PT - JOURNAL ARTICLE AU - Yu-Chih Tsai AU - David Greenberg AU - James Powell AU - Ida Höijer AU - Adam Ameur AU - Maya Strahl AU - Ethan Ellis AU - Inger Jonasson AU - Ricardo Mouro Pinto AU - Vanessa C. Wheeler AU - Melissa L. Smith AU - Ulf Gyllensten AU - Robert Sebra AU - Jonas Korlach AU - Tyson A. Clark TI - Amplification-free, CRISPR-Cas9 Targeted Enrichment and SMRT Sequencing of Repeat-Expansion Disease Causative Genomic Regions AID - 10.1101/203919 DP - 2017 Jan 01 TA - bioRxiv PG - 203919 4099 - http://biorxiv.org/content/early/2017/10/16/203919.short 4100 - http://biorxiv.org/content/early/2017/10/16/203919.full AB - Targeted sequencing has proven to be an economical means of obtaining sequence information for one or more defined regions of a larger genome. However, most target enrichment methods require amplification. Some genomic regions, such as those with extreme GC content and repetitive sequences, are recalcitrant to faithful amplification. Yet, many human genetic disorders are caused by repeat expansions, including difficult to sequence tandem repeats.We have developed a novel, amplification-free enrichment technique that employs the CRISPR-Cas9 system for specific targeting multiple genomic loci. This method, in conjunction with long reads generated through Single Molecule, Real-Time (SMRT) sequencing and unbiased coverage, enables enrichment and sequencing of complex genomic regions that cannot be investigated with other technologies. Using human genomic DNA samples, we demonstrate successful targeting of causative loci for Huntington’s disease (HTT; CAG repeat), Fragile X syndrome (FMR1; CGG repeat), amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (C9orf72; GGGGCC repeat), and spinocerebellar ataxia type 10 (SCA10) (ATXN10; variable ATTCT repeat). The method, amenable to multiplexing across multiple genomic loci, uses an amplification-free approach that facilitates the isolation of hundreds of individual on-target molecules in a single SMRT Cell and accurate sequencing through long repeat stretches, regardless of extreme GC percent or sequence complexity content. Our novel targeted sequencing method opens new doors to genomic analyses independent of PCR amplification that will facilitate the study of repeat expansion disorders.Guide RNA SequencesC9orf72a5’-GCAAUUCCACCAGUCGCUAG-3’C9orf72b5’-GCAUGAUCUCCUCGCCGGCA-3’FMR15’-AGAGGCCGAACUGGGAUAAC-3’HTT5’-AGCGGGCCCAAACUCACGG U-3’ATXN105’-AUACAAAGGAUCAGAAUCCC-3’