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Introduction The Hereditary Cancer Solution (HCS) by SOPHiA GENETICS is the first capture-based application, which has received the CE-IVD mark. The automation of the HCS by SOPHiA GENETICS protocol is frequently requested in the field, especially in the clinical environment where minimizing human intervention is a plus. n Automation of library preparation workflow of SOPHiA GENETICS bundle solutions on Hamilton instruments n Standardization of genomic testing in clinical settings n Reduction of bias due to manual sample preparation Next-Generation Sequencing (NGS) workflows require multiple sample manipulation steps. However, conventional manual rou- tines during library preparation and target enrichment are susceptible to human bias. Automating the process frees up the technicians’ time and also allows to standardize the workflow, thus reducing human errors. The HCS by SOPHiA GENETICS represents a comprehensive NGS application for the detection of genomic variants in 26 genes associated with breast and ovarian, as well as digestive cancers. It bundles the analytical power of SOPHiA TM Artificial Intelligence (AI) with a capture-based target enrichment kit and full access to SOPHiA DDM ® platform (Fig. 1). This application note describes the automation of two protocol steps, whole genome library preparation and target capture. Method Description and Protocol The HCS by SOPHiA GENETICS provides an integrated library preparation workflow that allows users to prepare ready-to- sequence target-enriched libraries in only two working days, starting with as little as 200 ng of genomic DNA (Fig. 2). Pre and Post-PCR workflows are performed on the same deck layout. The Pre-PCR workflow is performed on day 1, starting from diluted genomic DNA at the proper working concentration, placed in an input plate. As a result, amplified genomic libraries Authors: Enrico Tagliafico 1-2 , Elena Tenedini 1-2 , Iole Pezzuto 3 , Anja Seffner 3 , Fabio Celestini 4 , and Federico Sebastiani 5 1 Center for Genome Research, Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena Italy 2 Clinical Genomics Laboratory, Modena University Hospital, Modena, Italy 3 SOPHiA GENETICS, Rue du Centre 172, 1025 Saint-Sulpice, Switzerland 4 Hamilton Italia, Via Paracelso 22, 20864 Agrate Brianza, Italy 5 Hamilton Bonaduz AG, Via Crusch 8, 7402 Bonaduz, Switzerland Application Note Diagnostics Figure 1: Starting from the left, a Hamilton STARlet platform, the HCS kit and SOPHiA DDM platform. Automation of the Hereditary Cancer Solution by SOPHiA GENETICS on Hamilton STARlet

Automation of the Hereditary Cancer Solution by SOPHiA … · Automation of the Hereditary Cancer Solution by SOPHiA GENETICS on Hamilton STARlet. are obtained. These libraries are

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Page 1: Automation of the Hereditary Cancer Solution by SOPHiA … · Automation of the Hereditary Cancer Solution by SOPHiA GENETICS on Hamilton STARlet. are obtained. These libraries are

Introduction

The Hereditary Cancer Solution (HCS) by SOPHiA GENETICS is the first capture-based application, which has received the CE-IVD mark. The automation of the HCS by SOPHiA GENETICS protocol is frequently requested in the field, especially in the clinical environment where minimizing human intervention is a plus.

n Automation of library preparation workflow of SOPHiA GENETICS bundle solutions on Hamilton instruments

n Standardization of genomic testing in clinical settings

n Reduction of bias due to manual sample preparation

Next-Generation Sequencing (NGS) workflows require multiple sample manipulation steps. However, conventional manual rou-tines during library preparation and target enrichment are susceptible to human bias. Automating the process frees up the technicians’ time and also allows to standardize the workflow, thus reducing human errors. The HCS by SOPHiA GENETICS represents a comprehensive NGS application for the detection of genomic variants in 26 genes associated with breast and ovarian, as well as digestive cancers. It bundles the analytical power of SOPHiATM Artificial Intelligence (AI) with a capture-based target enrichment kit and full access to SOPHiA DDM® platform (Fig. 1). This application note describes the automation of two protocol steps, whole genome library preparation and target capture.

Method Description and Protocol

The HCS by SOPHiA GENETICS provides an integrated library preparation workflow that allows users to prepare ready-to-sequence target-enriched libraries in only two working days, starting with as little as 200 ng of genomic DNA (Fig. 2).

Pre and Post-PCR workflows are performed on the same deck layout. The Pre-PCR workflow is performed on day 1, starting from diluted genomic DNA at the proper working concentration, placed in an input plate. As a result, amplified genomic libraries

Authors: Enrico Tagliafico 1-2, Elena Tenedini 1-2, Iole Pezzuto 3, Anja Seffner 3, Fabio Celestini 4, and Federico Sebastiani 5

1 Center for Genome Research, Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena Italy2 Clinical Genomics Laboratory, Modena University Hospital, Modena, Italy 3 SOPHiA GENETICS, Rue du Centre 172, 1025 Saint-Sulpice, Switzerland4 Hamilton Italia, Via Paracelso 22, 20864 Agrate Brianza, Italy5 Hamilton Bonaduz AG, Via Crusch 8, 7402 Bonaduz, Switzerland

Application Note Diagnostics

Figure 1: Starting from the left, a Hamilton STARlet platform, the HCS kit and SOPHiA DDM platform.

Automation of the Hereditary Cancer Solution by SOPHiA GENETICS on Hamilton STARlet

Page 2: Automation of the Hereditary Cancer Solution by SOPHiA … · Automation of the Hereditary Cancer Solution by SOPHiA GENETICS on Hamilton STARlet. are obtained. These libraries are

are obtained. These libraries are used to perform the target-enrichment workflow during the Post-PCR phase on day 2.

Extracted DNA is processed on the Hamilton STARlet through an input worklist. The automated workflow processes up to 48 samples per run in 2 days, including PCR amplification on the deck of the platform.

An evaluation study was performed on a total of 48 samples, 40 of which were unique samples. These samples contained a large array of distinct representative mutations and enabled estimates of sensitivity for variant calling. Replicates were included to estimate repeatability and reproducibility.

System Description

STARlet 8 channels, no autoload; clear cover with UV lamp for deck sterilization; 1x ODTC; 1x PCR plate cooling module; 1x vial cooling module; 2x32 vial carrier; 1x MFX carrier for troughs containing Ethanol; 1x shaker carrier with 2x plate modules, 1x Teleshaker and 1x Chemagic magnetic stand; 1x reagent carrier with 3x120 ml troughs as waste (Fig. 3).

Figure 3: The Hamilton STARlet deck layout.

2

3

1

4

5

7

6

10

8

9

12

11

1. Lid Park Position

2. On-Deck Thermal Cycler

3. Tips

4. Reagent Carrier

5. Heating Cooling Module

6. Reagent Trough

7. Teleshaker

8. Magnet

9. Waste Reagent Trough

10. Plate Position

11. Waste

12. CO-RE Gripper

High quality dsDNAEnzymatic fragmentation,

End repair & A-tailing

Adapter ligation

Post-ligation clean up

Dual-size selection

Library amplification

Post amplification clean up

Pool libraries& lyophilization

Library quantification &quality control by capillaryelectrophoresis

LIBRARIES PREPARATIONWITH DNA LIBRARY PREP KIT BY SOPHIA GENETICS

CAPTUREEASY WORKFLOW- ONLY 1-4 TUBES TO HANDLE (MULITPLEX-POOLED LIBRARIES)- ONLY 3 HOURS HANDS ON TIME

Hybridize targetswith SG probes

Bind probe-target duplexes to streptavidin beads

Pull-down DNA-bead complexes

Wash DNA-bead complexes

Post capture amplification & clean up

Library quantification &quality control by capillaryelectrophoresis

DAY2

12pm

3pm

9am

12pm

3pm

9am

DAY1

4h of

hybridizationHigh quality dsDNAEnzymatic fragmentation,

End repair & A-tailing

Adapter ligation

Post-ligation clean up

Dual-size selection

Library amplification

Post amplification clean up

Pool libraries& lyophilization

Library quantification &quality control by capillaryelectrophoresis

LIBRARIES PREPARATIONWITH DNA LIBRARY PREP KIT BY SOPHIA GENETICS

CAPTUREEASY WORKFLOW- ONLY 1-4 TUBES TO HANDLE (MULITPLEX-POOLED LIBRARIES)- ONLY 3 HOURS HANDS ON TIME

Hybridize targetswith SG probes

Bind probe-target duplexes to streptavidin beads

Pull-down DNA-bead complexes

Wash DNA-bead complexes

Post capture amplification & clean up

Library quantification &quality control by capillaryelectrophoresis

DAY2

12pm

3pm

9am

12pm

3pm

9am

DAY1

4h of

hybridization

Figure 2: Workflow of the Hereditary Cancer Solution by SOPHiA GENETICS.

Page 3: Automation of the Hereditary Cancer Solution by SOPHiA … · Automation of the Hereditary Cancer Solution by SOPHiA GENETICS on Hamilton STARlet. are obtained. These libraries are

Analytical Technology

SOPHiA AI detects, annotates and pre-classifies genomic variants, such as SNVs, Indels, CNVs, ALU insertions and pseudo-gene conversion events, from raw NGS data. The results of the analysis are presented on the SOPHiA DDM platform. Thanks to its intuitive user interface and integrated features, variants visualization and interpretation are facilitated, while assuring the protection of clinical genomic data.

Kit Description

The HCS by SOPHiA GENETICS includes all reagents needed for library preparation and target capture workflow:

n DNA Library Prep Kit by SOPHiA GENETICS

n Individually-synthesized and quality-controlled target-capture probes

n Blocking oligos and Cot-DNA

n Streptavidin and clean-up beads

n All washing and hybridization buffers

n Dual Index Sequencing Adaptors

Automation Technology

The Hamilton STARlet is an ideal platform for the automation of the HCS by SOPHiA GENETICS protocol, as it is equipped with all the positions and devices required for this NGS workflow. In combination with proven Hamilton technologies like CO-RE, MAD, and cLLD, the process can be run with the high degree of robustness and process-safety required for diagnostic applications.

Results

The automation of the HCS by SOPHiA GE-NETICS resulted in a very uniform coverage, high on-target reads percentage and excep-tional coverage in GC-rich regions, even in the first exon. Moreover, all types of genomic variants have been accurately detected, in-cluding difficult variants like long Indels and gene conversion events.

Yield and Quality

Each sample yielded a sufficient number of reads (~2.3 M reads, data not shown) with very uniform coverage (Fig. 4). Moreover, the percentage of mapped on-target reads is very good with around 85% (Fig. 5), allowing 90% of target regions being covered with more than 1000x in all samples. All replicates se-quenced across different runs displayed ex-tremely high reproducibility (Fig. 6). A total of 29 samples carried Copy Number Variations (CNVs), as deletions and duplications. All of them were accurately detected by SOPHiA AI also in replicate samples as shown in the ex-ample in Fig. 7. Even gene conversion events have been reliably detected (Fig. 8).

Figure 4: Coverage uniformity plot of one exemplary sample. Each dot represents a 10 bp window. The whole target region (including AT- and GC-rich regions) is uniformly covered.

Figure 5: High on-target read percentage. On average 85% of all read base pairs mapped to the target regions (onTarget and flankTarget). Also, between sample variance is very low.

50bp window:high ATneutral AThigh GC

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Page 4: Automation of the Hereditary Cancer Solution by SOPHiA … · Automation of the Hereditary Cancer Solution by SOPHiA GENETICS on Hamilton STARlet. are obtained. These libraries are

System and Labware Requirements

Description Part Number

HCS by SOPHiA GENETICS * BS.0242.0102-48

STARlet **, 8 channels, manual load 173000-003

TIP CARRIER 182085

ADAPTER PCR 96 188266

ADAPTER 24 188263

MULTIFLEX REAGENT MODULE 188047

MULTIFLEX CARRIER BASE 188039

MULTIFLEX COOLING MODULE 188046

CO-RE GRIPPER (1ml) set 184089

UV KIT STARlet ML 188129APE

* CE-IVD, 48rx, Illumina MiSeq® ** Dimensions (WxHxD): 1124x903x795 mm

Description Part Number

UV KIT STARlet ML 188129APE

REAGENT CARRIER 3X120ml 194058

PLT_CAR-L4_SHAKER 187001

DWP MODULE 187144

Teleshake Module 220v for DWP 187143

Multiflex Module Bracket 7T 188133APE

MULTIFLEX DWP MODULE 188042

KIT ODTC 96 TR (CLEAR) 819416

TUBE CARRIER 173410

SMP_INS_2ML_32 188102

Throughput and Capacity

The HCS by SOPHiA GENET-ICS allows to prepare maxi-mum 48 sample libraries that have been sequenced on the Illumina MiSeq® using v3 chemistry.

0.0 0.2 0.4 0.6 0.8 1.0

0.0

0.2

0.4

0.6

0.8

1.0

Variant fraction (replicate1)

Varia

nt fr

actio

n (re

plic

ate2

)

Reproducibility

SNP: 0.2

INDEL: 0.15

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Sample1−3061−rep1 vs. 3061 Sample1−3061rep2 vs. 3061 Sample15−3073−rep1 vs. 3073 Sample15−3073−rep2 vs. 3073 SG019−rep1 vs. SG019

Diagonal (R^2 = 0.989)Diagonal ± 10%

0.0 0.2 0.4 0.6 0.8 1.0

0.0

0.2

0.4

0.6

0.8

1.0

Variant fraction (replicate1)

Varia

nt fr

actio

n (re

plic

ate2

)

Reproducibility

SNP: 0.2

INDEL: 0.15

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Sample1−3061−rep1 vs. 3061 Sample1−3061rep2 vs. 3061 Sample15−3073−rep1 vs. 3073 Sample15−3073−rep2 vs. 3073 SG019−rep1 vs. SG019

Diagonal (R^2 = 0.989)Diagonal ± 10%

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

322732353240324432563259

SG019SG032−rep1SG032−rep2

bari1bari2bari3

MUT

YH_e

x16

MUT

YH_e

x15

MUT

YH_e

x03−

14M

UTYH

_ex0

2M

UTYH

_ex0

1

EPCA

M_5

UTR

EPCA

M_e

x01

EPCA

M_e

x02−

03EP

CAM

_ex0

4EP

CAM

_ex0

5EP

CAM

_ex0

6EP

CAM

_ex0

7EP

CAM

_ex0

8EP

CAM

_ex0

9

MSH

2_ex

01M

SH2_

ex02

MSH

2_ex

03M

SH2_

ex04

MSH

2_ex

05M

SH2_

ex06

MSH

2_ex

07M

SH2_

ex08

MSH

2_ex

09M

SH2_

ex10

MSH

2_ex

11M

SH2_

ex12

MSH

2_ex

13M

SH2_

ex14

MSH

2_ex

15M

SH2_

ex16

MSH

6_ex

01M

SH6_

ex02

MSH

6_ex

03M

SH6_

ex04

MSH

6_ex

05M

SH6_

ex06

MSH

6_ex

07M

SH6_

ex08−1

0

BARD

1_ex

11BA

RD1_

ex10

BARD

1_ex

09BA

RD1_

ex08

BARD

1_ex

07BA

RD1_

ex06

BARD

1_ex

05BA

RD1_

ex04

BARD

1_ex

03BA

RD1_

ex02

BARD

1_ex

01

MLH

1_ex

01−0

2M

LH1_

ex03

MLH

1_ex

04M

LH1_

ex05

MLH

1_ex

06M

LH1_

ex07

MLH

1_ex

08−0

9M

LH1_

ex10

MLH

1_ex

11M

LH1_

ex12

MLH

1_ex

13M

LH1_

ex14

MLH

1_ex

15M

LH1_

ex16

MLH

1_ex

17M

LH1_

ex18

MLH

1_ex

19M

LH1_

ex20

PIK3

CA_e

x01

PIK3

CA_e

x02

PIK3

CA_e

x03

PIK3

CA_e

x04

PIK3

CA_e

x05

PIK3

CA_e

x06

PIK3

CA_e

x07

PIK3

CA_e

x08−

09PI

K3CA

_ex1

0PI

K3CA

_ex1

1PI

K3CA

_ex1

2PI

K3CA

_ex1

3PI

K3CA

_ex1

4PI

K3CA

_ex1

5PI

K3CA

_ex1

6PI

K3CA

_ex1

7PI

K3CA

_ex1

8PI

K3CA

_ex1

9−20

PIK3

CA_e

x21

sam

ple

HCS_v1_1 (sample group 2 of 2)

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

322732353240324432563259

SG019SG032−rep1SG032−rep2

bari1bari2bari3

FAM

175A

_3UT

RFA

M17

5A_e

x09

FAM

175A

_ex0

8FA

M17

5A_e

x07

FAM

175A

_ex0

6FA

M17

5A_e

x05

FAM

175A

_ex0

4FA

M17

5A_e

x03

FAM

175A

_ex0

2FA

M17

5A_e

x01

APC_

ex01

APC_

ex02

APC_

ex03

APC_

ex04

APC_

ex05

APC_

ex06

APC_

ex07

APC_

ex08

APC_

ex09

APC_

ex10

APC_

ex11

APC_

ex12

APC_

ex13

APC_

ex14

APC_

ex15

APC_

ex16

RAD5

0_ex

01RA

D50_

ex02

RAD5

0_ex

03RA

D50_

ex04

RAD5

0_ex

05RA

D50_

ex06−0

7RA

D50_

ex08

RAD5

0_ex

09RA

D50_

ex10

RAD5

0_ex

11RA

D50_

ex12

RAD5

0_ex

13RA

D50_

ex14

RAD5

0_ex

15RA

D50_

ex16

RAD5

0_ex

17RA

D50_

ex18−1

9RA

D50_

ex20

RAD5

0_ex

21RA

D50_

ex22

RAD5

0_ex

23RA

D50_

ex24

RAD5

0_ex

25RA

D50_

3UTR

_1RA

D50_

3UTR

_2

PMS2

_ex1

1PM

S2_e

x10

PMS2

_ex0

9PM

S2_e

x08

PMS2

_ex0

7PM

S2_e

x06

PMS2

_ex0

5PM

S2_e

x04

PMS2

_ex0

3PM

S2_e

x02

PMS2

_ex0

1

XRCC

2_3U

TRXR

CC2_

ex03

XRCC

2_ex

02XR

CC2_

ex01

NBN_

3UTR

_2NB

N_3U

TR_1

NBN_

ex16

NBN_

ex15

NBN_

ex14

NBN_

ex13

NBN_

ex12

NBN_

ex11

NBN_

ex10

NBN_

ex09

NBN_

ex08

NBN_

ex07

NBN_

ex06

NBN_

ex05

NBN_

ex04

NBN_

ex03

NBN_

ex02

NBN_

ex01

sam

ple

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

322732353240324432563259

SG019SG032−rep1SG032−rep2

bari1bari2bari3

PTEN

_5UT

R_1

PTEN

_5UT

R_2

PTEN

_5UT

R_3

PTEN

_ex0

1PT

EN_e

x02

PTEN

_ex0

3PT

EN_e

x04

PTEN

_ex0

5PT

EN_e

x06

PTEN

_ex0

7PT

EN_e

x08

PTEN

_ex0

9

MRE

11A_

ex20

MRE

11A_

ex19

MRE

11A_

ex18

MRE

11A_

ex17

MRE

11A_

ex16

MRE

11A_

ex15

MRE

11A_

ex14

MRE

11A_

ex13

MRE

11A_

ex12

MRE

11A_

ex11

MRE

11A_

ex10

MRE

11A_

ex09

MRE

11A_

ex08

MRE

11A_

ex07

MRE

11A_

ex06

MRE

11A_

ex05

MRE

11A_

ex04

MRE

11A_

ex03

MRE

11A_

ex02

MRE

11A_

ex01

ATM

_ex0

1AT

M_e

x02−

03AT

M_e

x04

ATM

_ex0

5AT

M_e

x06

ATM

_ex0

7AT

M_e

x08

ATM

_ex0

9AT

M_e

x10

ATM

_ex1

1AT

M_e

x12

ATM

_ex1

3AT

M_e

x14

ATM

_ex1

5AT

M_e

x16

ATM

_ex1

7AT

M_e

x18

ATM

_ex1

9−20

ATM

_ex2

1−22

ATM

_ex2

3AT

M_e

x24

ATM

_ex2

5AT

M_e

x26

ATM

_ex2

7AT

M_e

x28

ATM

_ex2

9AT

M_e

x30

ATM

_ex3

1AT

M_e

x32

ATM

_ex3

3AT

M_e

x34

ATM

_ex3

5AT

M_e

x36

ATM

_ex3

7AT

M_e

x38

ATM

_ex3

9AT

M_e

x40

ATM

_ex4

1−42

ATM

_ex4

3AT

M_e

x44

ATM

_ex4

5AT

M_e

x46

ATM

_ex4

7AT

M_e

x48

ATM

_ex4

9AT

M_e

x50

ATM

_ex5

1AT

M_e

x52

ATM

_ex5

3AT

M_e

x54

ATM

_ex5

5AT

M_e

x56

ATM

_ex5

7AT

M_e

x58

ATM

_ex5

9AT

M_e

x60

ATM

_ex6

1AT

M_e

x62−

63AT

M_3

UTR_

1AT

M_3

UTR_

2AT

M_3

UTR_

3AT

M_3

UTR_

4AT

M_3

UTR_

5

sam

ple

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

322732353240324432563259

SG019SG032−rep1SG032−rep2

bari1bari2bari3

BRCA

2_ex

01BR

CA2_

ex02

BRCA

2_ex

03BR

CA2_

ex04

BRCA

2_ex

05−0

6BR

CA2_

ex07

BRCA

2_ex

08BR

CA2_

ex09

BRCA

2_ex

10BR

CA2_

ex11

BRCA

2_ex

12BR

CA2_

ex13

BRCA

2_ex

14BR

CA2_

ex15

BRCA

2_ex

16BR

CA2_

ex17

BRCA

2_ex

18BR

CA2_

ex19

BRCA

2_ex

20BR

CA2_

ex21

BRCA

2_ex

22BR

CA2_

ex23−2

4BR

CA2_

ex25

BRCA

2_ex

26BR

CA2_

ex27

BRCA

2_3U

TR

PALB

2_ex

13PA

LB2_

ex12

PALB

2_ex

11PA

LB2_

ex10

PALB

2_ex

09PA

LB2_

ex08

PALB

2_ex

07PA

LB2_

ex06

PALB

2_ex

05PA

LB2_

ex04

PALB

2_ex

02−0

3PA

LB2_

ex01

CDH1

_ex0

1CD

H1_e

x02

CDH1

_ex0

3CD

H1_e

x04−

05CD

H1_e

x06

CDH1

_ex0

7CD

H1_e

x08

CDH1

_ex0

9CD

H1_e

x10

CDH1

_ex1

1CD

H1_e

x12

CDH1

_ex1

3CD

H1_e

x14

CDH1

_ex1

5CD

H1_e

x16

CDH1

_3UT

R

TP53

_3UT

R_2

TP53

_3UT

R_1

TP53

_ex1

1TP

53_e

x10

TP53

_ex0

7−09

TP53

_ex0

6TP

53_e

x04−

05TP

53_e

x02−

03TP

53_e

x01

RAD5

1D_e

x10−

11RA

D51D

_ex0

8−09

RAD5

1D_e

x07

RAD5

1D_e

x06

RAD5

1D_e

x05

RAD5

1D_e

x04

RAD5

1D_e

x03

RAD5

1D_e

x02

RAD5

1D_e

x01

sam

ple

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

322732353240324432563259

SG019SG032−rep1SG032−rep2

bari1bari2bari3

BRCA

1_3U

TRBR

CA1_

ex24

BRCA

1_ex

23BR

CA1_

ex22

BRCA

1_ex

21BR

CA1_

ex20

BRCA

1_ex

19BR

CA1_

ex18

BRCA

1_ex

17BR

CA1_

ex16

BRCA

1_ex

15BR

CA1_

ex14

BRCA

1_in

13BR

CA1_

ex13

BRCA

1_ex

12BR

CA1_

ex11

BRCA

1_ex

10BR

CA1_

ex09

BRCA

1_ex

08BR

CA1_

ex07

BRCA

1_ex

06BR

CA1_

ex05

BRCA

1_ex

03BR

CA1_

ex02

BRCA

1_ex

01

RAD5

1C_e

x01

RAD5

1C_e

x02

RAD5

1C_e

x03

RAD5

1C_e

x04

RAD5

1C_e

x05

RAD5

1C_e

x06

RAD5

1C_e

x07

RAD5

1C_e

x08

RAD5

1C_e

x09

BRIP

1_3U

TR_5

BRIP

1_3U

TR_4

BRIP

1_3U

TR_3

BRIP

1_3U

TR_2

BRIP

1_3U

TR_1

BRIP

1_ex

20BR

IP1_

ex19

BRIP

1_ex

18BR

IP1_

ex17

BRIP

1_ex

16BR

IP1_

ex15

BRIP

1_ex

14BR

IP1_

ex13

BRIP

1_ex

12BR

IP1_

ex11

BRIP

1_ex

10BR

IP1_

ex09

BRIP

1_ex

08BR

IP1_

ex07

BRIP

1_ex

06BR

IP1_

ex05

BRIP

1_ex

04BR

IP1_

ex03

BRIP

1_ex

02BR

IP1_

ex01

STK1

1_5U

TRST

K11_

ex01

STK1

1_ex

02ST

K11_

ex03

STK1

1_ex

04−0

5ST

K11_

ex06

STK1

1_ex

07ST

K11_

ex08

STK1

1_ex

09ST

K11_

ex10

CHEK

2_ex

15CH

EK2_

ex14

CHEK

2_ex

13CH

EK2_

ex12

CHEK

2_ex

11CH

EK2_

ex10

CHEK

2_ex

09CH

EK2_

ex08

CHEK

2_ex

07CH

EK2_

ex06

CHEK

2_ex

05CH

EK2_

ex03−0

4CH

EK2_

ex02

CHEK

2_ex

01

sam

ple

Figure 6: Example of reproducibility between two runs. Each dot represents the variant fraction of one variant.

Figure 7: CNV detection. In this example an insertion in exon 13 of the BRCA gene was detected reliably in both replicate samples.

Figure 8: Example of gene conversion events in PMS2/PMS2CL.

Discussion and Summary

The automation of the library preparation of the Hereditary Cancer Solution by SOPHiA GENETICS on the Hamilton STARlet robot provided excellent results with top analytical performance. During this validation study, all confirmed variants (SNVs and Indels) were reliably called and all CNVs have been detected, including gene conversion events in PMS2/PMS2CL.

1 1 3 3 3 3 3 3 2 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

1 1 3 3 3 3 3 3 2 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

2 2 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 3

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 3

4 4 4 4 4 4 4 4 3 4 4 4 3 3 3 3 3 3 2 2 2 2 3 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 3

1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 3

0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 3

3 3 2 2 2 2 2 2 1 2 2 2 1 1 1 1 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 3

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2

1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 3

3 3 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

1 1 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

1 1 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2

2 2 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 3

3 3 1 1 1 1 1 1 2 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

3 3 1 1 1 1 1 1 2 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 1

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 1

0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 2 2 2 2 1 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 1

3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 1

4 4 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

4 4 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 1

1 1 2 2 2 2 2 2 3 2 2 2 3 3 3 3 2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 1

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2

3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 1

1 1 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

3 3 3 3 3 3 3 3 3 3 3 3 4 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

3 3 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

3 3 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2

2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 1

3052−rep1 : gene3052−rep1 : pseudo/other

3052−rep2 : gene3052−rep2 : pseudo/other

3061 : gene3061 : pseudo/other

3073 : gene3073 : pseudo/other

3078 : gene3078 : pseudo/other

3094 : gene3094 : pseudo/other

3167 : gene3167 : pseudo/other

3170 : gene3170 : pseudo/other

3194−rep1 : gene3194−rep1 : pseudo/other

3194−rep2 : gene3194−rep2 : pseudo/other

3204 : gene3204 : pseudo/other

3217 : gene3217 : pseudo/other

3227 : gene3227 : pseudo/other

3235 : gene3235 : pseudo/other

3240 : gene3240 : pseudo/other

3244 : gene3244 : pseudo/other

3256 : gene3256 : pseudo/other

3259 : gene3259 : pseudo/other

SG019 : geneSG019 : pseudo/other

SG032−rep1 : geneSG032−rep1 : pseudo/other

SG032−rep2 : geneSG032−rep2 : pseudo/other

bari1 : genebari1 : pseudo/other

bari2 : genebari2 : pseudo/other

bari3 : genebari3 : pseudo/other

PMS2

_ex1

5_do

wn_A

PMS2

_ex1

5_A

PMS2

_ex1

4_A

PMS2

_ex1

4_up

_A_2

PMS2

_ex1

4_up

_A_1

PMS2

_ex1

4_up

_B_5

PMS2

_ex1

4_up

_B_4

PMS2

_ex1

4_up

_B_3

PMS2

_ex1

4_up

_B_2

PMS2

_ex1

4_up

_B_1

PMS2

_ex1

3_do

wn_A

PMS2

_ex1

3_A

PMS2

_ex1

3_up

_APM

S2_e

x13_

up_B

_3PM

S2_e

x13_

up_B

_2PM

S2_e

x13_

up_B

_1

PMS2

_ex1

2_do

wn_B

PMS2

_ex1

2_do

wn_A

PMS2

_ex1

2_up

_A

PMS2

_ex1

1_V

PMS2

_ex1

1_U

PMS2

_ex1

1_T

PMS2

_ex1

1_S

PMS2

_ex1

1_R

PMS2

_ex1

1_Q

PMS2

_ex1

1_P

PMS2

_ex1

1_O

PMS2

_ex1

1_N

PMS2

_ex1

1_M

PMS2

_ex1

1_L

PMS2

_ex1

1_K

PMS2

_ex1

1_J

PMS2

_ex1

1_I

PMS2

_ex1

1_H

PMS2

_ex1

1_G

PMS2

_ex1

1_F

PMS2

_ex1

1_E

PMS2

_ex1

1_D

PMS2

_ex1

1_C

PMS2

_ex1

1_B

PMS2

_ex1

1_A

PMS2

_ex1

1_up

_A

sam

ple

HCS_v1_1 , PSV summary

1 1 3 3 3 3 3 3 2 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

1 1 3 3 3 3 3 3 2 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

2 2 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 3

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 3

4 4 4 4 4 4 4 4 3 4 4 4 3 3 3 3 3 3 2 2 2 2 3 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 3

1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 3

0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 3

3 3 2 2 2 2 2 2 1 2 2 2 1 1 1 1 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 3

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2

1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 3

3 3 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

1 1 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

1 1 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2

2 2 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 3

3 3 1 1 1 1 1 1 2 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

3 3 1 1 1 1 1 1 2 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 1

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 1

0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 2 2 2 2 1 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 1

3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 1

4 4 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

4 4 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 1

1 1 2 2 2 2 2 2 3 2 2 2 3 3 3 3 2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 1

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2

3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 1

1 1 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

3 3 3 3 3 3 3 3 3 3 3 3 4 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

3 3 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

3 3 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2

2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 1

3052−rep1 : gene3052−rep1 : pseudo/other

3052−rep2 : gene3052−rep2 : pseudo/other

3061 : gene3061 : pseudo/other

3073 : gene3073 : pseudo/other

3078 : gene3078 : pseudo/other

3094 : gene3094 : pseudo/other

3167 : gene3167 : pseudo/other

3170 : gene3170 : pseudo/other

3194−rep1 : gene3194−rep1 : pseudo/other

3194−rep2 : gene3194−rep2 : pseudo/other

3204 : gene3204 : pseudo/other

3217 : gene3217 : pseudo/other

3227 : gene3227 : pseudo/other

3235 : gene3235 : pseudo/other

3240 : gene3240 : pseudo/other

3244 : gene3244 : pseudo/other

3256 : gene3256 : pseudo/other

3259 : gene3259 : pseudo/other

SG019 : geneSG019 : pseudo/other

SG032−rep1 : geneSG032−rep1 : pseudo/other

SG032−rep2 : geneSG032−rep2 : pseudo/other

bari1 : genebari1 : pseudo/other

bari2 : genebari2 : pseudo/other

bari3 : genebari3 : pseudo/other

PMS2

_ex1

5_do

wn_A

PMS2

_ex1

5_A

PMS2

_ex1

4_A

PMS2

_ex1

4_up

_A_2

PMS2

_ex1

4_up

_A_1

PMS2

_ex1

4_up

_B_5

PMS2

_ex1

4_up

_B_4

PMS2

_ex1

4_up

_B_3

PMS2

_ex1

4_up

_B_2

PMS2

_ex1

4_up

_B_1

PMS2

_ex1

3_do

wn_A

PMS2

_ex1

3_A

PMS2

_ex1

3_up

_APM

S2_e

x13_

up_B

_3PM

S2_e

x13_

up_B

_2PM

S2_e

x13_

up_B

_1

PMS2

_ex1

2_do

wn_B

PMS2

_ex1

2_do

wn_A

PMS2

_ex1

2_up

_A

PMS2

_ex1

1_V

PMS2

_ex1

1_U

PMS2

_ex1

1_T

PMS2

_ex1

1_S

PMS2

_ex1

1_R

PMS2

_ex1

1_Q

PMS2

_ex1

1_P

PMS2

_ex1

1_O

PMS2

_ex1

1_N

PMS2

_ex1

1_M

PMS2

_ex1

1_L

PMS2

_ex1

1_K

PMS2

_ex1

1_J

PMS2

_ex1

1_I

PMS2

_ex1

1_H

PMS2

_ex1

1_G

PMS2

_ex1

1_F

PMS2

_ex1

1_E

PMS2

_ex1

1_D

PMS2

_ex1

1_C

PMS2

_ex1

1_B

PMS2

_ex1

1_A

PMS2

_ex1

1_up

_A

sam

ple

HCS_v1_1 , PSV summary

1 1 3 3 3 3 3 3 2 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

1 1 3 3 3 3 3 3 2 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

2 2 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 3

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 3

4 4 4 4 4 4 4 4 3 4 4 4 3 3 3 3 3 3 2 2 2 2 3 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 3

1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 3

0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 3

3 3 2 2 2 2 2 2 1 2 2 2 1 1 1 1 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 3

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2

1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 3

3 3 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

1 1 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

1 1 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2

2 2 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 3

3 3 1 1 1 1 1 1 2 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

3 3 1 1 1 1 1 1 2 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 1

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 1

0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 2 2 2 2 1 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 1

3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 1

4 4 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

4 4 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 1

1 1 2 2 2 2 2 2 3 2 2 2 3 3 3 3 2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 1

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2

3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 1

1 1 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

3 3 3 3 3 3 3 3 3 3 3 3 4 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

3 3 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

3 3 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2

2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 1

3052−rep1 : gene3052−rep1 : pseudo/other

3052−rep2 : gene3052−rep2 : pseudo/other

3061 : gene3061 : pseudo/other

3073 : gene3073 : pseudo/other

3078 : gene3078 : pseudo/other

3094 : gene3094 : pseudo/other

3167 : gene3167 : pseudo/other

3170 : gene3170 : pseudo/other

3194−rep1 : gene3194−rep1 : pseudo/other

3194−rep2 : gene3194−rep2 : pseudo/other

3204 : gene3204 : pseudo/other

3217 : gene3217 : pseudo/other

3227 : gene3227 : pseudo/other

3235 : gene3235 : pseudo/other

3240 : gene3240 : pseudo/other

3244 : gene3244 : pseudo/other

3256 : gene3256 : pseudo/other

3259 : gene3259 : pseudo/other

SG019 : geneSG019 : pseudo/other

SG032−rep1 : geneSG032−rep1 : pseudo/other

SG032−rep2 : geneSG032−rep2 : pseudo/other

bari1 : genebari1 : pseudo/other

bari2 : genebari2 : pseudo/other

bari3 : genebari3 : pseudo/other

PMS2

_ex1

5_do

wn_A

PMS2

_ex1

5_A

PMS2

_ex1

4_A

PMS2

_ex1

4_up

_A_2

PMS2

_ex1

4_up

_A_1

PMS2

_ex1

4_up

_B_5

PMS2

_ex1

4_up

_B_4

PMS2

_ex1

4_up

_B_3

PMS2

_ex1

4_up

_B_2

PMS2

_ex1

4_up

_B_1

PMS2

_ex1

3_do

wn_A

PMS2

_ex1

3_A

PMS2

_ex1

3_up

_APM

S2_e

x13_

up_B

_3PM

S2_e

x13_

up_B

_2PM

S2_e

x13_

up_B

_1

PMS2

_ex1

2_do

wn_B

PMS2

_ex1

2_do

wn_A

PMS2

_ex1

2_up

_A

PMS2

_ex1

1_V

PMS2

_ex1

1_U

PMS2

_ex1

1_T

PMS2

_ex1

1_S

PMS2

_ex1

1_R

PMS2

_ex1

1_Q

PMS2

_ex1

1_P

PMS2

_ex1

1_O

PMS2

_ex1

1_N

PMS2

_ex1

1_M

PMS2

_ex1

1_L

PMS2

_ex1

1_K

PMS2

_ex1

1_J

PMS2

_ex1

1_I

PMS2

_ex1

1_H

PMS2

_ex1

1_G

PMS2

_ex1

1_F

PMS2

_ex1

1_E

PMS2

_ex1

1_D

PMS2

_ex1

1_C

PMS2

_ex1

1_B

PMS2

_ex1

1_A

PMS2

_ex1

1_up

_A

sam

ple

HCS_v1_1 , PSV summary

Sample1−3061−rep1 vs. 3061Sample1−3061rep2 vs. 3061Sample15−3073−rep1 vs. 3073Sample15−3073−rep2 vs. 3073SG019−rep1 vs. SG019

Diagonal (R^2 = 0.989)Diagonal ± 10%

Variant fraction (replicate1)

Reproducibility

Sam

ple

s

Varia

nt fr

actio

n (re

plic

ate2

)

0.0

0.0

0.2

0.2

0.4

0.4

0.6

0.6

0.8

0.8

1.0

1.0

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© 2017 Hamilton Company. All rights reserved. Lit. No. AN-1710-01 — 10/2017The SOPHiA GENETICS’ solution is for In Vitro Diagnostic Use. Not available for diagnostic purposes in some countries and regions