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HRD test

scarHRD and sequenza

Jun Kang

2021-11-08

1

Myriad myChoice CDx

  • Homologous recombination deficiency (HRD) status
  • Presence mutations in BRCA1 and BRCA2 genes
  • Sensitivity to platinum-based chemotherapy
  • Ovarian cancer
  • Treatment with Zejula (niraparib)
2

Homologous recombination deficiency (HRD)

  • Double-strand break
  • Genomic scars
    • Large-scale loss of heterogeneity [1]
    • Telomere allelic imbalance [2]
    • Large-scale state transition [3]
3

Loss of Heterozygosity (HRD-LOH)

  • Number of 15 Mb exceeding LOH regions which do not cover the whole chromosome.
4

Large Scale Transitions (LST)

  • Chromosomal break between adjacent regions of at least 10 Mb, with a distance between them not larger than 3Mb
5

Telomeric Allelic Imbalances

  • Number AIs that extend to the telomeric end of a chromosome.
6

HRD test as a companion diagnostics [4]

7

Key concepts

  • Allele-specific copy number
    • Allele frequency of heterozygous single nucleotide polymorphism (heterozygous SNP)
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HRD test programs

  • Sequenza [5]
  • scarHRD [6]
9

Allele-specific copy number analysis of tumors [7]

  • B allele frequency (BAF): relative quantity of the one allele compared to the other
  • log R ratio (LRR): Total probe intensity of a given SNP relative to a canonical set of normal controls
  • Loss of heterozygosity
  • Allelic imbalances

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Allele frequency[8]

BAF = pV+1ppC+2(1p)

  • Given copy number (C)
  • Variant allele count (V)
  • Sample purity (p)
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Three steps of Bayesian data analysis

  • Full probability model
  • Conditioning on observed data (posterior distribution)
  • Evaluating the fit of the model and the implications of the resulting posterior distribution

Bayesian Data Analysis 3rd, Andrew Gelman et. al.

12

Full probability model

riN(log2pCi+2(1p)pψ+2(1p),σri)

fiN(pMi+(1p)pCi+2(1p),σfi)

ψ=i(liCi)i(li)

  • ri (log R ratio): Median-normalized log-ratio coverage of all exons within Si
  • fi (B allele frequency): MAF of SNPs within segment Si
  • p: Tumor purity
  • Si: Genomic segment
  • li: Length of $S_i
  • Ci: Copy number of Si
  • Mi: Copy number of minor alleles in Si, 0MiSi
  • ψ: Tumor ploidy of the sample
13

Sequenza results

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Sequenza results

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Sequenza results

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Sequenza results

LPP: log-posterior probability

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scarHRD

library(scarHRD)
scar_score(here::here("static/slide/scarHRD/example/example1.txt"), reference = "grch38", chr.in.names = FALSE, seqz = FALSE)
## Determining HRD-LOH, LST, TAI
## HRD Telomeric AI LST HRD-sum
## [1,] 27 27 33 87
18

References

[1] V. Abkevich, K. M. Timms, B. T. Hennessy, et al. "Patterns of Genomic Loss of Heterozygosity Predict Homologous Recombination Repair Defects in Epithelial Ovarian Cancer". En. In: British Journal of Cancer 107.10 (11. 2012), pp. 1776-1782. ISSN: 1532-1827.

[2] N. J. Birkbak, Z. C. Wang, J. Kim, et al. "Telomeric Allelic Imbalance Indicates Defective DNA Repair and Sensitivity to DNA-Damaging Agents". En. In: Cancer Discov 2.4 (4. 2012), pp. 366-375. ISSN: 2159-8274, 2159-8290.

[3] T. Popova, E. Manie, G. Rieunier, et al. "Ploidy and Large-Scale Genomic Instability Consistently Identify Basal-like Breast Carcinomas with BRCA1/2 Inactivation". En. In: Cancer Res 72.21 (11. 2012), pp. 5454-5462. ISSN: 0008-5472, 1538-7445.

[4] I. Ray-Coquard, P. Pautier, S. Pignata, et al. "Olaparib plus Bevacizumab as First-Line Maintenance in Ovarian Cancer". In: New England Journal of Medicine 381.25 (12. 19, 2019), pp. 2416-2428. ISSN: 0028-4793. pmid: 31851799.

[5] F. Favero, T. Joshi, A. M. Marquard, et al. "Sequenza: Allele-Specific Copy Number and Mutation Profiles from Tumor Sequencing Data". In: Annals of Oncology 26.1 (1. 01, 2015), pp. 64-70. ISSN: 0923-7534, 1569-8041. pmid: 25319062.

[6] Z. Sztupinszki, M. Diossy, M. Krzystanek, et al. "Migrating the SNP Array-Based Homologous Recombination Deficiency Measures to next Generation Sequencing Data of Breast Cancer". In: npj Breast Cancer 4.1 (1 7. 02, 2018), pp. 1-4. ISSN: 2374-4677.

[7] E. F. Attiyeh, S. J. Diskin, M. A. Attiyeh, et al. "Genomic Copy Number Determination in Cancer Cells from Single Nucleotide Polymorphism Microarrays Based on Quantitative Genotyping Corrected for Aneuploidy". In: Genome Res. 19.2 (2. 01, 2009), pp. 276-283. ISSN: 1088-9051, 1549-5469. pmid: 19141597.

[8] J. X. Sun, Y. He, E. Sanford, et al. "A Computational Approach to Distinguish Somatic vs. Germline Origin of Genomic Alterations from Deep Sequencing of Cancer Specimens without a Matched Normal". In: PLOS Computational Biology 14.2 (2018), p. e1005965. ISSN: 1553-7358.

19

Myriad myChoice CDx

  • Homologous recombination deficiency (HRD) status
  • Presence mutations in BRCA1 and BRCA2 genes
  • Sensitivity to platinum-based chemotherapy
  • Ovarian cancer
  • Treatment with Zejula (niraparib)
2
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