Splicing profile by capture RNA-seq identifies pathogenic germline variants in tumor suppressor genes

Abstract Germline variants in tumor suppressor genes (TSGs) can result in RNA mis-splicing and predisposition to cancer. However, identification of variants that impact splicing remains a challenge, contributing to a substantial proportion of patients with suspected hereditary cancer syndromes remai...

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Autores principales: Tyler Landrith, Bing Li, Ashley A. Cass, Blair R. Conner, Holly LaDuca, Danielle B. McKenna, Kara N. Maxwell, Susan Domchek, Nichole A. Morman, Christopher Heinlen, Deborah Wham, Cathryn Koptiuch, Jennie Vagher, Ragene Rivera, Ann Bunnell, Gayle Patel, Jennifer L. Geurts, Morgan M. Depas, Shraddha Gaonkar, Sara Pirzadeh-Miller, Rebekah Krukenberg, Meredith Seidel, Robert Pilarski, Meagan Farmer, Khateriaa Pyrtel, Kara Milliron, John Lee, Elizabeth Hoodfar, Deepika Nathan, Amanda C. Ganzak, Sitao Wu, Huy Vuong, Dong Xu, Aarani Arulmoli, Melissa Parra, Lily Hoang, Bhuvan Molparia, Michele Fennessy, Susanne Fox, Sinead Charpentier, Julia Burdette, Tina Pesaran, Jessica Profato, Brandon Smith, Ginger Haynes, Emily Dalton, Joy Rae-Radecki Crandall, Ruth Baxter, Hsiao-Mei Lu, Brigette Tippin-Davis, Aaron Elliott, Elizabeth Chao, Rachid Karam
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Publicado: Nature Portfolio 2020
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Acceso en línea:https://doaj.org/article/50f2e0c212b24359a87e5f0fd59980ac
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spelling oai:doaj.org-article:50f2e0c212b24359a87e5f0fd59980ac2021-12-02T14:18:12ZSplicing profile by capture RNA-seq identifies pathogenic germline variants in tumor suppressor genes10.1038/s41698-020-0109-y2397-768Xhttps://doaj.org/article/50f2e0c212b24359a87e5f0fd59980ac2020-02-01T00:00:00Zhttps://doi.org/10.1038/s41698-020-0109-yhttps://doaj.org/toc/2397-768XAbstract Germline variants in tumor suppressor genes (TSGs) can result in RNA mis-splicing and predisposition to cancer. However, identification of variants that impact splicing remains a challenge, contributing to a substantial proportion of patients with suspected hereditary cancer syndromes remaining without a molecular diagnosis. To address this, we used capture RNA-sequencing (RNA-seq) to generate a splicing profile of 18 TSGs (APC, ATM, BRCA1, BRCA2, BRIP1, CDH1, CHEK2, MLH1, MSH2, MSH6, MUTYH, NF1, PALB2, PMS2, PTEN, RAD51C, RAD51D, and TP53) in 345 whole-blood samples from healthy donors. We subsequently demonstrated that this approach can detect mis-splicing by comparing splicing profiles from the control dataset to profiles generated from whole blood of individuals previously identified with pathogenic germline splicing variants in these genes. To assess the utility of our TSG splicing profile to prospectively identify pathogenic splicing variants, we performed concurrent capture DNA and RNA-seq in a cohort of 1000 patients with suspected hereditary cancer syndromes. This approach improved the diagnostic yield in this cohort, resulting in a 9.1% relative increase in the detection of pathogenic variants, demonstrating the utility of performing simultaneous DNA and RNA genetic testing in a clinical context.Tyler LandrithBing LiAshley A. CassBlair R. ConnerHolly LaDucaDanielle B. McKennaKara N. MaxwellSusan DomchekNichole A. MormanChristopher HeinlenDeborah WhamCathryn KoptiuchJennie VagherRagene RiveraAnn BunnellGayle PatelJennifer L. GeurtsMorgan M. DepasShraddha GaonkarSara Pirzadeh-MillerRebekah KrukenbergMeredith SeidelRobert PilarskiMeagan FarmerKhateriaa PyrtelKara MillironJohn LeeElizabeth HoodfarDeepika NathanAmanda C. GanzakSitao WuHuy VuongDong XuAarani ArulmoliMelissa ParraLily HoangBhuvan MolpariaMichele FennessySusanne FoxSinead CharpentierJulia BurdetteTina PesaranJessica ProfatoBrandon SmithGinger HaynesEmily DaltonJoy Rae-Radecki CrandallRuth BaxterHsiao-Mei LuBrigette Tippin-DavisAaron ElliottElizabeth ChaoRachid KaramNature PortfolioarticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENnpj Precision Oncology, Vol 4, Iss 1, Pp 1-9 (2020)
institution DOAJ
collection DOAJ
language EN
topic Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Tyler Landrith
Bing Li
Ashley A. Cass
Blair R. Conner
Holly LaDuca
Danielle B. McKenna
Kara N. Maxwell
Susan Domchek
Nichole A. Morman
Christopher Heinlen
Deborah Wham
Cathryn Koptiuch
Jennie Vagher
Ragene Rivera
Ann Bunnell
Gayle Patel
Jennifer L. Geurts
Morgan M. Depas
Shraddha Gaonkar
Sara Pirzadeh-Miller
Rebekah Krukenberg
Meredith Seidel
Robert Pilarski
Meagan Farmer
Khateriaa Pyrtel
Kara Milliron
John Lee
Elizabeth Hoodfar
Deepika Nathan
Amanda C. Ganzak
Sitao Wu
Huy Vuong
Dong Xu
Aarani Arulmoli
Melissa Parra
Lily Hoang
Bhuvan Molparia
Michele Fennessy
Susanne Fox
Sinead Charpentier
Julia Burdette
Tina Pesaran
Jessica Profato
Brandon Smith
Ginger Haynes
Emily Dalton
Joy Rae-Radecki Crandall
Ruth Baxter
Hsiao-Mei Lu
Brigette Tippin-Davis
Aaron Elliott
Elizabeth Chao
Rachid Karam
Splicing profile by capture RNA-seq identifies pathogenic germline variants in tumor suppressor genes
description Abstract Germline variants in tumor suppressor genes (TSGs) can result in RNA mis-splicing and predisposition to cancer. However, identification of variants that impact splicing remains a challenge, contributing to a substantial proportion of patients with suspected hereditary cancer syndromes remaining without a molecular diagnosis. To address this, we used capture RNA-sequencing (RNA-seq) to generate a splicing profile of 18 TSGs (APC, ATM, BRCA1, BRCA2, BRIP1, CDH1, CHEK2, MLH1, MSH2, MSH6, MUTYH, NF1, PALB2, PMS2, PTEN, RAD51C, RAD51D, and TP53) in 345 whole-blood samples from healthy donors. We subsequently demonstrated that this approach can detect mis-splicing by comparing splicing profiles from the control dataset to profiles generated from whole blood of individuals previously identified with pathogenic germline splicing variants in these genes. To assess the utility of our TSG splicing profile to prospectively identify pathogenic splicing variants, we performed concurrent capture DNA and RNA-seq in a cohort of 1000 patients with suspected hereditary cancer syndromes. This approach improved the diagnostic yield in this cohort, resulting in a 9.1% relative increase in the detection of pathogenic variants, demonstrating the utility of performing simultaneous DNA and RNA genetic testing in a clinical context.
format article
author Tyler Landrith
Bing Li
Ashley A. Cass
Blair R. Conner
Holly LaDuca
Danielle B. McKenna
Kara N. Maxwell
Susan Domchek
Nichole A. Morman
Christopher Heinlen
Deborah Wham
Cathryn Koptiuch
Jennie Vagher
Ragene Rivera
Ann Bunnell
Gayle Patel
Jennifer L. Geurts
Morgan M. Depas
Shraddha Gaonkar
Sara Pirzadeh-Miller
Rebekah Krukenberg
Meredith Seidel
Robert Pilarski
Meagan Farmer
Khateriaa Pyrtel
Kara Milliron
John Lee
Elizabeth Hoodfar
Deepika Nathan
Amanda C. Ganzak
Sitao Wu
Huy Vuong
Dong Xu
Aarani Arulmoli
Melissa Parra
Lily Hoang
Bhuvan Molparia
Michele Fennessy
Susanne Fox
Sinead Charpentier
Julia Burdette
Tina Pesaran
Jessica Profato
Brandon Smith
Ginger Haynes
Emily Dalton
Joy Rae-Radecki Crandall
Ruth Baxter
Hsiao-Mei Lu
Brigette Tippin-Davis
Aaron Elliott
Elizabeth Chao
Rachid Karam
author_facet Tyler Landrith
Bing Li
Ashley A. Cass
Blair R. Conner
Holly LaDuca
Danielle B. McKenna
Kara N. Maxwell
Susan Domchek
Nichole A. Morman
Christopher Heinlen
Deborah Wham
Cathryn Koptiuch
Jennie Vagher
Ragene Rivera
Ann Bunnell
Gayle Patel
Jennifer L. Geurts
Morgan M. Depas
Shraddha Gaonkar
Sara Pirzadeh-Miller
Rebekah Krukenberg
Meredith Seidel
Robert Pilarski
Meagan Farmer
Khateriaa Pyrtel
Kara Milliron
John Lee
Elizabeth Hoodfar
Deepika Nathan
Amanda C. Ganzak
Sitao Wu
Huy Vuong
Dong Xu
Aarani Arulmoli
Melissa Parra
Lily Hoang
Bhuvan Molparia
Michele Fennessy
Susanne Fox
Sinead Charpentier
Julia Burdette
Tina Pesaran
Jessica Profato
Brandon Smith
Ginger Haynes
Emily Dalton
Joy Rae-Radecki Crandall
Ruth Baxter
Hsiao-Mei Lu
Brigette Tippin-Davis
Aaron Elliott
Elizabeth Chao
Rachid Karam
author_sort Tyler Landrith
title Splicing profile by capture RNA-seq identifies pathogenic germline variants in tumor suppressor genes
title_short Splicing profile by capture RNA-seq identifies pathogenic germline variants in tumor suppressor genes
title_full Splicing profile by capture RNA-seq identifies pathogenic germline variants in tumor suppressor genes
title_fullStr Splicing profile by capture RNA-seq identifies pathogenic germline variants in tumor suppressor genes
title_full_unstemmed Splicing profile by capture RNA-seq identifies pathogenic germline variants in tumor suppressor genes
title_sort splicing profile by capture rna-seq identifies pathogenic germline variants in tumor suppressor genes
publisher Nature Portfolio
publishDate 2020
url https://doaj.org/article/50f2e0c212b24359a87e5f0fd59980ac
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