The report is generated with PCGR version 0.8.4.10, using the following key settings:
The size of the targeted (coding) genomic region has been defined as: 34 Mb. For estimation of TMB, PCGR employs the same approach as was outlined in a recently published large-scale study of TMB (Chalmers et al. 2017), i.e. counting all coding, somatic base substitutions and indels in the targeted regions, including synonymous alterations.
Estimated mutational burden: 11.38 mutations/Mb (TMB - Intermediate (5 - 20 mutations/Mb))
The plot below indicates how the mutational burden estimated for the query tumor sample (red dotted line) compares with the distributions observed for tumor samples in The Cancer Genome Atlas (TCGA). The grey area indicates the upper TMB tertile as defined by the user. Please note the following characteristics of the TCGA dataset presented here, which must be taken into account during TMB interpretation of the query sample:
The prioritization of SNV/InDels is here done according to a four-tiered structure, adopting the joint consensus recommendation by AMP/ACMG (Li et al. 2017).
The table below permits filtering of the total SNV/InDel set by various criteria.
NOTE 1: The filtering applies to this table only, and not to the tier-specific tables below.
NOTE 2: Filtering on sequencing depth/allelic fraction depends on input specified by user (VCF INFO tags).
No variant-evidence item associations found.
No variant-evidence item associations found.
No variant-evidence item associations found.
No variant-evidence item associations found.
No variant-evidence item associations found.
NOTE - listing top 2000 variants (ranked according to Open Targets phenotype association score)
Microsatellite instability (MSI) is the result of impaired DNA mismatch repair and constitutes a cellular phenotype of clinical significance in many cancer types, most prominently colorectal cancers, stomach cancers, endometrial cancers, and ovarian cancers (Cortes-Ciriano et al., 2017). We have built a statistical MSI classifier from somatic mutation profiles that separates MSI.H (MSI-high) from MSS (MS stable) tumors. The MSI classifier was trained using 999 exome-sequenced TCGA tumor samples with known MSI status (i.e. assayed from mononucleotide markers), and obtained a positive predictive value of 98.9% and a negative predictive value of 98.8% on an independent test set of 427 samples. Details of the MSI classification approach can be found here.
The plot below illustrates the fraction of indels among all calls in _SEQC-II-50pc__SEQC-II_Tumor_50pc-somatic_ (black dashed line) along with the distribution of indel fractions for TCGA samples (colorectal, endometrial, ovarian, stomach) with known MSI status assayed from mononucleotide markers ( MSI.H = high microsatellite instability, MSS = microsatellite stable):
The analysis performed in the cancer genome report is based on the following underlying tools and knowledge resources:
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Rosenthal, Rachel, Nicholas McGranahan, Javier Herrero, Barry S Taylor, and Charles Swanton. 2016. “DeconstructSigs: Delineating Mutational Processes in Single Tumors Distinguishes DNA Repair Deficiencies and Patterns of Carcinoma Evolution.” Genome Biol. 17 (1): 31.
Secrier, Maria, Xiaodun Li, Nadeera de Silva, Matthew D Eldridge, Gianmarco Contino, Jan Bornschein, Shona MacRae, et al. 2016. “Mutational Signatures in Esophageal Adenocarcinoma Define Etiologically Distinct Subgroups with Therapeutic Relevance.” Nat. Genet. 48 (10): 1131–41.