Table 2.
Molecular genetic methodologies according to expected ability to detect abnormalities in different genetic settings.
Next generation sequencing | ||||||
---|---|---|---|---|---|---|
Abnormality | Sanger sequencing | MLPA | Panel testing# | Whole exome testing | Whole genome testing | Long-read sequencing |
Small indels (<50 bp) | Y | Y | Y | Y | Y | Y |
Medium indels (50–300 bp) | M* | Y | M* | M* | Y | Y |
Large indels (>300 bp) | N | Y | N | N | Y | Y |
Mutation in unsuspected gene | N | N | N | Y | Y | Y |
Intronic mutation | M** | N | M** | M** | Y | Y |
Promoter mutation | M** | N | M** | M** | Y | Y |
Pseudogenes | M* | Y | N | N | N | M* |
GC-rich genes | M* | N | N | N | N | Y |
Triplet repeat disorders | M* | N | N | N | N | Y |
A selected panel of genes which are sequenced and analysed, does not include ‘virtual panels’ where all genes may be sequenced with only a selected panel of genes being analysed;
depends on length;
depends on location;
Y, abnormality likely to be detected; M, abnormality may be detected; N, abnormality likely to be missed.