IP Library Granted Patent US 12,668,893
Granted Patent B2
US 12,668,893 · App. 17/822,016 · Granted Jun 30, 2026

Methods of analyzing cell free nucleic acids and applications thereof

Inventors: Maximilian Diehn (San Carlos, CA); Arash Ash Alizadeh (San Mateo, CA); Jacob J. Chabon (Arvada, CO); David M. Kurtz (San Carlos, CA); Mohammad Shahrokh Esfahani (Mountain View, CA)
Assignee: The Board of Trustees of the Leland Stanford Junior University
C40B50/06
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Quick Facts
Patent No.
US 12,668,893
App. No.
17/822,016
Granted
Jun 30, 2026
Kind
B2
Abstract

Processes and materials to detect neoplasms from a biopsy are described. Processes and materials to build a sequencing library are described. Processes and material to perform targeted sequencing are described. Processes and materials to mitigate confounding sources are described. Cell-free nucleic acids can be sequenced and the sequencing result can be utilized to detect sequences derived from a neoplasm.

Claims (22)

1 . A method to prepare a DNA library for sequencing, the method comprising:

ligating onto a plurality of nucleic acid segments pairs of partial Y-adapters to flank each of the plurality of nucleic acid segments by a pair of partial Y-adapters, thereby producing a plurality of ligation products,

wherein each of the plurality of nucleic acid segments is DNA, and wherein the plurality of nucleic acid segments is obtained or derived from a biological sample,

wherein each of the pair of partial Y-adapters comprises an error-correcting unique identifier flanked by a 1 bp offset sequence and a 0-3 bp stagger sequence, and sequences for a primer to anneal in a grafting polymerase chain reaction, and

wherein the pair of error-correcting unique identifiers on each of the plurality of nucleic acid segments collectively provides a unique identification of the nucleic acid segments against other nucleic acid segments in the plurality of nucleic acid segments; and

grafting onto each of the plurality of ligation products a pair of error-correcting dual index sample barcodes to flank the ligation product by the error-correcting dual index sample barcodes, wherein the error-correcting dual index sample barcodes collectively provide a unique identification of the biological sample.

2 . The method of claim 1 , wherein the nucleic acid segment is complementary DNA (cDNA).

3 . The method of claim 1 , wherein the biological sample comprises cell-free DNA.

4 . The method of claim 1 , wherein the error-correcting dual index sample barcodes collectively provide the unique identification of the biological sample against other biological samples represented in the DNA library.

5 . The method of claim 1 , wherein the pair of error-correcting unique identifiers are each at least 3 bp in length.

6 . The method of claim 5 , wherein the error-correcting unique identifiers are each from 3 to 8 base pairs in length.

7 . The method of claim 1 , wherein the error-correcting unique identifiers are each 6 base pairs in length.

8 . The method of claim 1 , wherein the pair of error-correcting dual index sample barcodes each are 8 base pairs in length.

9 . The method of claim 1 , wherein the grafting comprises performing a polymerase chain reaction.

10 . The method of claim 1 , wherein the biological sample is a blood sample.

11 . The method of claim 1 , wherein the biological sample is a plasma sample.

12 . The method of claim 1 , wherein each of the pair of partial Y-adapters further comprises an overhang.

13 . The method of claim 12 , wherein the overhang comprises a T overhang.

14 . The method of claim 1 , further comprising after the ligating, performing a bead cleanup on the plurality of ligation products.

15 . The method of claim 1 , further comprising after the grafting, performing a sequencing reaction to generate a plurality of sequencing reads.

16 . The method of claim 1 , further comprising, before the ligating, performing an enrichment reaction on the plurality of nucleic acid segments.

17 . The method of claim 16 , wherein the enrichment reaction comprises use of a bait set to enrich for specific sequences of interest.