When incorporated by DNA polymerase, each fluorescently labeled dideoxynucleotide terminates the growing DNA strand at a particular base. Because the reaction produces fragments ending at different positions, the collection records the sequence across the targeted region. This termination pattern converts nucleotide incorporation into an ordered fluorescent signal that can be read after fragment separation.
Capillary electrophoresis separates the terminated fragments according to their lengths, while their fluorescent labels identify the terminal bases. The resulting chromatogram presents the targeted sequence as an ordered pattern of signals. Comparing that pattern with a reference sequence allows investigators to determine whether the observed nucleotide change is present and whether the readout agrees with the expected sequence.
Assessment of zygosity depends on how the observed sequence pattern relates to the reference at the variant position. The chromatogram supplies the experimental readout, and the reference provides the expected comparison point. This pairing helps distinguish a confirmed nucleotide change from a possible sequencing error, making the result more useful for interpreting a molecular finding.
It provides orthogonal evidence, meaning an independent sequencing readout for the same suspected finding. The targeted reaction focuses on the specific genetic variant rather than relying only on the original result. Agreement between the targeted sequence and the reference can strengthen confidence in the variant before it is considered in a molecular diagnosis.
The workflow begins with a DNA template and a primer directed at the region of interest. DNA polymerase extends that primer in the presence of fluorescently labeled dideoxynucleotides, generating terminated fragments. Capillary electrophoresis then separates the fragments, and the resulting chromatogram is compared with a reference sequence. Interpretation addresses the suspected nucleotide change, zygosity, and possible errors.
It is most relevant when a specific genetic variant requires confirmation for accurate clinical interpretation. The method can verify a finding generated by next-generation sequencing and provide additional evidence supporting a molecular diagnosis. Sanger sequencing validation can also be applied to engineered constructs, although that use belongs to molecular research rather than clinical interpretation.
For an engineered construct, the generated sequence can be compared with a reference representing the intended design. Agreement supports the presence of the expected nucleotide sequence, while a discrepancy identifies a sequence that requires further consideration. This application uses the same targeted readout and reference-based comparison that support variant confirmation in medical investigations.