Characterisation of structural variation in breast. cancer genomes using paired-end sequencing on. the Illumina Genome Analyser
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1 Characterisation of structural variation in breast cancer genomes using paired-end sequencing on the Illumina Genome Analyser Phil Stephens Cancer Genome Project
2 Why is it important to study cancer?
3 Why is it important to study cancer? Causes of cancer How cancers develop Pathways involved
4 Why is it important to study cancer? Causes of cancer How cancers develop Pathways involved Development of tests for early detection
5 Why is it important to study cancer? Causes of cancer How cancers develop Pathways involved Development of tests for early detection New targets for anticancer drug development
6 Why is it important to study cancer? Causes of cancer How cancers develop Pathways involved Development of tests for early detection New targets for anticancer drug development Monitor whether treatment is working
7 Why is it important to study cancer? Causes of cancer How cancers develop Pathways involved Development of tests for early detection New targets for anticancer drug development Monitor whether treatment is working Personalised treatment of cancer
8 Why is it important to study cancer? Causes of cancer How cancers develop Pathways involved Development of tests for early detection New targets for anticancer drug development Monitor whether treatment is working Personalised treatment of cancer
9 Why is it important to study cancer? Causes of cancer How cancers develop Pathways involved Development of tests for early detection New targets for anticancer drug development Monitor whether treatment is working Personalised treatment of cancer
10 Challenges of studying solid tumours
11 Breast cancer spectral karyotype C/O Paul Edwards, Departments of Pathology and Oncology, University of Cambridge 73 Chromosomes, 37 structural abnormalities
12 Amplification MYC in Breast Cancer MYC Genomic location (Mb)
13 Point mutations & Indels Pre-cancerous lesion in situ cancer Invasive cancer Metastatic cancer
14 Point mutations & Indels Pre-cancerous lesion in situ cancer Invasive cancer Metastatic cancer ~20 Cancer causing mutations
15 Point mutations & Indels Pre-cancerous lesion in situ cancer Invasive cancer Metastatic cancer ~20 Cancer causing mutations 100,000 Passenger mutations
16 Pessimism around studying solid tumours
17 BRAF is an oncogene 70% of Melanoma T1799A V600E
18 BRAF is an oncogene 70% of Melanoma T1799A V600E BRAF is not important Melanoma
19 BRAF is an oncogene 70% of Melanoma T1799A V600E BRAF is not important Melanoma BRAF is not a good drug target
20 BRAF is an oncogene 70% of Melanoma T1799A V600E BRAF is not important Melanoma BRAF is not a good drug target Melanoma is too complex to treat effectively
21 Patient with malignant melanoma Courtesy of Dr Grant McArthur
22 Selective inhibitor of BRAF V600E (Plexxicon 4032) Courtesy of Dr Grant McArthur
23 Selective inhibitor of BRAF V600E (Plexxicon 4032) Before 15 days after Courtesy of Dr Grant McArthur
24 New sequencing technologies
25 Rearrangement characterisation
26 Summary of Illumina GA protocol 500bps Randomly shear DNA Size select Sequence from & ligate Illumina adaptors & amplify both ends
27 Summary of Illumina GA protocol 400 bps 37 bps 37 bps
28 Summary of Illumina GA protocol 400 bps 37 bps 37 bps Align reads to ref sequence MAQ algorithm Li Heng, Genome Res., Nov 2008
29 Correctly mapping paired end reads 400 bps 37 bps 37 bps Chromosome 11
30 Incorrectly mapping paired-end reads 400 bps 37 bps 37 bps Chromosome 11 Chromosome 8
31 PCR amplify in tumour and matched normal Somatic Germline Artefact T N T N T N
32 PCR amplify in tumour and matched normal Somatic Germline Artefact T N T N T N
33 PCR amplify in tumour and matched normal Somatic Germline Artefact T N T N T N 6 bps of microhomology at break
34 Structural variation screen 9 matched breast cancer cell lines 49.0 Gb total data 8.5 mean physical coverage
35 Illumina GA sequencing:- Broad objectives Structural variation Fusion genes Copy number changes Structure of amplicons
36 Breast cancer HCC38 spectral karyotype C/O Paul Edwards, Departments of Pathology and Oncology, University of Cambridge 73 Chromosomes, 37 structural abnormalities
37 Breast cancer HCC38 (Triple neg) 238 somatic structural variants
38 Breast cancer HCC38 (Triple neg) somatic structural variants Patterns of variation 0
39 What are these structural variants doing?
40 Copy number ~160 kb copy number increase Chromosome 3 position (Mb)
41 Copy number 164 kb tandem duplication T N Chromosome 3 position (Mb)
42 Copy number 164 kb tandem duplication Chromosome 3 position (Mb) SLC26A6/PRKAR2A in frame fusion gene SLC26A6 PRKAR2A (Exons 1-17) (Exons 4-11) 5 UTR 3 UTR
43 Copy number 164 kb tandem duplication Genomic PCR bps T N T N Chromosome 3 position (Mb) SLC26A6/PRKAR2A in frame fusion gene SLC26A6 PRKAR2A (Exons 1-17) (Exons 4-11) 5 UTR 3 UTR
44 Copy number 164 kb tandem duplication Genomic PCR bps T N T N Chromosome 3 position (Mb) SLC26A6/PRKAR2A in frame fusion gene FISH confirmation of tandem duplication SLC26A6 PRKAR2A (Exons 1-17) (Exons 4-11) 5 UTR 3 UTR
45 bps T N RT-PCR
46 bps T N RT-PCR
47 bps T N RT-PCR
48 bps T N RT-PCR Predicted 914 amino acid fusion protein MGLADASGPRDTQALLSATQAMDLRRRDYHMERPLLNQEHLEELGRWGSAPRTHQWRTWLQCSRARAYALLLQHLPVLVWLPRYPVRDWLLGDLLSGL SVAIMQLPQGLAYALLAGLPPVFGLYSSFYPVFIYFLFGTSRHISVGTFAVMSVMVGSVTESLAPQALNDSMINETARDAARVQVASTLSVLVGLFQVGLGLIH FGFVVTYLSEPLVRGYTTAAAVQVFVSQLKYVFGLHLSSHSGPLSLIYTVLEVCWKLPQSKVGTVVTAAVAGVVLVVVKLLNDKLQQQLPMPIPGELLTLIGAT GISYGMGLKHRFEVDVVGNIPAGLVPPVAPNTQLFSKLVGSAFTIAVVGFAIAISLGKIFALRHGYRVDSNQELVALGLSNLIGGIFQCFPVSCSMSRSLVQEST GGNSQVAGAISSLFILLIIVKLGELFHDLPKAVLAAIIIVNLKGMLRQLSDMRSLWKANRADLLIWLVTFTATILLNLDLGLVVAVIFSLLLVVVRTQMPHYSVLGQ VPDTDIYRDVAEYSEAKEVRGVKVFRSSATVYFANAEFYSDALKQRCGVDVDFLISQKKKLLKKQEQLKLKQLQKEEKLRKQAASPKGASVSINVNTSLEDMR SNNVEDCKMVIHPKTDEQRCRLQEACKDILLFKNLDQEQLSQVLDAMFERIVKADEHVIDQGDDGDNFYVIERGTYDILVTKDNQTRSVGQYDNRGSFGEL ALMYNTPRAATIVATSEGSLWGLDRVTFRRIIVKNNAKKRKMFESFIESVPLLKSLEVSERMKIVDVIGEKIYKDGERIITQGEKADSFYIIESGEVSILIRSRTKSN KDGGNQEVEIARCHKGQYFGELALVTNKPRAASAYAVGDVKCLVMDVQAFERLLGPCMDIMKRNISHYEEQLVKMFGSSVDLGNLGQStop
49 Five expressed in frame fusion genes 2 generated by tandem duplications 3 generated by large inversions
50 Very small rearrangements:- below the resolution of copy number graphs
51 Very small rearrangements:- below the resolution of copy number graphs T N 5 kb tandem duplication, spanned by 4 reads TNRC15:- In frame duplication exons 14 & 15
52 Different patterns of structural variation are emerging from other breast cancers
53 Patterns of somatic structural variation HCC38 HCC1937 HCC1954 Triple Neg BRCA1 null ERBB2 Positive
54 Patterns of somatic structural variation HCC38 HCC1937 HCC1954 Triple Neg BRCA1 null ERBB2 Positive
55 Patterns of somatic structural variation HCC38 HCC1937 HCC1954 Triple Neg BRCA1 null ERBB2 Positive
56 Copy number Complex patterns of structural variation Solexa copy number:- chromosome 6
57 Copy number Complex patterns of structural variation Tandem Duplication Solexa copy number:- chromosome 6
58 Copy number Complex patterns of structural variation Tandem Duplication Deletion & Tandem Duplication Solexa copy number:- chromosome 6
59 Copy number Complex patterns of structural variation t(6;7) translocation 10 8 Tandem Duplication t(6;7) translocation Deletion & Tandem Duplication Solexa copy number:- chromosome 6
60 Copy number Complex patterns of structural variation 10 8 t(6;7) translocation Tandem Duplication Inversion & Tandem Duplication & t(6;7) translocation t(6;7) translocation Deletion & Tandem Duplication Solexa copy number:- chromosome 6
61 Copy number Complex patterns of structural variation t(6;7) translocation Tandem Duplication Inversion & Tandem Duplication & t(6;7) translocation Inversion & Tandem Duplication & t(6;7) translocation t(6;7) translocation Deletion & Tandem Duplication Solexa copy number:- chromosome 6
62 Copy number Complex patterns of structural variation t(6;7) translocation Tandem Duplication Complex Complex Inversion & Tandem Duplication & t(6;7) translocation Inversion & Tandem Duplication & t(6;7) translocation t(6;7) translocation Deletion & Tandem Duplication Solexa copy number:- chromosome 6
63 Summary of breast cancer cell line data 9 breast cancer cell lines 1152 somatic rearrangements 16 In-frame fusion genes (15/16 expressed)
64 Structural variation screen on 15 primary breast cancers 2 Luminal A 2 Luminal B 3 Basal like 2 BRCA1 neg 2 BRCA2 neg 3 ERBB2 + 1 Lobular 66.6 Gb total data 7.4 mean physical coverage
65 199 somatic structural variants Triple negative
66 Triple negative somatic structural variants Patterns of variation
67 Triple negative somatic structural variants Patterns of variation
68 ERRB2 positive somatic structural variants Patterns of variation
69 ERRB2 positive somatic structural variants Patterns of variation
70 Luminal B expression somatic structural variants Patterns of variation
71 Invasive lobular carcinoma somatic structural variant Patterns of variation
72 Novel expressed in frame fusion gene
73 Novel expressed in frame fusion gene 16.8 Mb inversion
74 Novel expressed in frame fusion gene 16.8 Mb inversion
75 Novel expressed in frame fusion gene 16.8 Mb inversion
76 Novel expressed in frame fusion gene 16.8 Mb inversion
77 Novel expressed in frame fusion gene 16.8 Mb inversion
78 Novel expressed in frame fusion gene 16.8 Mb inversion
79 Novel expressed in frame fusion gene 16.8 Mb inversion
80 Very small rearrangements T N 3 kb deletion RB1:- Deletion Exon 13
81 Summary of primary breast cancer data 15 primary breast cancers 1014 Somatic rearrangements 10 In-frame fusion genes (5 expressed)
82 How do we identify the driver mutations?
83 How do we identify the driver mutations? 139 genes rearranged in more than one sample
84 How do we identify the driver mutations? 139 genes rearranged in more than one sample 22 gene fusions ~300 primary breast cancers FISH cdna PCR (Jorge Reis-Filho) (John Foekins)
85 Whole exome sequencing (Agilent Sure Select)
86 Whole exome sequencing (Agilent Sure Select) Shear genomic DNA, ligate Illumina adaptors Hybridise to baits that span exons & wash Sequence form both ends
87 Breast cancer samples (28 total) 21 x ER + HER2 6 x ER + HER2 + 3 x triple neg
88 Substitutions in known cancer genes PD3995a AKT1 E17K PD3995a NF1 G-1T PD3994a PIK3CA N345K PD3989a PIK3CA E545K PD3856a PIK3CA H1047R PD3857a PIK3CA H1047R PD3888a PIK3CA H1047R PD3983a PIK3CA H1047R PD3985a PIK3CA H1047R PD3992a PIK3CA H1047R PD3996a PTEN Y27D PD3991a TP53 G245S PD4002a TP53 H179Y PD3987a TP53 Y220C PD3986a TP53 G+1A PD3985a TP53 R306X
89 High confidence Indels Sample Gene Mutation PD3849a CDH1 V193X PD3984a MAP2K4 V151X PD3992a MAP2K4 I81X PD3989a PTEN L370X
90 High confidence Indels Sample Gene Mutation PD3849a CDH1 V193X PD3984a MAP2K4 V151X PD3992a MAP2K4 I81X PD3989a PTEN L370X PD3995a GATA3 N352X PD3988a GATA3 N352X PD4004a GATA3 Read through
91 Novel cancer genes
92 Novel cancer genes Integrating rearrangement and exome data 2 novel pathways deregulated in a large proportion of ER pos breast cancer
93 Potential applications in healthcare
94 Personalised Haematology Risk stratification Therapy duration Prediction of relapse Tumour cells Time (months)
95 Tumour-specific rearrangements
96 Plasma DNA Normal tissues Cancer DNA with tumour-specific mutation
97 Work flow Identify tumour-specific rearrangements from cancer DNA 2 weeks ~ 2,500
98 Work flow Identify tumour-specific rearrangements from cancer DNA 2 weeks ~ 2,500 Design & test quantitative assay for rearrangements 1 week 250
99 Work flow Identify tumour-specific rearrangements from cancer DNA 2 weeks ~ 2,500 Design & test quantitative assay for rearrangements Extract DNA from plasma (10-20mL blood sample) 1 week 250 ½ day 50
100 Work flow Identify tumour-specific rearrangements from cancer DNA 2 weeks ~ 2,500 Design & test quantitative assay for rearrangements Extract DNA from plasma (10-20mL blood sample) 1 week 250 ½ day 50 Quantify tumour DNA ½ day 50
101 Assay design
102 Detecting 1 copy of tumour genome
103 Serial measurements
104 Potential healthcare applications Monitoring tumour response to therapy in real-time Reduce toxicity, prevent drug wastage
105 Potential healthcare applications Monitoring tumour response to therapy in real-time Reduce toxicity, prevent drug wastage Identifying disease relapse before clinically evident Pre-emptive therapy
106 Potential healthcare applications Monitoring tumour response to therapy in real-time Reduce toxicity, prevent drug wastage Identifying disease relapse before clinically evident Pre-emptive therapy Choosing intensity of adjuvant therapy based on risk stratification
107 Potential healthcare applications Monitoring tumour response to therapy in real-time Reduce toxicity, prevent drug wastage Identifying disease relapse before clinically evident Pre-emptive therapy Choosing intensity of adjuvant therapy based on risk stratification Surrogate marker of cell kill in early phase clinical trials
108 Potential healthcare applications 100 Breast cancers 100 Colorectal cancers 100 Osteosarcomas
109 Conclusions Paired-end sequencing is an effective tool for characterising structural variation in complex cancer genomes
110 Conclusions Paired-end sequencing is an effective tool for characterising structural variation in complex cancer genomes The average breast cancer has ~ 100 somatic structural variants
111 Conclusions Paired-end sequencing is an effective tool for characterising structural variation in complex cancer genomes The average breast cancer has ~ 100 somatic structural variants The average breast cancer has ~1.0 expressed in-frame fusion gene
112 Conclusions Paired-end sequencing is an effective tool for characterising structural variation in complex cancer genomes The average breast cancer has ~ 100 somatic structural variants The average breast cancer has ~1.0 expressed in-frame fusion gene Exome sequencing will unveil a multitude of novel drug targets in the next few years
113 Conclusions Paired-end sequencing is an effective tool for characterising structural variation in complex cancer genomes The average breast cancer has ~ 100 somatic structural variants The average breast cancer has ~1.0 expressed in-frame fusion gene Exome sequencing will unveil a multitude of novel drug targets in the next few years That personalised cancer care is on the horizon
114 Conclusions Paired-end sequencing is an effective tool for characterising structural variation in complex cancer genomes The average breast cancer has ~ 100 somatic structural variants The average breast cancer has ~1.0 expressed in-frame fusion gene Exome sequencing will unveil a multitude of novel drug targets in the next few years That personalised cancer care is on the horizon, and if you are wealthy enough, already here!
115
SUPPLEMENTARY INFORMATION
doi: 1.138/nature8645 Physical coverage (x haploid genomes) 11 6.4 4.9 6.9 6.7 4.4 5.9 9.1 7.6 125 Neither end mapped One end mapped Chimaeras Correct Reads (million ns) 1 75 5 25 HCC1187 HCC1395 HCC1599
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