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Precision genomics for hereditary cancer with adaptive sampling

The Oxford Nanopore Hereditary Cancer Panel offers comprehensive germline variant analysis across 258 cancer predisposition genes. The panel uses adaptive sampling: a fast and flexible on-sequencer target enrichment methodology. No lengthy library preparation, baits, or primers required.

Why choose the Oxford Nanopore Hereditary Cancer Panel?

  • One consolidated assay for deeper genomic and epigenomic insight — in one go.

  • Rapid, streamlined sequencing — no batching required

  • Flexible enrichment. Scalable sequencing. Built for every lab.

HCP workflow figure
Recommended device for the Hereditary Cancer Panel

PromethION 24

The PromethION 24 (P24) is a high-throughput sequencing device featuring 24 independent flow cells positions, allowing users to sequence multiple samples simultaneously or flexibly scale their experiments.

PromethION 24 Sequencing device

The Oxford Nanopore Hereditary Cancer Panel (HCP) is a comprehensive sequencing assay targeting 258 full-length genes associated with germline cancer risk. It combines long-read sequencing with Adaptive Sampling for real-time, on-device enrichment, eliminating the need for baits, probes, or primers.

The panel enables comprehensive genomic and epigenomic profiling, including:

  • Single nucleotide variants (SNVs)
  • Insertions and deletions (indels)
  • Structural variants (SVs) and exon-level deletions
  • Complex rearrangements and pseudogenes
  • Methylation patterns for epigenetic insights

The HCP includes 258 full-length genes implicated in cancer predisposition, covering exons, introns, and promoters. Key examples: BRCA1, BRCA2, ATM, TP53, PALB2, MSH2, and many more.

Adaptive Sampling leverages Oxford Nanopore’s real-time sequencing to perform software-based targeted sequencing without additional library prep by using digital panels, which contain the target sequences. The digital panel is uploaded to the sequencing software MinKNOW, and during sequencing, DNA molecules containing the target are sequenced, and those without the target are not sequenced based on the first ~400 bp. This enables sequencing enrichment of regions of interest whilst simultaneously generating low-pass whole-genome coverage. By using digital panels rather than baits, probes, or primers, wet-lab workflows are streamlined, and digital panels can be rapidly customised.

The HCP is designed for whole blood DNA input, requiring approximately 1 µg of DNA per sample, with three samples sequenced per PromethION Flow Cell.

The end-to-end process from sample extraction to sequencing can be completed within 5 days (≤ 2 hours hands-on time).

In our HCP application note, we have demonstrated >30x coverage for target regions and ~5x low-pass coverage across the genome can be achieved. The method consistently achieves uniform enrichment and accurately detects both small variants (SNV) and large variants.

Application note: Hereditary Cancer Panel — 2 pages

Comprehensive genomic and epigenomic profiling with the Oxford Nanopore Hereditary Cancer Panel

This application note highlights how the HCP provides a scalable, accessible, and cost-effective solution for comprehensive analysis of hereditary cancer genes, with the potential to advance precision oncology.

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