GALEAS™ Hereditary Plus: Comprehensive Hereditary Tumor Panel

GALEAS™ HereditaryPlus

Comprehensive Hereditary Tumor Panel

Advanced Genetic Testing for Hereditary Cancer Risk

GALEASTM HereditaryPlus is a cutting-edge hereditary tumor panel, designed for the precise assessment of hereditary cancer variants. This panel covers 146 clinically significant genes associated with various hereditary cancers, including breast cancer, prostate cancer, Lynch syndrome, and Wilms tumor

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Key Features of GALEASTM HereditaryPlus

Comprehensive Gene Coverage

  • Target 146 high-risk genes linked to hereditary tumors
  • Covers common hereditary cancers such as breast and prostate cancers
  • Includes rare hereditary tumors like pheochromocytoma and Wilms tumor
  • Encompasses clinically relevant non-coding regions (e.g., 5′ UTR of BRCA1/2 and APC promoter)

Table 1 Genes included in key guidelines associated with risk of developing hereditary cancers and included in the GALEASTM HereditaryPlus panel

Cancer typeRecommended genes for screening included in GALEASTM HereditaryPlus
BreastATM, BARD1, BRCA1, BRCA2, CDH1, CHEK2, NBN, NF1, PALB2, PTEN, STK11, TP53
ColonTAPC, AXIN2, BMPR1A, CHEK2, EPCAM, GREM1, MLH1, MSH2, MSH6, PMS2, MSH3, MUTYH, NTLH1, POLD1, POLE, PTEN, RNF43, SMAD4, STK11, TP53
RenalBAP1, FH, FLCN, MET, SDHB, VHL
OvarianATM, BARD1, BRCA1, BRCA2, CDH1, CHEK2, NBN, NF1, PALB2, PTEN, SKT11, TP53, RAD51C, RAD51D
ProstateATM, BRCA1, BRCA2, CHEK2, MLH1, MSH2, MSH6, PALB2
Gastric/GISTCDH1, KIT, PDGFRA, SDHC, SDHD, SDHA
BrainAPC, ATM, MLH1, MSH2, MSH6, PMS2, TP53
SarcomaEXT1, EXT2, MTAP, NF1, RECQL4, SQSTM1, TP53
Paediatric*CDKN1C, CTR9, REST, TRIM28, WT1

Exceptional Accuracy and Reproducibility

  • Enhanced probe design ensures high sensitivity in detecting SNVs, INDELs, and CNVs
  • High uniformity and comprehensive coverage improve diagnostic reliability
  • Validated with 437 SNPs using standard control NA24385

Table 2 GALEAS™ HereditaryPlus SNV and indel recall across 4 replicates of reference standard NA24385

Recall
SNV99.78%
Indel100%

GALEAS™ Analysis Software for Optimized Bioinformatics

  • Cloud-based bioinformatics pipeline for accurate variant interpretation
  • Embedded 「Panel of Normals」 enhances CNV detection accuracy
  • Enables detection of mosaic copy number variations in key genes (e.g., APC, TSC2)

Superior Precision in Copy Number Variant (CNV) Detection

  • 100% accuracy in detecting CNVs in NIBSC Lynch syndrome MLPA cell lines
  • Detection of single-exon to whole-gene CNVs with high reproducibility
  • Improved detection of mosaic CNVs in essential hereditary cancer genes

Table 3 Recall and Precision Statistics for Copy Number Alterations (CNVs) in NIBSC Reference Controls Using the GALEAS™ HereditaryPlus panel

CNVGenotypic sexCNV typeDetected
Copy normalMaleCopy neutralYes
MSH2 deletion exons 1-6, heterozygousMaleMulti-exon deletionYes
MSH2 deletion exon 7, heterozygous1 MaleSingle exon deletionYes
MSH2 deletion exons 1-2, heterozygousfemaleMulti-exon deletionYes
MSH2 deletion, exon 1, heterozygousMaleSingle exon deletionYes
MLH1 exon 13 amplification (3 or more copies)FemaleMulti-exon amplificationYes

Performance Specifications

  • High on-target read percentage, low duplication rates, and consistent coverage
  • 99% of targets covered at 30x or greater, ensuring high accuracy
  • Superior performance compared to competitors without increased sequencing costs

Table 4 Sequencing Metrics for GALEAS™ Hereditary Plus. Compared with another commercial alternative, GALEASHereditary Plus delivers 100% more content (including CNV probes) for less than 10% more sequencing

Key Quality IndicatorGALEASHereditary PlusCompany I
Number of genes146113
Capture panel size (kb)809 kb403 kb
GB required for mean 100x coverage0.2 Gb0.12 Gb
Percentage coverage >30x99%96%
Percentage on or near bait81%61.51%
Percent duplication2.0%8.99%
SNV recall99.7%98.1%
INDELs recall100%97.2%

Clinical Validation

SNV Recall and Precision

  • SNV recall on clinical samples demonstrated 100% accuracy
  • Proven detection of a wide range of alteration types, including small and large (>10 bp) INDELS

Table 5 SNV Recall on Clinical Samples for GALEAS™ Hereditary Plus

IDGeneHGVS codingHGVS proteinGenomic position
22BRCA1c.1175_1214delp.Leu392fs*5chr17:43094317
23BRCA1c.1175_1214delp.Leu392fs*5chr17:43094317
64MSH2c.942+3A>TP.?chr2:47414421
65PMS2c.736_741delins TGTGTGTGAAGp.(Pro246Cysfs*3)chr7:5997389
66MLH1c.1946dupCp.(Leu650Phefs*14)chr3:37048561
67MSH2c.1213_1217dupp.(Leu407Thrfs*7)chr2:47429877
68MSH6c.3562_3563del1 p.(Ser1188Tyrfs*5)chr2:47805623

Copy Number Variants (CNVs)

The combination of GALEAS™ Hereditary Plus which accurately identifies CNVs and GALEAS™ Analysis Software, offers

  • Capability to deliver CNV detection in PMS2 (Figure 1C)
  • Detection of a wide range of CNVs, from single exons to whole gene
  • The ability to detect mosaic copy number variations in key genes such as APC and TSC2 (Figure 1E and F)
Figure 1 CNV profiles detected by GALEAS™ Hereditary Plus
A) BRCA1 single exon duplication, B) MSH2 single exon deletion, C) PMS2 multiple exon deletion in pseudogene, D) APC whole gene deletion, E) TSC2 mosaic partial gene CNV -20%, F) APC mosaic partial gene CNV -30%

References

1. Ngeow J, Eng C. Precision medicine in heritable cancer: when somatic tumour testing and germline mutations meet. NPJ Genomic Medicine. 2016;(1):1-3.

Product Specifications
ParametersSpecification
Enrichment methodHybridisation and capture
Number of genes146
Capture Panel Size809 Kb
Sequencing platformIllumina
TargetsGenes associated with hereditary cancer
Variant typesSNVs, INDELs and CNVs
Sample typegDNA from blood or saliva
Input DNA requirements10-200 ng
Multiplexing guidance for sequencing1 million reads per sample required to achieve 100×. This equates to 0.2 Gb per sample
Ordering Information
ProductCatalog No.
GALEAS™ HereditaryPlus – 16 samples
(with enzymatic fragmentation for gDNA or FFPE)
NGS_GAL_HCP_FR_16
GALEAS™ HereditaryPlus – 96 samples
(with enzymatic fragmentation for gDNA or FFPE)
NGS_GAL_HCP_FR_96_A/B/C/D*
  • A: Adapter plate with indexes 1–96
  • B: Adapter plate with indexes 97–192
  • C: Adapter plate with indexes 193–288
  • D: Adapter plate with indexes 289–384

*To provide flexibility in sample multiplexing, the kit for 96 samples includes an adapter plate.

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