sense of the duplex, while a universal tail is added in subsequent cycles. To prevent each sense of the duplex from being labeled with multiple barcodes, the number of barcoding cycles is limited. Subsequent cycles can then be performed at high temperature with universal primers since barcoding primers cannot bind under these conditions. Duplex products can then be identified by the presence of their sense-specific barcodes during sequencing analysis and distinguished from non-duplex clusters. Thus, the higher fidelity afforded by duplex cluster seeds can be appreciated.

[0015] In non-droplet embodiments, a single amplification cycle can be used to create a linked duplex molecule with both sense and antisense strands of the original fragment. The linked duplex molecule can then be loaded directly into a flow cell for sequencing, thereby avoiding amplification-induced sequence or length bias (e.g., in whole genome sequencing) and reducing the risk of nucleoside analogs due to amplification-induced errors and poor loading efficiency. Loss of acid can be avoided. For example, if the loading efficiency of a sequencer can be defined as (number of output reads) / (number of input molecules that can form a read), the loading efficiency for the Illumina MiSeq is <0.1%, and similarly for other Illumina instruments. This is largely due to fluid loss, since more than 600uL of sample is loaded onto the sequencer, while only about 7uL is retained inside the flow cell for binding, resulting in a large loss of starting material. The non-droplet, direct loading method described herein improves on these inefficiencies.

[0016] For other applications where the yield of flow cell loading and the target capture yield are important in addition to the direct loading embodiment, it may be beneficial to combine flow cell loading with targeted sequencing to minimize losses. Such a combination further simplifies the workflow by eliminating an extra step. Methods exist for capturing targets on flow cells, but they have at least two drawbacks. First, they cannot sequence the region captured on the flow cell. For short fragments such as cell-free DNA, this can cause a large loss of signal. Second, they cannot capture the linked double-stranded molecules described in the present invention for sequencing. Therefore, the method of the present invention includes flow cell-based target capture of double-stranded molecules. According to the method of the present invention, the flow cell contains one sense of an oligo with a target region, while the other sense is hairpinned and not immediately available for binding. After one sense of the linked molecule is captured on the flow cell, the other flow cell oligo is activated to capture the other sense of the linked fragment (e.g., using uracil digestion, enzyme digestion, or light). The template can then be extended and cluster generation can continue as normal.

[0017] The method of the present invention improves amplification on solid support such as Illumina platform (Illumina, Inc. San Diego, CA) or Ion Torrent platform (Thermo Fisher Scientific Inc., Waltham, MA). In Illumina technology, bridge amplification is used to form clusters of amplicons. If there is an error in a fragment, the error will be repeated in the cluster. However, with the present invention, the linked fragments are contacted to the solid support. The fragments, which may be identical or represent each strand of a double-stranded DNA molecule, are seeded into the cluster, resulting in a fraction of the total amplicon originating from each of the fragments. This technique allows errors to be easily determined in the sequencing step, and can also help to call true variants and distinguish them from sequencing or amplification (e.g., PCR) errors.

[0018] The method of the present invention improves the multiplex amplification process. In some embodiments of the present invention, linked fragments can be formed or introduced into droplets for subsequent amplification. If there are errors in some of the fragments, the errors can be determined using raw sequencing data. In some embodiments, linked fragments can be bound to microspheres, and then with amplification, the fragments can seed the microspheres with amplicons. The present invention provides the advantage of using multiple copies of the same fragment to form multiple amplicons, improving base calling in various applications.

[0019] The methods of the present invention can be incorporated into multiple sequencing platforms. For example, in traditional sequencing by synthesis, each base can be determined sequentially. Errors are not determined until the data is analyzed using bioinformatics techniques. However, the present invention allows multiple fragments of nucleic acid to be linked during the sequencing methodology. By analyzing multiple fragments simultaneously, the match between bases indicates accuracy, while the mismatch between bases signals error. Using the present invention, errors can be determined from raw sequencing data without applying bioinformatics. This technique uses fewer copies or clusters, increasing sequencing throughput and reducing costs. [Brief description of the drawings]

[0020] [Figure 1-1] 1A to 1E are diagrams showing the process of forming ligated fragments. [Figure 1-2] 1A to 1E are diagrams showing the process of forming ligated fragments.

[0021] [Diagram 2] FIG. 2 shows a ligated template attached to a solid support.

[0022] [Diagram 3] FIG. 3 shows an example of a linked fragment.

[0023] [Figure 4-1] 4A to 4C are diagrams showing the extension and amplification of ligated fragments. [Figure 4-2] 4A to 4C are diagrams showing the extension and amplification of ligated fragments. [Figure 4-3] 4A to 4C are diagrams showing the extension and amplification of ligated fragments.

[0024] [Diagram 5] 5A-5C are diagrams showing error determination in ligated fragments.

[0025] [Figure 6] FIG. 6 is a diagram showing adapters and primers.

[0026] [Figure 7]FIG. 7 is a diagram showing the process of creating linked nucleic acid fragments by emulsion PCR.

[0027] [Figure 8] FIG. 8 shows the creation of 4-ligated fragments in emulsion PCR and flow cell hybridization of the 4-ligated fragments to seed sequencing clusters.

[0028] [Figure 9-1] FIG. 9 is a diagram illustrating a ligation adaptor according to certain embodiments of the present invention. [Figure 9-2] FIG. 9 is a diagram illustrating a ligation adaptor according to certain embodiments of the present invention.

[0029] [Figure 10] FIG. 10 is a diagram illustrating a digital PCR primer according to a particular embodiment of the present invention.

[0030] [Figure 11] FIG. 11 is a diagram showing the process of creating linked nucleic acid fragments on beads by emulsion PCR.

[0031] [Figure 12] FIG. 12 illustrates Ion Torrent sequencing of ligated nucleic acid beads according to an embodiment of the present invention.

[0032] [Figure 13] FIG. 13 is a diagram illustrating the process of creating linked nucleic acid fragments using different adaptors and sequencing primer sites.

[0033] [Figure 14] FIG. 14 shows the process of sequencing clusters with different sequencing primer sites to reduce crosstalk.

[0034] [Figure 15]FIG. 15 is a diagram illustrating crosstalk across sequencing clusters.

[0035] [Figure 16] FIG. 16 is a diagram illustrating a droplet-based method of the present invention for creating linked double-stranded nucleic acids.

[0036] [Figure 17] FIG. 17 is a diagram showing illustrative linked primers and forward and reverse gene specific primers and their use according to one method of the invention.

[0037] [Figure 18] FIG. 18 is a diagram showing illustrative linked primers and forward and reverse gene specific primers and their use according to one method of the invention.

[0038] [Figure 19] FIG. 19 shows gene-specific primers of the present invention.

[0039] [Figure 20] FIG. 20 is a diagram illustrating the sequencing method of the present invention using the product method shown in FIG.

[0040] [Figure 21] FIG. 21 is a diagram illustrating the sequencing method of the present invention using the product method shown in FIG.

[0041] [Figure 22-1] 22A and 22B show a non-droplet ligated duplex formation method using one ligated adaptor. [Figure 22-2] 22A and 22B show a non-droplet ligated duplex formation method using one ligated adaptor.

[0042] [Figure 23-1]23A and 23B show a non-droplet ligated duplex formation method using two ligated adaptors. [Figure 23-2] 23A and 23B show a non-droplet ligated duplex formation method using two ligated adaptors.

[0043] [Figure 24-1] 24A and 24B are diagrams illustrating the steps of a direct loading sequencing method using linked duplex molecules. [Figure 24-2] 24A and 24B are diagrams illustrating the steps of a direct loading sequencing method using linked duplex molecules.

[0044] [Diagram 25] FIG. 25 shows illustrative steps of the flow cell bonding method.

[0045] [Figure 26] FIG. 26 shows an illustrative offline flow cell preparation protocol.

[0046] [Figure 27] FIG. 27 is a diagram illustrating a flow cell-based target capture method for double-stranded molecules.

[0047] [Figure 28-1] 28A-28E show steps of an illustrative flow cell-based target capture and sequencing method for double-stranded molecules. [Figure 28-2] 28A-28E show steps of an illustrative flow cell-based target capture and sequencing method for double-stranded molecules. [Figure 28-3] 28A-28E show steps of an illustrative flow cell-based target capture and sequencing method for double-stranded molecules. [Figure 28-4]28A-28E show steps of an illustrative flow cell-based target capture and sequencing method for double-stranded molecules. [Figure 28-5] 28A-28E show steps of an illustrative flow cell-based target capture and sequencing method for double-stranded molecules.

[0048] [Figure 29-1] 29A-29D are diagrams illustrating a duplex identification method according to certain embodiments. [Figure 29-2] 29A-29D are diagrams illustrating a duplex identification method according to certain embodiments. [Figure 29-3] 29A-29D are diagrams illustrating a duplex identification method according to certain embodiments. [Figure 29-4] 29A-29D are diagrams illustrating a duplex identification method according to certain embodiments.

[0049] [Diagram 30] FIG. 30 is a graph showing the error rate of sequencing using singly seeded clusters aligned with KRAS amplicons.

[0050] [Diagram 31] FIG. 31 shows the singly seeded clusters for the sequencing method used to produce the results shown in FIG. 30, and the doubly seeded clusters for the sequencing method used to produce the results shown in FIG. 43.

[0051] [Diagram 32] FIG. 32 illustrates a base calling method of the invention based on a single sequencing read and signal quality.

[0052] [Diagram 33]FIG. 33 is a diagram illustrating a base calling method based on comparison of sense and antisense sequencing reads.

[0053] [Diagram 34] FIG. 34 is a diagram illustrating an exemplary method of ligated target capture of double-stranded nucleic acids.

[0054] [Diagram 35] FIG. 35 illustrates a method for amplifying ligated target capture nucleic acids.

[0055] [Diagram 36] FIG. 36 illustrates a droplet-based target capture and ligated double-stranded nucleic acid generation method.

[0056] [Figure 37-1] 37A and B are diagrams illustrating steps of the droplet-based target capture method of the present invention. [Figure 37-2] 37A and B are diagrams illustrating steps of the droplet-based target capture method of the present invention.

[0057] [Figure 38] FIG. 38 shows a nanoparticle having a universal primer and a strand that includes a target region that is complementary to the capture region of the linked molecule to be captured.

[0058] [Figure 39] FIG. 39 is a diagram illustrating the binding of a capture region and a target region.

[0059] [Diagram 40] FIG. 40 is a diagram showing the binding of a universal primer to a universal primer site on a linking molecule.

[0060] [Diagram 41]FIG. 41 illustrates universal primer extension by a strand-displacing polymerase to generate a nanoparticle-linked copy of a target molecule that contains both strands of the original linked molecule.

[0061] [Diagram 42] FIG. 42 illustrates dual-seeded nanoparticles that can be used to seed clusters in a flow cell sequencer as described elsewhere in this application.

[0062] [Diagram 43] FIG. 43 is a graph showing the error rate of sequencing using doubly seeded clusters aligned with KRAS amplicons. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0063] Detailed Description The present invention generally relates to a method for amplifying and sequencing nucleic acid by joining two nucleic acid fragments.These fragments can be two identical copies of a single fragment, or both strands of a double-stranded nucleic acid.The use of two fragments reduces error rate, increases alignment efficiency, and reduces the cost of sequencing.

[0064] Nucleic acids are generally obtained from a sample or subject. Target molecules for labeling and / or detection according to the method of the present invention include, but are not limited to, genetic and proteomic materials such as DNA, genomic DNA, RNA, expressed RNA and / or chromosome(s). The method of the present invention is applicable to DNA from whole cells or portions of genetic or proteomic materials obtained from one or more cells. The method of the present invention allows for obtaining DNA or RNA from non-cellular sources such as viruses. For subjects, samples can be obtained in any clinically acceptable manner and nucleic acid templates are extracted from the samples by methods known in the art. In general, nucleic acids can be extracted from biological samples by various techniques such as those described in Maniatis et al. (Molecular Cloning: A Laboratory Manual, Cold Spring Harbor, NY, pp. 280-281, 1982), the entire contents of which are incorporated herein by reference.

[0065] The nucleic acid template comprises deoxyribonucleic acid (DNA) and / or ribonucleic acid (RNA). The nucleic acid template may be synthetic or derived from a naturally occurring source. The nucleic acid may be obtained from any source or sample, whether biological, environmental, physical or synthetic. In one embodiment, the nucleic acid template is isolated from a sample containing various other components such as proteins, lipids and non-template nucleic acids. The nucleic acid template may be obtained from any cellular material, from animals, plants, bacteria, fungi, or any other cellular organism. Samples for use in the present invention include viruses, virus particles or preparations. The nucleic acid may also be obtained from a sample, such as an environmental sample, from a microorganism, such as a bacteria or fungus.

[0066] In the present invention, the target material is any nucleic acid, including DNA, RNA, cDNA, PNA, LNA and others, contained in a sample. Nucleic acid molecules include deoxyribonucleic acid (DNA) and / or ribonucleic acid (RNA). Nucleic acid molecules may be synthetic or derived from naturally occurring sources. In one embodiment, the nucleic acid molecule is isolated from a biological sample containing various other components such as proteins, lipids and non-template nucleic acids. The nucleic acid template molecule may be obtained from any cellular material, and may be obtained from animals, plants, bacteria, fungi, or any other cellular organism. In certain embodiments, the nucleic acid molecule is obtained from a single cell. Biological samples for use in the present invention include viral particles or preparations. Nucleic acid molecules may be obtained directly from an organism or from biological samples obtained from an organism, for example, blood, urine, cerebrospinal fluid, semen, saliva, sputum, stool and tissues. Any tissue or body fluid specimen can be used as a source of nucleic acid for use in the present invention. Nucleic acid molecules can also be isolated from cultured cells, such as primary cell cultures or cell lines. The cells or tissues from which the template nucleic acid is obtained can be infected with a virus or other intracellular pathogen. Additionally, nucleic acids can be obtained from non-cellular or non-tissue samples, such as viral samples, or environmental samples.

[0067] The sample may be total RNA extracted from a biological specimen, a cDNA library, viral DNA, or genomic DNA. In certain embodiments, the nucleic acid molecule is bound to another target molecule, such as a protein, an enzyme, a substrate, an antibody, a binder, a bead, a small molecule, a peptide, or any other molecule, and serves as a surrogate for quantifying and / or detecting the target molecule. In general, nucleic acids can be extracted from biological samples by various techniques, such as those described in Sambrook and Russell, Molecular Cloning: A Laboratory Manual, 3rd ed., Cold Spring Harbor, NY (2001). Nucleic acid molecules can be single-stranded, double-stranded, or double-stranded with single-stranded regions (e.g., stem and loop structures). Proteins or portions of proteins (amino acid polymers) that can bind to high affinity binding moieties, such as antibodies or aptamers, are target molecules for oligonucleotide labeling, for example, in droplets.

[0068] The nucleic acid template can be obtained directly from an organism or from a biological sample obtained from an organism, for example, blood, urine, cerebrospinal fluid, semen, saliva, sputum, stool and tissue. In certain embodiments, the nucleic acid is obtained from fresh frozen plasma (FFP). In certain embodiments, the nucleic acid is obtained from formalin-fixed paraffin-embedded (FFPE) tissue. Any tissue or body fluid specimen can be used as a source of nucleic acid for use in the present invention. The nucleic acid template can also be isolated from cultured cells or cell lines, such as primary cell cultures. The cells or tissues from which the template nucleic acid is obtained can be infected with a virus or other intracellular pathogen. The sample can be total RNA extracted from a biological specimen, a cDNA library, viral DNA, or genomic DNA.

[0069] The biological sample can be homogenized or fractionated in the presence of a detergent or surfactant. The concentration of the detergent in the buffer can be about 0.05% to about 10.0%. The detergent concentration can be up to an amount that allows the detergent to remain soluble in the solution. In a preferred embodiment, the detergent concentration is 0.1% to about 2%. Detergents, especially non-denaturing mild ones, act to solubilize the sample. The detergent can be ionic or non-ionic. Examples of non-ionic surfactants include Tritons such as the Triton X series (Triton X-100 t-Oct-C6H4-(OCH2-CH2)xOH, x=9-10, Triton X-100R, Triton X-114, x=7-8), octyl glucoside, polyoxyethylene (9) dodecyl ether, digitonin, IGEPAL CA630 octylphenyl polyethylene glycol, n-octyl-beta-D-glucopyranoside (beta OG), n-dodecyl-beta, Tween 20 polyethylene glycol sorbitan monolaurate, Tween Examples of ionic surfactants (anionic or cationic) include deoxycholic acid, sodium dodecyl sulfate (SDS), N-lauroyl sarcosine, and cetyltrimethylammonium bromide (CTAB). ... Zwitterionic reagents such as cholamidopropyl)dimethylammonio]-1-propanesulfonate can also be used in the purification scheme of the present invention. It is also contemplated that urea can be added with or without another detergent or surfactant.

[0070] The lysis or homogenization solution may further contain other agents, such as reducing agents, examples of which include dithiothreitol (DTT), beta-mercaptoethanol, DTE, GSH, cysteine, cysteamine, tricarboxyethylphosphine (TCEP), or salts of sulfite.

[0071] Once the nucleic acid is obtained, it is denatured by any method known in the art to produce a single-stranded nucleic acid template, and a pair of a first and a second oligonucleotide are hybridized to the single-stranded nucleic acid template such that the first and second oligonucleotides flank the target region on the template.

[0072] In some embodiments, nucleic acids can be fragmented or degraded into smaller nucleic acid fragments. Nucleic acids, including genomic nucleic acids, can be fragmented using any of a variety of methods, such as mechanical fragmentation, chemical fragmentation, and enzymatic fragmentation. Methods for fragmenting nucleic acids are known in the art and include, but are not limited to, DNase digestion, sonication, mechanical shearing, and the like (J. Sambrook et al., Molecular Cloning: A Laboratory Manual, 1989, 2nd ed., Cold Spring Harbour Laboratory Press: New York, NY; P. Tijssen, Hybridization with Nucleic Acid Probes--Laboratory Techniques in Biochemistry and Molecular Biology (Parts I and II), 1993, Elsevier; CP Ordahl et al., Nucleic Acids Res., 1976, 3:2985-2999; PJ Oefner et al., Nucleic Acids Res., 1996, 24:3879-3889; YR Thorstenson et al., Genome Res., 1998, 8:848-855). US Patent Publication No. 2005 / 0112590 provides an overview of various fragmentation methods known in the art.

[0073] Genomic nucleic acid can be fragmented into uniform fragments or random fragments. In certain aspects, nucleic acid is fragmented to form fragments with fragment lengths of about 5 kilobases or 100 kilobases. In a preferred embodiment, genomic nucleic acid fragments can range from 1 kilobase to 20 kilobases. Preferred fragments can vary in size, with an average fragment length of about 10 kilobases. However, the desired fragment length and fragment length range can be adjusted depending on the type of nucleic acid target to be captured. The specific fragmentation method is selected to achieve the desired fragment length. Some non-limiting examples are provided below.

[0074] Chemical fragmentation of genomic nucleic acids can be achieved using several different methods. For example, hydrolysis reactions, including base hydrolysis and acid hydrolysis, are common techniques for fragmenting nucleic acids. Hydrolysis is facilitated by increasing the temperature, depending on the degree of hydrolysis desired. Fragmentation can be achieved by altering the temperature and pH, as described below. The advantage of pH-based hydrolysis over shearing is that it can result in single-stranded products. Additionally, temperature can be used with certain buffer systems (e.g., Tris) to temporarily shift the pH up or down from neutral to achieve hydrolysis, and then back to neutral, such as for long-term storage. Both pH and temperature can be adjusted to result in different amounts of shearing (and thus different length distributions). .

[0075] Other methods of hydrolytic fragmentation of nucleic acids include alkaline hydrolysis, formalin fixation, hydrolysis with metal complexes (e.g., porphyrins), and / or hydrolysis with hydroxyl radicals. RNA is sheared under alkaline conditions (see, e.g., Nordhoff et al., Nucl. Acid. Res., 21(15):3347-57 (2003)), while DNA can be sheared in the presence of strong acid.

[0076] An illustrative acid / base hydrolysis protocol for generating genomic nucleic acid fragments is described in Sargent et al. (1988), Methods Enzymol. 152:432. Briefly, 1 g of purified DNA is dissolved in 50 mL of 0.1 N NaOH. 1.5 mL of concentrated HCl is added and the solution is immediately mixed. The DNA precipitates immediately and should not be stirred for more than a few seconds to prevent the formation of large aggregates. The sample is incubated at room temperature for 20 minutes to partially depurinate the DNA. Then, 2 mL of 10 N NaOH (OH--concentrated to 0.1 N) is added and the sample is stirred until the DNA is completely redissolved. The sample is then incubated at 65° C. for 30 minutes to allow the DNA to hydrolyze. The resulting fragments generally range from about 250 to 1000 nucleotides, but can vary longer or shorter depending on the hydrolysis conditions.

[0077] In one embodiment, after the genomic nucleic acid is purified, it is resuspended in a Tris-based buffer, such as Qiagen's DNA Hydration Solution, at a pH between 7.5 and 8.0. The resuspended genomic nucleic acid is then heated to 65° C. and incubated overnight. Heating shifts the pH of the buffer to the low-mid 6 range, which leads to acid hydrolysis. Over time, acid hydrolysis causes fragmentation of the genomic nucleic acid into single-stranded and / or double-stranded products.

[0078] Chemical cleavage can be specific. For example, selected nucleic acid molecules, particularly phosphorothioate modified nucleic acid molecules, can be cleaved by alkylation (see, e.g., K. A. Browne, "Metal ion-catalyzed nucleic acid alkylation and fragmentation", J. Am. Soc. 1999, 143:131-132, 1999). (See Am. Chem. Soc. 124(27):7950-7962 (2002). Alkylation with phosphorothioate modifications renders the nucleic acid molecule susceptible to cleavage at the site of the modification. See I. G. Gut and S. Beck, "A procedure for selective DNA alkylation and detection by mass spectrometry," Nucl. Acids Res. 23(8):1367-1373 (1995).

[0079] The methods of the invention also contemplate chemically shearing nucleic acids using techniques disclosed in Maxam-Gilbert Sequencing Method (Chemical or Cleavage Method), Proc. Natl. Acad. Sci. USA., 74:560-564. In that protocol, genomic nucleic acids can be chemically cleaved by exposure to chemicals designed to fragment the nucleic acid at specific bases, such as, for example, preferential cleavage at guanine, at adenine, at cytosine and thymine, and only at cytosine.

[0080] Mechanical shearing of nucleic acids into fragments can be accomplished using any method known in the art. For example, nucleic acids can be fragmented by hydroshearing, by passing through a needle, or by other methods. This can be achieved by conventional grinding, crushing, and sonication. See, e.g., Quail et al. (November 2010), DNA: Mechanical Breakage. In: eLS. John Wiley & Sons, Chichester. doi: 10.1002 / 9780470015902.a0005 333.pub2.

[0081] Nucleic acids can also be sheared by spraying. (Roe, B.A., Crabtree. See JS and Khan, AS, 1996; Sambrook & Russell, Cold Spring Harb Protoc, 2006. Nebulization involves collecting fragmented DNA from a mist created by forcing a nucleic acid solution through small holes in a nebulizer. The size of the fragments obtained by nebulization is determined primarily by the speed at which the DNA solution passes through the holes, the varying pressure of the gas expelled through the nebulizer, the viscosity of the solution, and the temperature. The resulting DNA fragments are distributed in a narrow size range (700-1330 bp). Shearing of nucleic acids can be achieved by passing the resulting nucleic acid through a narrow capillary or orifice (Oefner et al., Nucleic Acids Res., 1996; Thorstenson et al., Genome Res., 1995). The technique is based on point-sink hydrodynamics that occurs as a result of forcing the nucleic acid sample through a small hole by a syringe pump.

[0082] In hydraulic shearing (Genomic Solutions, Ann Arbor, Mich., USA), DNA in solution is forced through a tube that suddenly contracts. As the contraction approaches, the fluid accelerates to maintain the volumetric flow rate through the smaller area of ​​the contraction. During this acceleration, drag forces stretch the DNA until it snaps. The DNA is fragmented until the pieces are too small for the shear forces to break their chemical bonds. The rate of fluid flow and the size of the contraction determine the final size of the DNA fragments.

[0083] Sonication is also used to fragment nucleic acids by subjecting them to brief sonication, i.e., ultrasonic energy. A method for shearing and fragmenting nucleic acids by sonification is described in U.S. Patent Publication No. 2009 / 0233814. In this method, the resulting purified nucleic acid is placed in a suspension in which particles are placed. The suspension of sample and particles is then sonicated to fragment the nucleic acids.

[0084] Sonic wave-based systems that can be used to fragment DNA are described in U.S. Patent Nos. 6,719,449 and 6,948,843 and are manufactured by Covaris Inc. U.S. Patent No. 6,235,501 describes a mechanically focused acoustic sonication method that generates high molecular weight DNA fragments by applying rapidly oscillating reciprocal mechanical energy in a closed vessel in the presence of a liquid medium, which can be used to mechanically fragment DNA.

[0085] Another method of shearing nucleic acids into fragments uses ultrasonic energy to produce gaseous cavitation in liquids, for example, shearing with Diagonnode's BioRuptor (an electric shearing device marketed by Diagenode, Inc.). Cavitation is the formation of tiny bubbles of dissolved gas or vapor due to pressure changes in a liquid. These bubbles can oscillate sympathetically and produce vigorous vortexing or microstreaming. The resulting mechanical stress can lead to the shearing of nucleic acids into fragments.

[0086] Enzymatic fragmentation, also known as enzymatic cleavage, involves the use of enzymes such as endonucleases, exonucleases, ribozymes, and DNAzymes to cleave nucleic acids into fragments. Such enzymes are widely known and commercially available. Sambrook, J. Molecular Cloning: A Laboratory Manual, 3rd ed. (2001) and Roberts RJ (January 1980), "Restriction and modification enzymes and their recognition sequences", Nucleic Acids and Biosciences, vol. See Acids Res., vol. 8(1):r63-r80. A variety of enzymatic fragmentation techniques are well known in the art, and such techniques are frequently used to fragment nucleic acids for sequencing. For example, Alazard et al., 2002; Bentzley et al., 1998; Bentzley et al., 1996; Faulstich et al., 1997; Glover et al., 1995; Kirpekar et al., 1994; Owens et al., 1998; Pieles et al., 1993; Schuette et al., 1995; Smirnov et al., 1996; Wu & Aboleneen, 2001; Wu et al., 1998a.

[0087] The most common enzyme used to fragment nucleic acid is endonuclease. Endonucleases can be specific to either double-stranded or single-stranded nucleic acid molecules. Nucleic acid molecules can be cut randomly within the nucleic acid molecule, or can be cut at specific sequences within the nucleic acid molecule. Specific fragmentation of nucleic acid molecules can be achieved by using one or more enzymes in sequential reactions or simultaneously.

[0088] Restriction endonucleases recognize specific sequences within double-stranded nucleic acids and generally cleave both strands either within or near the recognition site to fragment the nucleic acid. Naturally occurring restriction endonucleases are categorized into four groups (Type I, Type II, Type III, and Type IV) based on their composition and enzyme cofactor requirements, the nature of their target sequence, and the location of their DNA cleavage site relative to the target sequence. Bickle TA, Kruger DH (June 1993), "Biology of DNA restriction", Microbiol. Rev., 57(2):434-50; Boyer HW (1971). "DNA restriction and modification mechanisms in bacteria", Annu. Rev. Microbiol., 25:153-76; Yuan R (1981). "Structure and mechanism of multifunctional restriction endonucleases", Annu. Rev. Biochem., 50:285-319. All types of enzymes recognize specific short DNA sequences and perform endonucleolytic cleavage of DNA resulting in specific fragments with terminal 5' phosphates. These enzymes differ in their recognition sequences, subunit composition, cleavage site, and cofactor requirements. Williams RJ (2003) "Restriction endonucleases: classification, properties, and applications", Mol. Biotechnol. 23(3):225-43.

[0089] While restriction endonucleases recognize specific sequences in double-stranded nucleic acids and generally cleave both strands, nicking endonucleases can cleave only one strand of a nucleic acid into fragments. Nicking enzymes used to fragment nucleic acids can be naturally occurring or engineered from restriction enzymes. See Chan et al., Nucl. Acids Res., (2011), 39(1):1-18.

[0090] In some embodiments, the DNA is sheared in a biological process in an organism or biological medium. Such DNA or cell-free DNA circulates freely in the bloodstream. For example, cell-free fetal DNA (cffDNA) is fetal DNA that circulates freely in the maternal bloodstream. Cell-free tumor DNA (ctDNA) is tumor DNA that circulates freely in the bloodstream. In some embodiments, DNA is obtained in a fragmented form, although fragmented or sheared DNA is used.

[0091] In a preferred embodiment of the present invention, nucleic acid fragments are joined into a complex. For example, see FIG. 3 for identical fragments and FIG. 16 for two strands of a double-stranded nucleic acid. Any linking molecule can be used to join the molecules. The linkers used in the present invention can be synthesized or commercially available from various companies, such as Integrated DNA Technologies, Inc., Gene Link, Inc., and TriLink Biotechnologies, Inc. The linker can be any molecule for joining two primers or two nucleic acid fragments. Multiple fragments can also be joined by a linking molecule. Any number of fragments can be incorporated into the complex.

[0092] In certain embodiments, the linking molecule may be a streptavidin molecule and the fragments to be linked may comprise biotinylated nucleic acids. In embodiments using a linking primer to create linked nucleic acid fragments by amplification, the primer may be biotinylated and conjugated onto a streptavidin molecule. For example, four fragments may be conjugated onto a tetrameric streptavidin. More than four molecules may be conjugated, for example by forming concatemers. In certain methods of the invention, two or more nucleic acid fragments may be linked by click chemistry. See Kolb et al., Click Chemistry: Diverse Chemical Function from a Few Good Reactions, Angew Chem Int Ed Engl., Jun. 1, 2001; 40(11):2004-2021, incorporated herein by reference.

[0093] As an example and among some known nanoparticles, the linking molecules can link multiple fragments, including hundreds or thousands of fragments, within a single linking molecule. One example of a linking nanoparticle can be a multivalent DNA gold nanoparticle, which comprises colloidal gold surface-modified with synthetic thiol-capped DNA sequences. See Mirkin et al., 1996, A DNA-based method for rationally assembling nanoparticles into macroscopic materials, Nature, 382:607-609, incorporated herein by reference. The surface DNA sequence can be complementary to the desired template molecule sequence or can include a universal primer.

[0094] Linking molecules can also be useful for separating nucleic acid fragments. In a preferred embodiment, the fragments are oriented to prevent binding between them. Using linkers that cause spatial separation and control of fragment orientation can avoid and prevent disruption or binding between fragments.

[0095] In some embodiments, the linker may be polyethylene glycol (PEG) or modified PEG. Modified PEG such as DBCO-PEG4 or PEG-11 can be used to join two adaptors or nucleic acids. In another example, N-hydroxysuccinimide (NHS) modified PEG is used to join two adaptors. See Schlingman et al., Colloids and Surfaces B: Biointerfaces, vol. 83 (2011), pp. 91-95. Any oligonucleotide or other molecule can be used to join the adaptor or nucleic acid.

[0096] In some embodiments, an aptamer is used to join two adaptors or nucleic acids. Aptamers can be designed to bind to various molecular targets, such as primers or nucleic acids. Aptamers can be designed or selected by the SELEX method (Systematic Evolution of Ligands by Exponential Enrichment). Aptamers are nucleic acid macromolecules that specifically bind to target molecules. Like all nucleic acids, a particular nucleic acid ligand, i.e., an aptamer, can also be described by a linear sequence of nucleotides (A, U, T, C, and G), typically 15-40 nucleotides in length. In some preferred embodiments, the aptamer may contain inverted or modified bases. In some embodiments, the aptamer or modified aptamer contains at least one inverted or modified base.

[0097] It should be understood that the linker may be composed of inverted bases or may include at least one inverted base. Inverted or modified bases can be obtained from any commercial entity. Inverted or modified bases have been developed and are commercially available. Inverted or modified bases can be incorporated into other molecules. For example, 2-aminopurine can be substituted into oligonucleotides. 2-Aminopurine is a fluorescent base useful as a probe for monitoring DNA structure and dynamics. 2,6-diaminopurine (2-amino-dA) is a modified base that can form three hydrogen bonds when the base is paired with dT and can also increase the Tm of short oligos. 5-bromo-deoxyuridine is a photoreactive halogenated base that can be incorporated into oligonucleotides and crosslinked with DNA, RNA or proteins upon exposure to UV light. Other examples of inverted or modified bases include deoxyuridine (dU), inverted dT, dideoxycytidine (ddC), 5-methyldeoxycytidine, or 2'-deoxyinosine (dI). It should be understood that any inverted or modified base can be used for linking the template nucleic acid.

[0098] In a preferred embodiment, the linker comprises a molecule for joining two primers or two nucleic acid fragments. The linker may be a single molecule or multiple molecules. The linker may comprise several inverted or modified bases, or may be entirely inverted or modified bases. The linker may comprise both Watson-Crick bases and inverted or modified bases.

[0099] It should be understood that any spacer or linking molecule can be used in the present invention. In some embodiments, the linker or spacer molecule can be a lipid or an oligosaccharide, or an oligosaccharide and a lipid. See U.S. Patent No. 5,122,450. In this embodiment, the molecule is preferably a lipid molecule, more preferably a glyceride or phosphatide having at least two hydrophobic polyalkylene chains.

[0100] The linker may be composed of any number of adapters, primers, and copies of the fragments. The linker may include two identical arms, each of which is composed of a binding molecule, an amplification primer, a sequencing primer, an adapter, and a fragment. The linker may link any number of arms, for example, three or four arms. It should be understood that in some aspects of the invention, the nucleic acid template is linked by a spacer molecule. The linker in the present invention may be any molecule or method for joining two fragments or primers. In some embodiments, polyethylene glycol or modified PEG such as DBCO-PEG4 or PEG-11 is used. In some embodiments, the linker is a lipid or a carbohydrate. In some embodiments, the adapter or nucleic acid may be joined by a protein. In some embodiments, the primer or nucleic acid is linked by an oligosaccharide. In some embodiments, the primer or nucleic acid is linked by an aptamer. When linking fragments, the copies are oriented in phase to prevent binding between them.

[0101] In certain embodiments, the linker may be an antibody. The antibody may be a monomer, dimer, or pentamer. It should be understood that any antibody for joining two primers or nucleic acids may be used. For example, it is known in the art that nucleosides can be made immunogenic by coupling with proteins. See Void, BS (1979), Nucl Acids Res, vol. 7, pp. 193-204. Additionally, antibodies can be prepared to bind modified nucleic acids. See Biochemical Education, vol. 12, no. 3.

[0102] The linker may remain attached to the complex during amplification. In some embodiments, the linker is removed prior to amplification. In some embodiments, the linker is attached to a binding molecule, which is then attached to an amplification primer. Removal of the linker exposes the binding molecule or the binding primer. The exposed binding molecule also attaches to the solid support, forming an arch. The linker can be removed by any method known in the art, including washing with a solvent, applying heat, changing the pH, washing with a detergent or surfactant, and the like.

[0103] The method of the present invention provides nucleic acids that are linked using linker molecules. In samples with low genetic material, nucleic acids can be linked to ensure that identical fragments or fragments that contain both strands of double-stranded nucleic acids are amplified simultaneously or sequentially. Samples such as prenatal samples have low genetic content, and amplifying linked fragments according to the present invention increases the detectable content. In this way, the signal-to-noise ratio is reduced and the detection of target sequences is improved.

[0104] In the method of the present invention, amplification is utilized to amplify target nucleic acid such as fragments to detectable levels.It should be understood that any known amplification technique can be used in the present invention.In addition, the amplified segment created by the amplification process can itself be an efficient template for subsequent amplification.

[0105] Amplification refers to the production of additional copies of a nucleic acid sequence and is generally performed using the polymerase chain reaction or other techniques well known in the art (e.g., Dieffenbach and Dveksler, PCR Primer, a Laboratory Manual, Cold Spring Harbor Press, Plainview, NY

[1995] ). Amplification reactions can be performed using a variety of techniques, including the polymerase chain reaction, nested polymerase chain reaction, ligase chain reaction (Barany F. (1991) PNAS, 88:189-193; Barany F. (1991) PCR Methods and Applications, vol. 1:5-16), ligase detection reaction (Barany F. (1991) PNAS, vol. 88:189-193), transcription-based amplification systems, nucleic acid sequence-based amplification, rolling circle amplification, and hyperbranched rolling circle amplification, or any other amplification reaction known in the art that amplifies nucleic acid molecules.

[0106] In some embodiments, multiple displacement amplification (MDA), a non-PCR-based DNA amplification technique, rapidly amplifies minute amounts of DNA samples for genomic analysis. The reaction is initiated by annealing random hexamer primers to the template. DNA synthesis is performed at a constant temperature by high-fidelity enzymes. However, it should be understood that any amplification method can be used with the present invention.

[0107] In certain embodiments of the invention, the amplification reaction is a polymerase chain reaction. Polymerase chain reaction (PCR) is a method described by KB Mullis to increase the concentration of a segment of a target sequence in a mixture of genomic DNA without cloning or purification. (U.S. Patent Nos. 4,683,195 and 4,683,202, hereby incorporated by reference). The process for amplifying a target sequence involves introducing excess oligonucleotide primers into a DNA mixture containing the desired target sequence, followed by a series of precise thermal cycles in the presence of DNA polymerase. The primers are complementary to each strand of the double-stranded target sequence. In some aspects of the present invention, PCR primers are joined by linker molecules, and the primers are linked to both strands of the same fragment copy or double-stranded fragment through the PCR process. In other embodiments, adapters are added to the primers or fragment copies. The resulting complex generally comprises two same fragment copies or sense and antisense strands of double-stranded nucleic acid, joined directly or indirectly by linking molecules. It should be understood that one or both of the linked fragments or strands may contain errors. However, the probability that each has matching errors at exactly the same base is low. A mismatch between the two fragments in bases indicates an error, as opposed to a true variant. The bases can then be identified as unknown simply from raw sequencing data.

[0108] Primers can be prepared by a variety of methods, including, but not limited to, cloning appropriate sequences and direct chemical synthesis using methods well known in the art (Narang et al., Methods Enzymol., 68:90 (1979); Brown et al., Methods Enzymol., 68:109 (1979)). Primers can also be obtained from commercial sources, such as Operon Technologies, Amersham Pharmacia Biotech, Sigma, and Life Technologies. Primers can have the same melting temperature. The length of the primers can be extended or shortened at the 5' or 3' end to generate primers with desired melting temperatures. The annealing position of each primer pair can also be designed so that the sequence and length of the primer pair results in the desired melting temperature. The simplest equation for determining the melting temperature of a primer smaller than 25 base pairs is Wallace's rule (Td=2(A+T)+4(G+C)). Computer programs including, but not limited to, Array Designer Software (Arrayit Inc.), Oligonucleotide Probe Sequence Design Software for Genetic Analysis (Olympus Optical Co.), NetPrimer, and DNAsis from Hitachi Software Engineering can also be used to design primers. The TM (melting or annealing temperature) of each primer is calculated using a software program such as Oligo Design available from Invitrogen Corp.

[0109] In some embodiments, to effect amplification, the mixture is denatured, and then the primers are annealed with their complementary sequences in the target molecule. After annealing, the primers are extended with polymerase to form new complementary strand pairs. To obtain a high concentration of the amplified segment of the desired target sequence, the steps of denaturation, primer annealing and polymerase extension can be repeated many times (i.e., denaturation, annealing and extension constitute one cycle, and multiple cycles can be performed). The length of the amplified segment of the desired target sequence is determined by the relative positions of the primers with respect to each other, and therefore this length is a controllable parameter.

[0110] In some embodiments, to create the complex of the invention, the primers are linked by a linking or spacer molecule to create two copies of the linked fragment. In other embodiments, the two fragments are linked after at least one PCR step. It is understood that PCR can be applied to the fragments before or after they are joined by the linking molecule. In some embodiments, when the fragments are joined, PCR can be performed on the joined fragments. In some embodiments, the joined copies are subjected to amplification. The amplification step includes a joined primer. The result is that after cycles of PCR, a joined complex containing copies of the fragments is produced.

[0111] Using PCR, it is possible to amplify a single copy of a specific target sequence in genomic DNA to a level that can be detected by several different methodologies (e.g., staining, hybridization with a labeled probe; incorporation of a biotinylated primer followed by detection with an avidin-enzyme conjugate; incorporation of 32P-labeled deoxynucleotide triphosphates, such as dCTP or dATP, into the amplified segment). In addition to genomic DNA, any oligonucleotide sequence can be amplified using a set of appropriate primer molecules. In particular, the amplified segment created by the PCR process is itself an efficient template for subsequent PCR amplification. The amplified target sequence can be used to obtain a segment of DNA (e.g., a gene) for insertion into a recombinant vector.

[0112] Other amplification methods and strategies can also be utilized in the present invention. For example, another approach is to combine PCR with ligase chain reaction (LCR). Since PCR amplifies faster than LCR and requires fewer copies of target DNA to start, PCR can be used as the first step followed by LCR. The amplified product can then be used in LCR or ligase detection reaction (LDR) for allele specificity, which indicates whether a mutation is present. Another approach is to use LCR or LDR for both amplification and allele specific discrimination. The latter reaction has the advantage that it results in linear amplification. Thus, the amount of amplified product reflects the amount of target DNA in the original specimen, thus allowing quantification.

[0113] LCR utilizes pairs of adjacent oligonucleotides that are complementary to the entire length of the target sequence (Barany F. (1991) PNAS 88:189-193; Barany F. (1991) PCR Methods and Applications, Vol. 1:5-16). If the target sequence is perfectly complementary to the primers at the junction of these sequences, DNA ligase will join adjacent 3' and 5' terminal nucleotides, thereby forming a composite sequence. Using a thermostable DNA ligase in thermal cycling, the composite sequence is amplified stepwise. A single base mismatch at the oligonucleotide junction prevents ligation and amplification. Thus, the process is allele specific. A separate set of oligonucleotides with mutant-specific 3' nucleotides is used in a separate reaction to identify the mutant allele. A set of standard conditions can be used to detect all possible mutations at any known site. In LCR, both strands of genomic DNA are generally utilized as targets for oligonucleotide hybridization with four primers, and the product is exponentially increased by repeated thermal cycling.

[0114] Amplification or sequencing adaptors or barcodes, or combinations thereof, can be attached to the fragmented nucleic acid. Such molecules can be obtained commercially, for example, from Integrated DNA Technologies (Coralville, IA). In certain embodiments, such sequences are attached to template nucleic acid molecules using enzymes such as ligases. Suitable ligases include T4 DNA ligase and T4 RNA ligase, available from New England Biolabs (Ipswich, MA). Ligation can be by blunt ends or through the use of complementary overhanging ends. In certain embodiments, after fragmentation, the ends of the fragments are repaired to form blunt ends. , trimming (e.g., using an exonuclease) or filling (e.g., using a polymerase and dNTPs). In some embodiments, end repair is performed using a commercially available kit, such as that available from Epicentre Biotechnologies (Madison, WI), to generate blunt 5' phosphorylated nucleic acid ends. Once blunt ends are generated, the ends are treated with polymerase and dATP to form an independent template for addition to the 3' and 5' ends of the fragment, thus generating a single A overhang. This single A can guide the ligation of the fragment with a single T overhang from the 5' end in a method called TA cloning. Alternatively, the ends can be left as is, i.e., ragged ends, since the possible combinations of overhangs left by the restriction enzyme are known after restriction enzyme digestion. In certain embodiments, double-stranded oligonucleotides with complementary overhangs are used.

[0115] In certain embodiments, one or more barcodes are attached to each, any, or all of the fragments. Barcode sequences generally contain certain features that make the sequences useful in sequencing reactions. Barcode sequences are designed so that each sequence correlates with a specific portion of the nucleic acid, thereby allowing sequence readings to also correlate with the portion from which they are derived. Methods for designing a set of barcode sequences are shown, for example, in U.S. Patent No. 6,235,475, the entire contents of which are incorporated herein by reference. In certain embodiments, barcode sequences are attached to template nucleic acid molecules, for example, using an enzyme. The enzyme can be a ligase or polymerase as described above. Attachment of barcode sequences to nucleic acid templates is shown in U.S. Patent Publication No. 2008 / 0081330 and U.S. Patent Publication No. 2011 / 0301042, the entire contents of each of which are incorporated herein by reference. Methods for designing a set of barcode sequences and other methods for attaching barcode sequences are shown in U.S. Patent Nos. 7,537,897; 6,138,077; 6,352,828; 5,636,400; 6,172,214; and 5,863,722, the contents of each of which are incorporated herein by reference in their entirety. After any processing step (e.g., obtaining, isolating, fragmenting, amplifying, or barcoding), the nucleic acid can be sequenced.

[0116] Methods for designing a set of illustrative barcode sequences and other methods for attaching barcode sequences are set forth in U.S. Patent Nos. 6,138,077; 6,352,828; 5,636,400; 6,172,214; 6235,475; 7,393,665; 7,544,473; 5,846,719; 5,695,934; 5,604,097; 6,150,516; RE39,793; 7,537,897; 6172,218; and 5,863,722, the contents of each of which are incorporated herein by reference in their entirety.

[0117] Barcode sequences generally have certain characteristics that make them useful in sequencing reactions.For example, barcode sequences can be designed to have minimal or no homopolymer regions, i.e., no two or more of the same bases in a row, such as AA or CCC, in the barcode sequence.Barcode sequences can also be designed to not overlap with the target region to be sequenced, or to not contain the same sequence as the target.

[0118] The first barcode sequence and the second barcode sequence are designed so that each pair of sequences correlates with a particular sample, thereby allowing the samples to be distinguished and verified. Methods for designing a set of barcode sequences are shown, for example, in Brenner et al. (US Pat. No. 6,235,475), the entire contents of which are incorporated herein by reference. In certain embodiments, the barcode sequence is preferably from about 2 nucleotides to about 50 nucleotides. The barcode sequence may range from about 4 nucleotides to about 20 nucleotides. The barcode sequence may be sequenced together with the template nucleic acid or may be sequenced in a separate read, so the oligonucleotide length should be the minimum length to allow the longest read from the attached template nucleic acid. Generally, the barcode sequence is spaced at least one base from the template nucleic acid molecule.

[0119] The method of the present invention involves attaching a barcode sequence to a template nucleic acid. The template nucleic acid can be fragmented or sheared to a desired length, for example, generally from 100 bases to 500 bases or longer, using various mechanical, chemical and / or enzymatic methods. DNA can be randomly sheared by sonication, exposed to DNase or one or more restriction enzymes, transposase, or nicking enzymes. RNA can be fragmented by brief exposure to RNase, heat plus magnesium, or by shearing. RNA can be converted to cDNA before or after fragmentation.

[0120] The barcode sequence is incorporated into the template using methods known in the art. The barcode sequence is incorporated into the template using, for example, ligase, polymerase, Topo cloning (e.g., Invitrogen's topoisomerase vector cloning system using topoisomerase enzyme), or chemical ligation or conjugation. The ligase can be any enzyme capable of ligating an oligonucleotide (RNA or DNA) to a template nucleic acid molecule. Suitable ligases include T4 DNA ligase and T4 RNA ligase (such ligases are commercially available from New England Biolabs). Methods for using ligases are well known in the art. The polymerase can be any enzyme capable of adding nucleotides to the 3' and 5' ends of a template nucleic acid molecule. The barcode sequence can be incorporated as part of a PCR primer by PCR reaction. Regardless of the incorporation of molecular barcode or the position of the barcode when it is incorporated, the sequencing adaptor can be attached to the nucleic acid product in a bidirectional manner, so that in the same sequencing run, there will be sequencing reads from both the 5'-end and the 3'-end of the target sequence.In some cases, it is advantageous to use the position of the barcode at the 5'-end or the 3'-end of the target sequence to indicate the direction of reading.Those skilled in the art are familiar with how to attach sequencing adaptors using techniques such as PCR or ligation.

[0121] Figure 6 shows examples of possible adapter and primer configurations. As shown in 602, a P7 primer is attached to the Read2 primer site, which is attached to the complementary region. At 603, a concatenated PCR priming region is attached to a unique molecular identifier. As shown in 604, a P5 primer is attached to the index read primer site and the seeding control site.

[0122] In some embodiments, multiple copies of the fragments are joined. It should be understood that any number of fragments can be joined, whether two, three, four, etc. The joined copies can be referred to as units. Several units can then be joined using a linking molecule. It should be understood that any number of units can be joined by a linking molecule. This increases the information density in the complex. Once the complex is attached to the solid support, the complex is amplified. The amplification product can be attached to the solid support. By joining multiple copies of the fragments into a complex and then amplifying the complex, the information density on the solid support is increased.

[0123] In certain embodiments, the nucleic acid is ligated by two or more joined primers. The nucleic acid fragments can be amplified by using a ligated primer. Any known amplification method can be used in conjunction with the ligated primer. In certain embodiments, digital PCR or emulsion PCR can be used to create two or more ligated nucleic acid fragments for seeding sequencing clusters or for use in other sequencing methods. In a preferred embodiment, the template nucleic acid can be created by ligating an adapter with the nucleic acid fragment of interest to be sequenced. The adapter may optionally include a universal priming site, one or more sequencing primer sites, and a unique cluster identifier to ensure that all sequencing reads in a given cluster originate from the same starting template. Figure 9 shows an exemplary ligation adapter designed according to certain embodiments of the present invention. For example, the adapter can be used with various stem regions such as y1:CCTACTCGCTAC (SEQ ID NO: 1), y2:ATGCGAGCCTCT (SEQ ID NO: 2), y3:GCACCTCATCCA (SEQ ID NO: 3), and y4:TGCAGGATGGTG (SEQ ID NO: 4). The adapter sequence may include a unique cluster identifier (UCI), which may include a series of random bases (e.g., 2, 3, 4, 5, or more) to distinguish adjacent clusters on a sequencing flow cell. The adapter sequence may include phosphorothioate-linked T's to remove T overhangs and reduce 3' exonuclease digestion that may reduce ligation efficiency. The 3' phosphate blocker is optional and is not required for the digital PCR method of the present invention.

[0124] After adapters are ligated to the nucleic acid fragments to be sequenced, emulsions or droplets can be created. Droplets can be aqueous droplets surrounded by immiscible carrier fluid. Methods for forming such droplets and carrying out PCR amplification with droplets are shown, for example, in Link et al. (US Patent Application Nos. 2008 / 0014589, 2008 / 0003142, and 2010 / 0137163), Stone et al. (US Patent No. 7,708,949 and US Patent Application No. 2010 / 0172803), and Anderson et al. (US Patent No. 7,041,481, reissued as RE41,780).

[0125] In a preferred embodiment, a single template nucleic acid molecule is added to the droplet to ensure that only one template molecule is seeded in the final cluster and to prevent the formation of hybrid ligated nucleic acid complexes containing different nucleic acid fragments. A variety of multiplex primers, which may be gene specific, can also be added to the droplet together with the ligation primer. The ligation primer can be two or more primers ligated according to any of the methods described herein. The ligation primer can include, for example, a universal priming site corresponding to the universal priming site in the ligated adaptor as well as a sequencing primer site (e.g., a different index priming site for identifying when more than one molecule is seeded in the cluster). In certain embodiments, the ligation primer can include a gene-specific primer targeting a particular region of interest to be sequenced, thus avoiding an initial ligation step, and the unmodified nucleic acid fragment can be added directly to the droplet for ligation primer digital PCR amplification. FIG. 10 illustrates primers and ligated template nucleic acid fragments according to one particular method of the invention, where the ligated template contains priming sites that correspond to the priming sites of the ligated universal primers, and uses gene-specific multiplex primers to create ligated copies of the target nucleic acid.

[0126] 7 illustrates an exemplary ligated primer emulsion PCR method of the invention. A sample nucleic acid fragment 701, such as cell-free DNA, having a region of interest 724 is ligated 703 with an adaptor 725 to form a template molecule 730. Then, in a droplet 726, An emulsion is created 705 containing a single template molecule 730, a ligated primer 722, and a multiplex gene-specific primer 723. The template is then amplified in droplets using known emulsion PCR methods to create ligated copies of the template molecule 730 containing the sequencing primer site, the nucleic acid region of interest 724, and any of the other optional sequences described herein. The emulsion is then broken 707 according to any known method to release the ligated copies of the template molecule. It should be noted that while PCR amplification can introduce PCR errors 721 into the ligated template molecule, the nature of the disclosed method involving double copy cluster seeding is such that such errors can be identified and distinguished from true variants 720 that will be present in both ligated copies seeding the cluster. The ligated template molecule 730 can then be optionally screened, purified, or enzymatically selected 709 for sequencing the cluster seeding. The ligated templates 730 are then hybridized to a flow cell or otherwise sequenced 711 as described elsewhere.

[0127] As previously described, a ligated template molecule may contain two or more copies of a nucleic acid fragment. FIG. 8 illustrates a droplet 726 used to form a ligated template molecule or complex containing four fragment copies. The droplet 726 contains a four ligated primer complex 722 with two copies of two alternating primers. Such a ligated primer complex can be formed, for example, using the streptavidin / biotin tetramer described above. The droplet 726 may further contain a gene-specific multiplex primer 723 and, preferably, a single copy of the nucleic acid fragment template molecule 730 to be sequenced. Otherwise, the droplet can be subjected to PCR amplification in the same manner as described with respect to FIG. 7, with the alternative result of generating four ligated copies of the template molecule, which seed the clusters for sequencing and also aid in identifying and distinguishing between bona fide variants 720 and PCR errors 721 or other false positives in rare cases.

[0128] In certain embodiments, the method of the present invention relates to reducing the crosstalk between nearby clusters in high-density sequencing runs. Figure 15 illustrates the problem presented by crosstalk, where true mixed bases in a single cluster may be masked by matching bases from adjacent clusters during sequencing reads. To reduce this crosstalk, a second adaptor with a different sequencing primer site can be added during ligation, and a corresponding sequencing primer is used to help distinguish between base matches within a cluster and between adjacent clusters. Although these methods can be used in any standard sequencing technique, Figures 13 and 14 illustrate the methods applied to linked primer emulsion PCR and linked fragment cluster seeding. FIG. 13 shows a plurality of sample nucleic acid fragments 701 and 735, such as cell-free DNA, having regions of interest 724 and 736, respectively, that are ligated 703 with two different adaptors 725 and 734 to form a first template molecule 730 and a second template molecule 733 that contain the different regions of interest 724 and 736 along with the variants 720 to be characterized. Two emulsions are then created 705, each of which contains one of the template molecules 730 or 733, a ligated primer 722 corresponding to each adaptor, and a multiplexed gene-specific primer 723 in a droplet 726. The templates are then amplified in the droplets using known emulsion PCR methods to create ligated copies of the template molecules 730 and 733 that contain the different sequencing primer sites introduced by the two different adaptors 725 and 734. The emulsion is then broken 707 according to any known method to release linked copies of template molecules 730 and 733. While PCR amplification can introduce PCR errors 721 into the linked template molecules, the nature of the disclosed method involving double copy cluster seeding prevents such errors from being introduced into the linked template molecules. It should be noted that variants 720 that will be present in both ligated copies seeding the cluster can be identified as such and distinguished from variants 720 that will be present in both ligated copies seeding the cluster. The ligated template molecules 730 and 733 can then be optionally screened, purified, or enzymatically selected 709 for sequencing the cluster seeding. The ligated template 730 is then hybridized to a flow cell or otherwise sequenced 711 as described elsewhere.

[0129] As shown in FIG. 14, a cluster is seeded with one of two template adaptors 725 or 734. An exemplary step of the sequencing method includes: then making a short read using a common sequencing priming site across all one sense of the cluster; making a common index read across all other sense of the cluster to identify possible cluster seeding by multiple templates; making a read on the target cluster using a primer corresponding to the sequencing priming site of the second adaptor 734; and then making a long index read on an adjacent cluster using a primer corresponding to the sequencing priming site of the first adaptor 725. There is a 50% probability that an adjacent cluster contains the sequencing priming site of the first adaptor 725, and by using the above technique, the reads of the adjacent clusters can be identified and the risk of crosstalk that masks mixed bases within a single cluster can be reduced. With the reduced crosstalk provided by the method of the present invention, the identification of variants 720 and the distinction from PCR errors 721 can be more reliably achieved.

[0130] As shown in FIG. 1A, the linker 103 comprises two short primers 105 with a concentration-driven Tm. The linker 103 or the primers 105 can also be attached to a universal adaptor (not shown). As an alternative to the emulsion PCR technique described above, linked primer amplification can be achieved using multiple linear PCR steps. During linear PCR, two copies 107 of the genomic template are prepared. As shown in FIG. 1B, the complex 109 comprises the linker 103, the primers 105 and an identical copy 107 of the nucleic acid template. As shown in FIG. 1C, a second linear PCR step using a different linker 116 and adaptor 118 is used to create the opposite sense 114 to the nucleic acid template 107. The complexes 109 and 119 are subjected to an additional step of amplification, such as universal PCR, to create multiple amplicons of both senses (sense and antisense). See FIG. 1D and 1E.

[0131] An example of a complex is shown in FIG. 3. As shown in FIG. 3, the complex 301 contains a linker 301 attached to two primers 303. The complex also includes a sequence reading primer 305 and an adaptor 307 for linking to a target nucleic acid 309. The complex also includes a complementary adaptor 311 and primer 313. In a preferred embodiment, the primer 313 is a P7 primer and the primer 303 is a P5 primer. It should be understood that any combination, orientation or configuration of adaptors, primers, and target nucleic acids can be organized. It should also be understood that the complex may include a barcode. FIG. 3 is an example and not a limiting embodiment.

[0132] The complexes of the invention can be attached to a variety of solid supports, such as microbeads, beads, channel walls, microchips, and the like.

[0133] Sequencing of the joined fragments may be by any method known in the art. The present invention utilizes genome sequencers from Roche / 454 Life Sciences (Margulies et al. (2005) Nature 437:376-380; U.S. Patent Nos. 6,274,320; 6,258,568; 6,210,8 No. 91), the SOLiD system from Life Technologies Applied Biosystems (Grand Island, NY), the HELISCOPE system from Helicos Biosciences (Cambridge, MA) (see, e.g., U.S. Patent Publication No. 2007 / 0070349), and Ion sequencers from Life Technologies Ion Torrent, Ion Torrent Systems, Inc. (Guilford, CT).

[0134] In a preferred embodiment, sequencing is by a method that can determine each base sequentially.DNA sequencing techniques include classical dideoxy sequencing reaction (Sanger method) using labeled terminator or primer and gel separation in plate or capillary tube, sequencing by synthesis using reversibly terminated labeled nucleotide, pyrosequencing, 454 sequencing, sequencing by synthesis using allele-specific hybridization with a library of labeled oligonucleotide probes, allele-specific hybridization with a library of labeled clones, followed by ligation, real-time monitoring of the incorporation of labeled nucleotide during polymerization step, polony sequencing, and SOLiD sequencing.Sequencing of separated molecules has been demonstrated more recently by sequential or single extension reaction using polymerase or ligase, and by single or sequential differential hybridization with a library of probes.

[0135] It should be understood that the linker can also be attached to the adaptor, primer, or binding molecule. The linker can be attached to these species in any orientation or configuration. The linking molecule can be directly attached to the adaptor or primer and indirectly linked to the nucleic acid fragment. In some aspects of the invention, the linking molecule can be removed before or after amplification. In some embodiments, the linking molecule remains in the complex. In some embodiments, the linking molecule is removed before sequencing, and in other embodiments, the linking molecule remains in the complex during sequencing.

[0136] Sequencing techniques that can be used in the methods of the provided invention include, for example, Helicos True Single Molecule Sequencing (tSMS) (Harris TD et al. (2008) Science 320:106-109). In the tSMS technique, a DNA sample is sheared into strands of approximately 100-200 nucleotides and a polyA sequence is added to the 3' end of each DNA strand. Each strand is labeled by adding a fluorescently labeled adenosine nucleotide. The DNA strands are then hybridized to a flow cell with millions of oligo-T capture sites immobilized on its surface. The density of the templates is approximately 1 cm 2The number of templates per template may be about 100 million. The flow cell is then loaded into an instrument, e.g., a HeliScope sequencer, and a laser is illuminated on the surface of the flow cell, thereby revealing the location of each template. A CCD camera can map the location of the templates on the flow cell surface. The template fluorescent label is then cleaved and washed away. The sequencing reaction is initiated by introducing a DNA polymerase and fluorescently labeled nucleotides. The oligo-T nucleic acid serves as a primer. The polymerase incorporates the labeled nucleotide into the primer in a template-directed manner. The polymerase and unincorporated nucleotides are removed. The templates that have been directed to incorporate the fluorescently labeled nucleotide are detected by imaging the flow cell surface. After imaging, the fluorescent label is removed by a cleavage step, and the process is repeated with other fluorescently labeled nucleotides until the desired read length is achieved. Sequence information is collected at each nucleotide addition step. Using the present invention, the ligated fragments can be identified in tandem. Further description of tSMS can be found, for example, in Lapidus et al. ( No. 7,169,560), Lapidus et al. (U.S. Patent Application No. 2009 / 0191565), Quake et al. (U.S. Patent No. 6,818,395), Harris (U.S. Patent No. 7,282,337), Quake et al. (U.S. Patent Application No. 2002 / 0164629), and Braslavsky et al., PNAS (USA) 100:3960-3964 (2003), the contents of each of which are incorporated herein by reference in their entirety.

[0137] Another example of a DNA sequencing technique that can be used in the methods of the invention provided is 454 sequencing (Roche) (Margulies, M et al., 2005, Nature, vol. 437, pp. 376-380). 454 sequencing involves two steps. In the first step, DNA is sheared into fragments of approximately 300-800 base pairs and the fragments are blunt-ended. Oligonucleotide adapters are then ligated to the ends of the fragments. The adapters act as primers for amplification and sequencing of the fragments. The fragments can be attached to DNA capture beads, e.g., streptavidin-coated beads, using, e.g., adapter B, which contains a 5'-biotin tag. Using the methods of the invention, the spliced ​​fragments are captured on the beads as described above. The spliced ​​fragments attached to the beads are PCR amplified in droplets of an oil-water emulsion. The result is multiple copies of the clonally amplified DNA fragments on each bead. In the second step, the beads are captured in wells (picoliter size). Pyrosequencing is performed in parallel on each DNA fragment. The addition of one or more nucleotides generates a light signal that is recorded by the CCD camera of the sequencing instrument. The signal intensity is proportional to the number of nucleotides incorporated. Pyrosequencing uses pyrophosphate (PPi) that is released upon nucleotide addition. PPi is converted to ATP by ATP sulfurylase in the presence of adenosine 5'-phosphosulfate. Luciferase uses ATP to convert luciferin to oxyluciferin, a reaction that produces light that is detected and analyzed.

[0138] Another example of a DNA sequencing technique that can be used in the methods of the provided invention is Ion Torrent sequencing (U.S. Patent Application Nos. 2009 / 0026082, 2009 / 0127589, 2010 / 0035252, 2010 / 0137143, 2010 / 0188073, 2010 / 0197507, 2010 / 0282617, 2010 / 0300559, 2010 / 0300895, 2010 / 0301398, and 2010 / 0304982), the contents of each of which are incorporated herein by reference in their entirety. Ion Torrent sequencing In Torrent sequencing, DNA is sheared into fragments of approximately 300-800 base pairs and the fragments are blunt-ended. Oligonucleotide adapters are then ligated to the ends of the fragments. The adapters act as primers for amplification and sequencing of the fragments. The fragments can be attached to a surface, and are attached with a resolution such that the fragments are individually resolvable. The conjugated fragments are attached to a surface using the methods of the invention. The addition of one or more nucleotides releases a proton (H+), the signal of which is detected and recorded in the sequencing instrument. The signal intensity is proportional to the number of nucleotides incorporated.

[0139] FIG. 11 illustrates the preparation of beads for Ion Torrent sequencing using the emulsion PCR method of the present invention. Similar to the ligated template preparation method described above, a sample nucleic acid fragment 701, such as cell-free DNA, having a region of interest 724 is ligated 703 with an adaptor that contains a linear PCR primer 727 at one end and a universal PCR primer 728 at the other end to form a template molecule 730. An emulsion is then created 71 in a droplet 726 that contains a single template molecule 730, a multiplex gene-specific primer 723, and multiple ligated primers conjugated onto a bead 729. 3. The template is then amplified 715 in the droplets using known PCR methods to create beads with multiple copies of the template molecule 730, which may have PCR-introduced errors 721. The emulsion is then broken and the bead-linked fragments 731 are loaded 717 into flow cell sequencing wells 732 for Ion Torrent sequencing. The majority of the beads are lost during flow cell loading, and only a small fraction of the beads 731 containing the fragments enter the flow cell wells 732.

[0140] FIG. 12 illustrates the error identification advantage of Ion Torrent sequencing using beads seeded from a single template molecule according to the methods of the invention, where mixed bases in a read from a single well indicate a PCR error, while a consensus read that may differ from other wells or the reference genome indicates a true variant in the sample nucleic acid.

[0141] The present invention also encompasses a method for sequencing the amplified nucleic acid produced by solid-phase amplification. Thus, the present invention provides a method for nucleic acid sequencing, comprising: amplifying a pool of nucleic acid templates using solid-phase amplification; and performing a nucleic acid sequencing reaction to determine the sequence of all or part of at least one amplified nucleic acid strand produced in the solid-phase amplification reaction. The starting point of the sequencing reaction can be provided by annealing a sequencing primer with the product of the solid-phase amplification reaction. In this regard, one or both of the adapters added during the formation of the template library may include a nucleotide sequence that allows annealing of the sequencing primer with the whole genome of the template library or with the amplification product derived by solid-phase amplification.

[0142] The product of a solid-phase amplification reaction in which both forward and reverse amplification primers are covalently immobilized on a solid surface is a so-called bridged structure formed by paired annealing of an immobilized polynucleotide strand with an immobilized complementary strand, with both strands attached at their 5' ends to the solid support. Arrays composed of such bridged structures provide inefficient templates for typical nucleic acid sequencing techniques, since under standard conditions for hybridization, hybridization of a conventional sequencing primer with one of the immobilized strands is unfavorable compared to annealing of this strand with its immobilized complementary strand.

[0143] In order to produce a more suitable template for nucleic acid sequencing, it may be advantageous to remove or replace substantially all or at least a portion of one of the immobilized strands in the bridged structure to produce a template that is at least partially single-stranded.Therefore, a portion of the template that is single-stranded becomes available for hybridization with sequencing primer.The process of removing all or a portion of one of the immobilized strands in the "bridged" double-stranded nucleic acid structure can be referred to herein as linearization, which is described in more detail in US Patent Publication No. 2009 / 0118128, the entire contents of which are incorporated herein by reference.

[0144] The cross-linked template structure can be linearized by cleaving one or both strands with a restriction endonuclease or by cleaving one strand with a nicking endonuclease. Other cleavage methods can be used as alternatives to restriction or nicking enzymes, including, inter alia, chemical cleavage (e.g., cleavage of diol linkages with periodic acid), cleavage of abasic sites by cleavage with an endonuclease (e.g., "USER", part number M55055, supplied by NEB), or exposure to heat or alkali, cleavage of ribonucleotides incorporated into amplification products otherwise composed of deoxyribonucleotides, photochemical cleavage, or cleavage of peptide linkers.

[0145] After the cleavage step, regardless of the method used for cleavage, the product of the cleavage reaction can be subjected to denaturing conditions to remove the portion(s) of the cleaved strand(s) that are not attached to the solid support. Suitable denaturing conditions, such as sodium hydroxide solution, formamide solution or heat, will be clear to those skilled in the art by referring to standard molecular biology protocols (Sambrook et al., supra; Ausubel et al., supra). Denaturation results in the generation of a partially or substantially single-stranded sequencing template. The sequencing reaction can then be initiated by hybridization of a sequencing primer with the single-stranded portion of the template.

[0146] Thus, the invention encompasses methods in which a nucleic acid sequencing reaction comprises hybridizing a sequencing primer to a single-stranded region of a linearized amplification product, sequentially incorporating one or more nucleotides into a polynucleotide strand complementary to a region of the amplified template strand to be sequenced, identifying the base present in one or more of the incorporated nucleotides, and thereby determining the sequence of the region of the template strand.

[0147] Another example of a sequencing technology that can be used in the methods of the invention provided is Illumina sequencing. The Illumina sequencing workflow is based on three steps: libraries are prepared from virtually any nucleic acid sample, amplified to generate clonal clusters, and sequenced using massively parallel synthesis. Illumina sequencing is based on amplification of DNA on a solid surface using foldback PCR and immobilized primers. Genomic DNA is fragmented and adapters are added to the 5' and 3' ends of the fragments. The DNA fragments attached to the surface of the flow cell channel are extended and bridge amplified. Using the methods of the invention, the spliced ​​fragments are attached to the flow cell channel, extended, and bridge amplified. In some embodiments, the linker is removed before bridge amplification. In some embodiments, the linker remains attached to the fragments during amplification. The fragments become double-stranded and the double-stranded molecules are denatured. Multiple cycles of solid-phase amplification followed by denaturation can create millions of clusters of approximately 1,000 copies of single-stranded DNA molecules of the same template in each channel of the flow cell. Sequential sequencing is performed using a primer, DNA polymerase, and four reversible terminating nucleotides labeled with fluorophores. After incorporation of a nucleotide, a laser is used to excite the fluorophore, an image is captured, and the identity of the first base is recorded. The 3' terminator and fluorophore are removed from each incorporated base, and the incorporation, detection, and identification steps are repeated. Sequencing according to this technique is described in U.S. Patent No. 7,960,120; U.S. Patent No. 7,835,871; U.S. Patent No. 7,232,656; U.S. Patent No. 7,598,035; U.S. Patent No. 6,911,345; U.S. Patent No. 6,833,246; U.S. Patent No. 6,828,100; U.S. Patent No. 6,306,597; U.S. Patent No. 6,210,891; U.S. Patent Publication No. 2011 / 0009278; U.S. Patent Publication No. 2007 / 0114362; U.S. Patent Publication No. 2006 / 0292611; and U.S. Patent Publication No. 2006 / 0024681, each of which is incorporated by reference in its entirety.

[0148] The method of the present invention can be incorporated into the Illumina sequencing platform (commercially available from Illumnia, Inc, San Diego, CA). Using the present invention, a library of ligated complexes containing copies of two identical fragments or both strands of a double-stranded fragment is prepared and then attached to a solid support. The complexes are amplified to generate clonal clusters and then sequenced using massively parallel synthesis. In this method, each cluster is seeded with one fragment. Using the present invention, two identical fragments or both strands of a double-stranded fragment are used to seed the clusters. Sequencing During sequencing, if there is no match at a particular base between the amplicons, an error is detected.

[0149] In a preferred embodiment, the conjugated fragments are attached to a flow cell channel wall. As shown in Figure 2, complexes 109 and 119 are attached to a solid support 202, such as a flow cell channel wall. Complex 109 may comprise the sense and complex 119 may comprise the antisense. Each complex is seeded into a cluster. As shown in Figure 2, complex 109 is seeded into cluster 1 (205) and complex 119 is seeded into cluster 2 (207).

[0150] FIG. 4A shows an example of a complex 401. Complex 401 includes a linker 406 and an identical copy of the nucleic acid template. However, one copy of the nucleic acid template includes an error 410. Complex 401 is attached to a solid support 402 via a binding site 405. In some embodiments, binding site 405 is a complementary oligonucleotide (complementary to an oligonucleotide on the complex) covalently attached to a flow cell surface. As shown in FIG. 4B, complex 401 is extended and bridge amplified to create copy 418. This process is repeated to form a cluster 450 on solid support 402, as shown in FIG. 4C. From this process, the cluster is a mixture of oligonucleotides from each half of the complex. Approximately half of the oligonucleotides contain errors and the other half are error-free.

[0151] FIG. 5A shows two complexes 502 and 503, where complex 502 contains an error 510. A primer, a DNA polymerase, and four reversible terminating nucleotides labeled with fluorophores are then introduced to perform sequential sequencing. After incorporation of a nucleotide, a laser is used to excite the fluorophore, an image is captured, and the identity of the first base is recorded. Since there is no error in the first base, both bases fluoresce the same. The 3' terminator and fluorophore are removed from each incorporated base, and the incorporation, detection, and identification steps are repeated. These steps are repeated until a base containing an error is reached, where the bases do not fluoresce the same. The bases fluoresce differently. As shown in FIG. 5B, a mixed fluorescence will be indicative of a mismatched base. A mixed fluorescence will be indicative of an error, and the base is reported as unknown or N. See FIG. 5C.

[0152] FIG. 16 illustrates a droplet-based method of the present invention for creating ligated double-stranded nucleic acids from the sense and antisense strands of a nucleic acid fragment. As shown, double-stranded cell-free DNA (cfDNA) can be obtained with rare variants represented on both strands. The double-stranded template can then be added to an emulsion with one or more gene-specific forward primers (e.g., the emulsion can contain multiplexed forward and reverse primers specific to more than one gene or part of a gene), one or more gene-specific reverse primers, and a universal ligation primer. The emulsion can then be subjected to emulsion PCR to create ligated double-stranded products. The emulsion is then broken and the unligated template is digested. The remaining ligated double-stranded products can then be sequenced. Because the double-stranded products enter the droplet with the forward and reverse gene-specific primers, double-stranded sequence information can be obtained. The ligated products of the emulsion PCR contain both template senses at least about 50% of the time, which reduces the average error rate. As shown in FIG. 16, during emulsion PCR, PCR errors are introduced into the double-stranded product, but since the PCR errors are present on only one strand and the true variants are present on both strands, the two can be easily distinguished from each other during sequencing.

[0153] 17 and 18 show exemplary universal ligation primers and forward and reverse primers. 1 shows Bath gene specific primers and their use in PCR amplification to create a ligated double-stranded product.

[0154] Amplicon length is preferably kept short to improve sensitivity. In some embodiments, the target region between the primers is about 86 bp. Additional gene-specific primers are shown in FIG.

[0155] Figures 20 and 21 illustrate the sequencing method of the present invention using the products from Figures 17 and 18, respectively. The linked primer may contain two or more sites and may be composed of DNA linked to PEG, Traptavidin conjugated with biotinylated DNA, DNA-coated beads, DNA-coated nanoparticles, gel-based beads (e.g., acrylamide). The beads may be polystyrene, latex, magnetic, silica, ferromagnetic or similar materials. Attachment may be by conventional methods, preferably by a combination of amino and carboxyl groups.

[0156] The method of the present invention may include a duplex identification strategy for the linked duplex molecules formed by the droplets. As described, the droplet-based method of the present invention can result in the formation of linked duplex fragments (linked molecules containing representations from each side of the DNA duplex) at a rate of at least 50%, so the identification of these products is important to obtain accuracy that eliminates data from non-duplex products and increases the advantage of duplex products. Duplex identification methods can include, for example, a two-step PCR approach using two sets of primers with different annealing temperatures, where the first several cycles are performed at low temperature with gene-specific barcoding primers to amplify and identify each sense of the duplex, while a universal tail is added in subsequent cycles. The number of barcoding cycles is limited to prevent each sense of the duplex from being labeled with multiple barcodes. Subsequent cycles can then be performed at high temperature with universal primers since barcoding primers cannot bind under these conditions. Duplex products can then be identified by the presence of their sense-specific barcodes during sequencing analysis.

[0157] Figures 29A-D illustrate a method for duplex identification according to certain embodiments of the present invention. In the illustrated example, the following can be added to the droplet: a ligation primer; a universal forward primer and a universal reverse primer, each with a high Tm (Tm can be increased using LNA); a barcoded forward gene-specific primer and a barcoded reverse gene-specific primer, each with a lower Tm than the universal forward primer and at a lower concentration; and a duplex template. Emulsion PCR can then be performed with a first cycle having a low annealing temperature to allow the barcoded primer to bind to the template, followed by a second low annealing temperature cycle to generate the products shown in Figure 29B. A third low annealing temperature cycle allows the first cycle of universal primer binding. In this cycle, the barcoded primer still binds to form more C and D products than [A+B], and can also bind to the C and D products to form more E and F products.

[0158] After the third cycle, the product shown in Figure 29C may be present in the emulsion, which may then be subjected to a fourth low annealing temperature cycle to allow a second cycle of universal primer binding. As shown in Figure 29C, at the end of cycle 4, a molecule with complete forward and reverse universal tails can be obtained. The annealing temperature can be increased for subsequent cycles. There may be several type I and J products with different barcodes (e.g., with a complete universal tail on either the forward or reverse side). These can only be linearly amplified at higher annealing temperatures.

[0159] As shown in Figure 29D, subsequent PCR cycles (5+) may have elevated annealing temperatures that only allow binding of the universal primer to amplicons with a complete universal tail. The last few cycles may be at low annealing temperatures to allow the amplified strands to ligate via a portion of the forward universal tail. Alternatively, a longer ligation primer can be used with a complete forward universal tail, which allows ligation at a higher annealing temperature, but may be difficult to synthesize and less efficient to ligate. Ligation of the top sense or bottom sense occurs randomly, so 50% of the ligated molecules using this ligation primer should have one of each (double-stranded information). A ligation primer with more than two sites on the nanoparticle, e.g., 100 sites, will, on average, contain double-stranded information nearly 100% of the time.

[0160] In certain embodiments, the linked duplex molecules can be created without emulsion PCR. In non-droplet embodiments, a single amplification cycle can be used to create linked duplex molecules with both sense and antisense strands of the original fragments. The linked duplex molecules can then be directly loaded into a flow cell for sequencing, thereby avoiding amplification-induced sequence or length bias (e.g., in whole genome sequencing), as well as avoiding amplification-introduced errors and loss of nucleic acid due to poor loading efficiency. For example, if the loading efficiency of a sequencer can be defined as (number of output reads) / (number of input molecules that can form reads), the loading efficiency for the Illumina MiSeq is <0.1%, and similarly for other Illumina instruments. This is largely due to fluid loss, since more than 600uL of sample is loaded into the sequencer, while only about 7uL is retained inside the flow cell for binding, resulting in a large loss of starting material. The non-droplet, direct loading method described herein improves on these inefficiencies. The method of the present invention can include a simplified workflow that creates double-stranded molecules in one cycle of PCR.The double-stranded molecules can then be used to seed single clusters, resulting in highly accurate sequencing reads.By directly loading into flow cell and then sequencing, the loss of DNA due to loading is minimized.

[0161] The direct loading, non-droplet method of the present invention has applications including whole genome sequencing where there is a small amount of DNA present but high accuracy is desired, such as in tissue biopsy, needle aspiration, or small volume blood draw.Additional applications include where DNA is degraded or damaged, such as in formalin-fixed paraffin-embedded (FFPE) samples.

[0162] Figures 22A, 22B, 23A, and 23B show a non-droplet ligated duplex formation method according to certain embodiments of the present invention. One (Figure 22) or two (Figure 23) ligated adapters are ligated to a double-stranded genome template and then extended using a strand-displacing polymerase to create a ligated duplex molecule. The ligated duplex is then loaded directly onto a flow cell for sequencing. In the application of two ligated adapters, such as those illustrated in Figure 23, ligated fragments can be formed in two orientations (i.e., a ligated fragment with a linker at one end and a ligated fragment with a linker at the opposite end). As shown in Figures 22B and 22B, ligation results in about 50% of the desired ligated duplex production. This results in the formation of clusters that are not clustered with other undesirable products.

[0163] Figures 24A and 24B illustrate the steps of a direct loading sequencing method using ligated double-stranded molecules. In the exemplary method of Figures 24A and 24B, a flow cell is initialized with a reagent. A small amount of ligated library is then denatured and the entire volume is loaded into the initialized flow cell. The flow cell port is then sealed and a template such as that created in the method illustrated in Figures 22 and 23 is bound to the flow cell. The DNA on the flow cell is extended and the flow cell is then loaded into a flow cell sequencing instrument. An exemplary flow cell binding is illustrated in Figure 25 and includes the steps of flow cell capture, extension, washing of ligated template, bridge amplification, and sequencing. The binding of the ligated double-stranded template to the other sense strand is similar to that illustrated in Figure 25.

[0164] Figure 26 illustrates an exemplary offline seeding protocol compared to the default protocol. In a particular embodiment, the steps of the offline seeding protocol may include the following steps performed at room temperature on the bench: run LDR 5 times, run PR2 5 times, run HT1, load TMP, and seal the port with PCR tape. Here, run means fill the flow cell with the specified reagent, wait about 10 seconds, and then empty the flow cell. After sealing the port with PCR tape, incubate the flow cell in a bead bath at 75 degrees Celsius for 10 minutes, then at 40 degrees Celsius for 10 minutes. The flow cell is returned to the bench at room temperature, unsealed, and the flow cell is flushed with PR2 at 40 degrees Celsius five times, AMS1 twice, AMS1 with three 2 minute incubations at 40 degrees Celsius, filled with AMS1, and transferred to a MiSeq instrument (commercially available from Illumnia, Inc, San Diego, Calif.) for sequencing. Additional steps in the preparation protocol may include removing the flow cell from its plastic housing, pre-cutting the PCR tape to seal the ports, and protecting the flow cell from scratches by the bead bath with PCR tape or scotch tape on both sides.

[0165] For other applications where the yield of flow cell loading and the target capture yield are important in addition to the direct loading embodiment, it may be beneficial to combine flow cell loading with targeted sequencing to minimize loss. Such a combination further simplifies the workflow by eliminating an extra step. Methods exist for capturing targets on flow cells, but they have at least two drawbacks. First, the method cannot sequence the region captured on the flow cell. For short fragments such as cell-free DNA, this can cause a large loss of signal. Second, the method cannot capture the linked double-stranded molecules described in the present invention for sequencing. Therefore, the method of the present invention includes flow cell-based target capture of double-stranded molecules. According to the method of the present invention, the flow cell contains one sense of oligonucleotide (oligo) with the target region, while the other sense is hairpinned and not immediately available for binding. See Figure 27. After one sense of the ligated molecule is captured on the flow cell, the other flow cell oligo is activated to capture the other sense of the ligated fragment (e.g., using uracil digest, enzyme digestion, or light). The template can then be extended and cluster production can continue as normal. In certain embodiments, one set of oligos can be complementary to the sense or antisense strand of the double-stranded nucleic acid, and another set can be complementary to a universal adaptor attached to both the sense and antisense strands, and the universal adaptor oligo can be hairpinned to prevent binding in the first exposure step.

[0166] 28A-E show a schematic diagram of an illustrative method for flow cell-based target capture of double-stranded molecules. FIG. 28A illustrates an exemplary target capture step, where a linking molecule is loaded into a flow cell, either directly or by conventional methods. FIG. 28B illustrates an exemplary step of binding of a template to a flow cell, where a linking molecule binds to a complementary capture region, and the other sense of the flow cell oligo is released to bind to both free ends of the linked fragments. FIG. 28C illustrates an exemplary strand displacement step, where a strand displacing polymerase is used to extend both fragments to create a doubly seeded cluster. The linked template is then denatured and removed from the flow cell, as shown in FIG. 28D. Bridge amplification can then be performed as usual, but with two molecules seeding the cluster, as shown in FIG. 28E.

[0167] The direct loading technique of the present invention can be used in whole genome sequencing applications without a flow cell target capture step using one or two ligated adapters. In targeted sequencing applications, a tube-based target capture technique optimized for yield (e.g., high yield with poor off-target rejection) can be used after ligation using one or two ligated adapters. The ligated duplex template can then be directly loaded onto a flow cell with or without the target capture step described in Figures 28A-E as described above. In certain embodiments, the intermediate tube-based target capture step can be omitted.

[0168] The Illumina Genome Analyzer (detector, commercially available from Illumina) is based on parallel fluorescence-based reading of millions of immobilized sequences that are sequenced iteratively using reversible terminator chemistry. In one example, up to eight DNA libraries are hybridized to an eight-lane flow cell. In each of the lanes, single-stranded library molecules are hybridized to complementary oligonucleotides covalently attached to the flow cell surface. The reverse strand of each library molecule is synthesized, and then the now covalently attached molecules are further amplified in a process called bridge amplification. This results in clusters, each of which contains more than 1,000 copies of the starting molecule. One strand is then selectively removed, after which the free ends are blocked and sequencing primers are annealed to the adapter sequences of the cluster molecules.

[0169] Although the fluorescent imaging system is not sensitive enough to detect the signal from a single template molecule, the detector is sensitive enough to detect the signal from each cluster. In this embodiment of the invention, the signals from multiple clusters are analyzed. Each cluster is expected to fluoresce at a certain value, for example, close to one of the four bases. If the cluster does not fluoresce at a value close to one of the four bases, it is determined that an error exists at that locus.

[0170] After sequencing, the image is analyzed and the intensity is extracted for each cluster. Illumina's base caller, Bustard, must deal with two effects in the four intensity values ​​extracted for each cycle and cluster: first, the strong correlation between A and C intensities and the strong correlation between G and T intensities due to the similar emission spectra of the fluorophores and the limited separation by the filters used; and second, the dependence of the signal for a particular cycle on the signals of the preceding and following cycles, known as phasing and prephasing, respectively. Phasing and prephasing are caused by incomplete removal of 3' terminators and fluorophores, sequences within clusters that have failed incorporation cycles, and incorporation of nucleotides that do not have effective 3' terminators. Phasing and prephasing cause the intensity extracted for a particular cycle to consist of the signal of the current cycle and noise from previous and following cycles.

[0171] Another example of a sequencing technology that can be used in the methods of the provided invention is Pacific Biosciences' Single Molecule, Real Time (SMRT) technology. In SMRT, one of four different fluorescent dyes is attached to each of the four DNA bases. These dyes are linked by phosphate groups. A single DNA polymerase is immobilized on a single molecule of template single-stranded DNA at the bottom of a zero-mode waveguide (ZMW). The ZMW is a confinement structure that allows observation of the incorporation of a single nucleotide by the DNA polymerase against a background of fluorescent nucleotides that rapidly diffuse (in microseconds) outside the ZMW. Incorporation of a nucleotide into the growing strand takes several milliseconds. During this time, the fluorescent label is excited, generating a fluorescent signal and the fluorescent tag is cleaved. Detection of the corresponding fluorescence of the dye indicates which base has been incorporated. The process is repeated. Using the methods of the present invention, the process is repeated in tandem with two of the fragments being analyzed.

[0172] Another example of a sequencing technique that can be used in the provided inventive method is nanopore sequencing (Soni GV and Meller A. (2007) Clin Chem 53:1996-2001). A nanopore is a small hole with a diameter of about 1 nanometer. By immersing the nanopore in a conductive fluid and applying a potential across it, a small current is generated due to the conduction of ions through the nanopore. The amount of current that flows is sensitive to the size of the nanopore. As a DNA molecule passes through the nanopore, each nucleotide on the DNA molecule blocks the nanopore to a different extent. Thus, the change in current passing through the nanopore as the DNA molecule passes through it represents a readout of the DNA sequence. Using the method of the present invention, the two fragments are analyzed simultaneously or sequentially, thereby reducing the probability of errors.

[0173] The present invention can be used with nanopore technologies such as single molecule nanopore-based sequencing by synthesis (Nano-SBS). In this strategy, four bases can be distinguished by detecting four different size tags released from 5' phosphate modified nucleotides. As each nucleotide is incorporated into the growing DNA strand during the polymerase reaction, its tag is released and enters the nanopore in the order of release. This results in a unique ion current blockage signature due to the distinct chemical structure of the tag, which allows the DNA sequence to be electronically determined at the single molecule level with single base resolution. Using the method of the present invention, two identical fragments or both strands of a double stranded fragment can be analyzed simultaneously or sequentially. See Kumar et al., Scientific Reports, Article No. 684, doi: 10.1038 / srep00684.

[0174] The above functions, such as sequence read analysis or assembly, can be performed using a system of the invention that includes software, hardware, firmware, hardwiring, or any combination of these.

[0175] One of the sequencing methods that can be used according to the present invention relies on the use of modified nucleotides with removable 3' blocks, as described, for example, in WO04018497, US2007 / 0166705A1 and US Pat. No. 7,057,026, the entire contents of which are incorporated herein by reference. Once a modified nucleotide is incorporated into the growing polynucleotide chain that is complementary to the region of the template to be sequenced, there is no free 3'OH group available to guide further sequence extension, and therefore polymerase cannot add additional nucleotides. Once the nature of the base incorporated into the growing chain is determined, the 3' block is removed to allow the addition of the next successive nucleotide. The order of products derived using these modified nucleotides allows the DNA sequence of the DNA template to be deduced. Such reactions can be carried out in a single experiment, provided that each of the modified nucleotides is attached with a different label known to correspond to a particular base, to facilitate discrimination between the bases added during each incorporation step. Alternatively, separate reactions can be carried out that contain each of the modified nucleotides separately.

[0176] Figures 32 and 33 illustrate alternative sequencing methods using the systems and methods of the present invention. As shown in Figure 32, after seeding and amplifying a cluster with multiple template copies, errors can be distinguished from true variants through reduced sequencing quality in a single read at a position where the base is not the same. Since all amplified strands in a cluster are all read at the same time and in the same direction, reduced signal quality is the only way to determine mixed base calls in a cluster. In embodiments where a cluster is seeded with both sense and antisense strands or templates with different sequencing primer sites, true variants and errors can be identified by comparing the results of two different sequencing reads (e.g., reads from each sense or reads using two different sequencing primers). Figure 33 illustrates a method of the present invention that uses two separate sequencing reads to compare base calls from sense and antisense reads. Sequencing or other introduced errors should only be seen in one of the reads, but true variants should be observed in both reads.

[0177] Ligation target capture methods may include solution-based capture of genomic regions of interest for targeted DNA sequencing. Figures 34 and 35 illustrate an exemplary method of solution-based target capture. A universal probe and an optional barcode (which may be sense-specific) are ligated to the extracted DNA. The ligated DNA product is then denatured and bound to a ligated target capture probe, which includes a universal priming site and a universal probe ligated to a target-specific probe. Target capture is performed at a temperature where the universal probe cannot bind alone without high local concentration due to binding of the targeting probe. A strand-displacing polymerase (e.g., BST, phi29, or SD) is then used to extend the ligated probe bound to the target. As shown by the black diamond shapes in Figures 34 and 35, the targeting probe is blocked from extension, so that extension only occurs along the bound universal probe, and the bound target nucleic acid strand that remains ligated to the targeting probe is copied. The target sequence can then be amplified using several ligation PCR extension cycles. PCR can then be performed using universal primers corresponding to the universal priming sites from the linked target capture probes to amplify one or both strands of the target nucleic acid. This PCR step can be performed in the same reaction and without the need for a cleanup step. The amplified target sequence can then be sequenced as described above. There need not be a gap between the linked capture probes when used in the opposite orientation, but there can be a gap. The capture probes can be generated by conjugating the universal linker to a pre-made capture probe using a universal 5' linker. The capture probes can be conjugated by streptavidin / biotin or other means as described above, and the universal linker can be extended using the capture probe as a template.

[0178] The methods of the invention include droplet-based target capture, optionally using universal ligated primers to capture double-stranded molecules. The droplet-based method shown in FIG. 36 is similar to that illustrated in FIG. 16, but uses ligated target capture probes as described above and shown in FIGS. 34-35. The universal probe and optional barcode (which may be sense-specific) are ligated to extracted DNA (e.g., cell-free DNA). The emulsion is ligated with the double-stranded template molecule as described above and the universal probe ligated with the universal priming site and the target-specific probe. The universal probe is created using a target capture probe that includes a probe. As described above, target capture is performed at a temperature where the universal probe cannot bind alone without high local concentration due to the binding of the targeting probe, and the capture probe is blocked from extending itself, but includes a universal priming site, so the universal primer and the linked universal primer contained in the emulsion can be used to amplify the target nucleic acid to generate a linked double-stranded molecule that includes both sense and antisense strands of the target nucleic acid. The universal linker can be omitted to perform target capture alone. The emulsion can then be broken, and the unlinked template can be enzymatically digested to leave only the linked double-stranded molecule, which can then be seeded into clusters or otherwise sequenced as described above.

[0179] Figures 37A and B provide additional details of the droplet-based target capture method of the present invention. Step 0 in Figure 37A shows a duplex template molecule with a universal probe and an optional barcode ligated thereto that is loaded into a droplet along with ligated and universal primers and target capture probes. The template DNA is denatured in the droplet, and then the target capture probe is bound to the denatured template strand at a temperature where the universal probe will not bind alone unless a targeting probe is also bound. Only the universal primer is then bound to the captured target. Extension with a strand-displacing polymerase then occurs only on the captured target. Moving to Figure 37B, extension cycles are then performed until the ligated target capture probes and primers are exhausted (e.g., 4-6 cycles). The resulting extension products are then amplified using a universal ligated primer to generate a ligated duplex molecule with a strand-specific barcode. As with the solution-based method, no gaps are required between the ligated capture probes when in the reverse orientation. Ligated capture probes can be used in either or both orientations if the universal linker is omitted to perform target capture alone. Conventional polymerases can be mixed with strand-displacing polymerases in droplets to perform the various extension and amplification steps of the method.

[0180] Certain methods of the invention relate to targeted capture of linked molecules. Linked copies of molecules such as those created using the methods described above can be targeted, captured, and converted to linked molecules for sequencing. Figures 38-42 illustrate an exemplary method of nanoparticle targeted capture of linked molecules. Figure 38 shows a nanoparticle with a strand that includes a universal primer and a target region that is complementary to the capture region of the linked molecule to be captured. Figure 39 illustrates binding of the capture region to the target region. This step occurs at a temperature where the target / capture region binds but the universal primer does not. Unbound template can be washed away in this step. The temperature of the reaction can then be reduced to allow binding of the universal primer. Figure 40 shows binding of the universal primer to the universal primer site on the linked molecule. Figure 41 shows universal primer extension by a strand-displacing polymerase to generate a nanoparticle linked copy of a target molecule that includes both strands of the original linked molecule. Figure 42 shows a dual-seeded nanoparticle that can be used to seed clusters into a flow cell sequencer as described elsewhere in this application.

[0181] In an embodiment of the invention, modified nucleotides can be incorporated. The modified nucleotides can be labeled (e.g., fluorescently labeled) for detection. Thus, for example, each nucleotide type can have a different fluorescent label, as described in U.S. Patent Publication No. 2010 / 0009353, the entire contents of which are incorporated herein by reference. However, the detectable label does not have to be a fluorescent label. Any label that allows for detection of the incorporated nucleotide can be used. One method for detecting fluorescently labeled nucleotides includes the use of laser light of a wavelength specific to the labeled nucleotide, or other suitable source of illumination. Fluorescence from the label on the nucleotide can be detected by a CCD camera or other suitable illumination source. or other suitable detection means. Suitable instrumentation for recording images of clustered arrays is described in WO07123744 and U.S. Patent Publication No. 2010 / 0111768, the contents of which are incorporated herein by reference in their entireties. EXAMPLES

[0182] Example 1 Reducing errors in sequencing KRAS amplicons using doubly seeded clusters A single template molecule was seeded on the flow cell cluster. The single template copy was derived from a library of linked templates with only one linked template molecule bound to the flow cell, as shown in Figure 31. The first 3000 singly seeded clusters aligned to the KRAS amplicon were then analyzed for sequencing errors by applying a quality threshold of greater than 35. As shown in Figure 30, the singly seeded clusters produced an average error of 0.13% at an average depth of about 3000. Because the singly seeded flow cell used a linked template library, the results may represent a lower error rate than that produced using a standard single seeding method with unlinked template molecules.

[0183] The flow cell clusters were then double-seeded with the linked template molecules, where both linked molecules were attached to the flow cell to seed the clusters.The first 3000 double-seeded clusters aligned to the chr12 amplicon were then analyzed for sequencing errors, applying the same quality threshold of 35 or greater and a fluorescence purity filter of 0.8 or greater.The double-seeded clusters had a 7-fold reduction in sequencing errors, and the loss of analyzed bases was less than 3% compared to the single-seeded clusters.The average error rate for the double-seeded clusters was 0.02% at an average depth of about 2920, as shown in Figure 43. Incorporation by Reference

[0184] References and citations to other documents are made throughout this disclosure, such as patents, patent applications, patent publications, journals, books, articles, web content, etc. All such documents are hereby incorporated by reference in their entirety for all purposes. Equivalent

[0185] The present invention may be embodied in other specific forms without departing from its spirit or essential characteristics, and the foregoing embodiments are therefore to be considered in all respects illustrative and not limiting on the invention described herein.

[0186] The present invention provides, for example: (Item 1) 1. A method for targeted capture of double-stranded nucleic acid, comprising: providing two 5' linked target nucleic acids, each comprising a capture region and a primer site; exposing the two 5' linked target nucleic acids to a molecule comprising a target region complementary to the capture region and a plurality of primers under conditions that allow binding of the target region to the capture region but inhibit binding of the primers to the priming site, such that at least one of the two 5' linked target nucleic acids is bound to the molecule at the target region; changing the conditions to allow binding of the priming sites to the primers, such that the primers of the molecule bind to the priming sites of both of the two 5' linked target nucleic acids; extending the primer using a strand displacing polymerase to generate a molecularly linked copy of each of the 5' linked target nucleic acids; The method includes: (Item 2) 2. The method of claim 1, wherein the primer site is a universal primer site and the primer is a universal primer. (Item 3) 2. The method of claim 1, further comprising creating a seeded cluster of said molecularly linked copies of each of said 5' linked target nucleic acids. (Item 4) 4. The method of claim 3, further comprising sequencing the clusters. (Item 5) 1. A method for capturing a region of interest in a genome for targeted DNA sequencing, comprising: ligating universal probe sites onto a plurality of double-stranded nucleic acid fragments, said plurality of double-stranded nucleic acid fragments comprising at least one region of interest in a genome; denaturing the plurality of ligated double-stranded nucleic acid fragments to create single-stranded nucleic acid fragments that comprise universal probe sites; exposing the single stranded nucleic acid fragments to a plurality of linked capture probes comprising targeting probes complementary to at least a portion of a region of interest of the genome, the targeting probes linked to a universal probe and a universal priming site, the exposing under conditions requiring binding of the targeting probe to the target nucleic acid sequence to allow binding of the universal probe to the universal probe site, and extension of the targeting probe is blocked; extending the universal probe using a strand displacing polymerase to generate a copy of the region of interest of the genome; amplifying the region of interest of the genome using PCR amplification and a universal primer complementary to the universal priming site; sequencing a region of interest in the genome; The method includes: (Item 6) 6. The method of claim 5, wherein the denaturation, exposing, extension, and amplification steps are performed in emulsion droplets. (Item 7) 7. The method of claim 6, wherein the universal primer is linked such that the amplification step produces a linked copy of the region of interest in the genome. (Item 8) 8. The method of claim 7, wherein the linked universal primer is sense specific, such that the amplification step generates linked copies of the sense and antisense strands of the region of interest of the genome. (Item 9) 6. The method of claim 5, wherein the ligating step further comprises ligating unique barcodes onto the plurality of double-stranded nucleic acid fragments. (Item 10) 10. The method of claim 9, wherein the unique barcode is sense-specific.

Claims

1. 1. A method for targeted capture of double-stranded nucleic acid, comprising: providing two 5' linked target nucleic acids, each comprising a capture region and a primer site; exposing the two 5' linked target nucleic acids to a molecule comprising a target region complementary to the capture region and a plurality of primers under conditions that allow binding of the target region to the capture region but inhibit binding of the primers to the primer site, whereby at least one of the two 5' linked target nucleic acids binds to the molecule at the target region; changing the conditions to allow binding of the primer sites to the primers, such that the primers of the molecule bind to the primer sites of both of the two 5' linked target nucleic acids; extending the primer using a strand displacing polymerase to generate molecularly linked copies of each of the 5' linked target nucleic acids; The method includes:

2. 2. The method of claim 1, wherein the primer site is a universal primer site and the primer is a universal primer.

3. The method of claim 1, further comprising creating a seeded cluster of said molecularly linked copies of each of said 5' linked target nucleic acids.

4. The method of claim 3 further comprising sequencing the clusters.

5. 1. A method for capturing a region of interest in a genome for targeted DNA sequencing, comprising: ligating universal probe sites onto a plurality of double stranded nucleic acid fragments, said plurality of double stranded nucleic acid fragments comprising at least one region of interest in a genome; denaturing the plurality of ligated double-stranded nucleic acid fragments to create single-stranded nucleic acid fragments that comprise universal probe sites; exposing the single stranded nucleic acid fragments to a plurality of linked capture probes comprising targeting probes complementary to at least a portion of a region of interest of the genome, the targeting probes linked to a universal probe and a universal priming site, the exposing being under conditions requiring binding of the targeting probe to the target nucleic acid sequence to allow binding of the universal probe to the universal probe site, and extension of the targeting probe being blocked; extending the universal probe using a strand displacing polymerase to generate a copy of the region of interest of the genome; sequencing a region of interest in the genome; The method includes:

6. The method of claim 5 , wherein the denaturing, exposing, extending, and amplifying steps are performed in emulsion droplets.

7. 6. The method of claim 5, wherein said ligating step further comprises ligating unique barcodes onto said plurality of double-stranded nucleic acid fragments.

8. 8. The method of claim 7, wherein the unique barcode is sense-specific.

9. The method of claim 5 , further comprising joining the targeting probe and the universal probe using a linking molecule.

10. 10. The method of claim 9, wherein the targeting probe and the universal probe are biotinylated and the linking molecule comprises a streptavidin-derived molecule.

11. 6. The method of claim 5, further comprising repeating the exposing and extending steps to amplify the region of interest of the genome prior to the sequencing step.

12. 12. The method of claim 5 or 11, further comprising amplifying the region of interest of the genome using an unlinked universal probe prior to said sequencing step.

13. 12. The method of claim 5 or 11, further comprising amplifying the region of interest of the genome using PCR amplification and a universal primer complementary to the universal priming site.

14. 14. The method of claim 13, wherein the universal primers are linked such that the amplification step produces a linked copy of the region of interest of the genome.

15. 14. The method of claim 13, wherein the linked universal primer is sense specific, such that the amplification step produces linked copies of the sense and antisense strands of the region of interest of the genome.

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